Active NPI 1104184845 Individual Practitioner Female Practitioner

Tara Boudoin Deville , NP

Nurse Practitioner • Beaumont, TX

Professional Overview & Biography Verified Profile Summary

Tara Deville, NP is a registered healthcare professional specializing in Nurse Practitioner in Beaumont, TX. Practice services are available at 3195 DOWLEN RD STE 105 under active NPI credentials.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, injection, ceftriaxone sodium, per 250 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3195 Dowlen Rd Ste 105

Beaumont, TX 77706

Telephone 4092040257

Associated Practice Facility / Clinic

🏢 Doctors Express Of The Beaumont Area Pa Facility NPI 1841525235

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Beaumont, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.1 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

49 Specialists

Practicing in Beaumont, TX (4894 Statewide)

Telehealth Adoption Rate

2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	336	41	$6.25	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	153	86	$125.55	$61.87
J0696 Injection, ceftriaxone sodium, per 250 mg	140	34	$10.00	$0.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	103	$164.44	$89.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	58	$40.00	$11.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$170.23	$88.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$185.00	$135.67
87804 Detection test by immunoassay with direct visual observation for influenza virus	50	24	$24.88	$16.22
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$154.15	$62.59
81003 Automated urinalysis test	29	29	$20.00	$2.23
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	18	$30.00	$19.58
71046 X-ray of chest, 2 views	18	17	$139.22	$18.03
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	17	16	$87.65	$51.31
G0008 Administration of influenza virus vaccine	16	16	$18.06	$16.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	780	97	$6.19	$0.12
J0696 Injection, ceftriaxone sodium, per 250 mg	364	90	$9.88	$0.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	221	138	$40.18	$13.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	148	$164.19	$87.98
87804 Detection test by immunoassay with direct visual observation for influenza virus	102	50	$25.00	$15.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$185.45	$134.65
71046 X-ray of chest, 2 views	36	33	$143.00	$8.89
81003 Automated urinalysis test	33	32	$20.00	$2.44
90471 Administration of 1 vaccine	12	12	$34.33	$13.49
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	11	11	$65.00	$23.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	902	106	$6.25	$0.11
J0696 Injection, ceftriaxone sodium, per 250 mg	440	104	$7.32	$0.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	257	154	$40.00	$16.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	218	179	$164.68	$87.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$185.00	$134.78
87804 Detection test by immunoassay with direct visual observation for influenza virus	90	45	$25.00	$15.86
81003 Automated urinalysis test	43	41	$20.00	$2.71
J1885 Injection, ketorolac tromethamine, per 15 mg	40	11	$10.00	$0.59
71046 X-ray of chest, 2 views	16	16	$143.00	$9.11
G0008 Administration of influenza virus vaccine	13	13	$37.00	$19.34
90756 Vaccine for influenza for injection into muscle	13	13	$45.00	$22.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	516	67	$12.84	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	198	95	$39.71	$19.92
J0696 Injection, ceftriaxone sodium, per 250 mg	196	46	$12.25	$0.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	127	17	$30.00	$1.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	77	$150.01	$87.16
J1885 Injection, ketorolac tromethamine, per 15 mg	82	21	$19.78	$0.59
99213 Established patient office or other outpatient visit, typically 15 minutes	69	51	$95.00	$59.02
87804 Detection test by immunoassay with direct visual observation for influenza virus	64	31	$37.50	$16.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$185.40	$132.13
81002 Urinalysis, manual test	31	25	$20.00	$3.43
71020 X-ray of chest, 2 views, front and side	29	25	$99.14	$22.28
70220 X-ray of paranasal sinus, minimum of 3 views	26	23	$100.00	$29.70
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	23	13	$20.00	$3.85
J1040 Injection, methylprednisolone acetate, 80 mg	22	22	$90.00	$11.09
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	16	$38.29	$15.16
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$49.93	$13.63
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$90.00	$27.73

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 712309

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location June 13, 2018

Registered at 3195 DOWLEN RD STE 105, BEAUMONT, TX 77706 (Tel: 4092040257)

📍

Updated Business Mailing Address June 13, 2018

Registered at 3195 DOWLEN RD STE 105, BEAUMONT, TX 777067272 (Tel: 4092040257)

✅

NPI Profile Active March 16, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2017

Registered at 3129 COLLEGE ST, SUITE 200, BEAUMONT, TX 777014660 (Tel: 4098328600)

📍

Updated Business Mailing Address March 16, 2017

Registered at 3129 COLLEGE ST, SUITE 200, BEAUMONT, TX 777014660 (Tel: 4098328600)

👤

Provider Name / Credentials Updated March 16, 2017

Recorded as TARA DEVILLE, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2017

Nurse Practitioner (License #712309 in TX)

✅

NPI Profile Active May 01, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 01, 2012

Registered at 2830 CALDER ST, BEAUMONT, TX 777021809 (Tel: 8008939698)

📍

Updated Business Mailing Address May 01, 2012

Registered at 200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 705083870

👤

Provider Name / Credentials Updated May 01, 2012

Recorded as TARA DEVILLE, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2012

Nurse Practitioner (License #712309 in TX)

🟢

Initial NPI Registration & Enumeration May 01, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104184845

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 01, 2012

Last Update: June 13, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3195 Dowlen Rd Ste 105

Beaumont, TX 777067272

Phone: 4092040257

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.