Active NPI 1134145675 Individual Practitioner Female Practitioner

Dr. Lisa A. Duchamp , MD

Pediatrics • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Duchamp, MD is a registered healthcare professional specializing in Pediatrics in Fort Worth, TX. Practice services are available at 1500 W ROSEDALE ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 W Rosedale St

Fort Worth, TX 761047403

Telephone 6828856726

Fax 6828856729

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Worth, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.7 Yrs

State Avg: 22.0 Yrs

Regional Practice Density

174 Specialists

Practicing in Fort Worth, TX (5841 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

90.9% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	32	31	$1315.00	$122.54
99285 Emergency department visit for life threatening or functioning severity	26	26	$1957.00	$176.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	35	34	$1957.00	$178.78
99284 Emergency department visit with moderate level of medical decision making	33	31	$1289.00	$123.40
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	21	21	$110.00	$8.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	44	43	$1289.00	$125.13
99283 Emergency department visit with low level of medical decision making	27	27	$689.00	$74.09
99285 Emergency department visit for life threatening or functioning severity	22	22	$1957.00	$181.79
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	13	$110.00	$8.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	45	42	$1289.00	$124.46
99285 Emergency department visit for life threatening or functioning severity	39	38	$1957.00	$183.78
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	28	27	$110.00	$8.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	49	45	$1173.65	$121.16
99285 Emergency department visit for life threatening or functioning severity	44	43	$1683.39	$177.85
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	18	$100.84	$8.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	49	48	$725.76	$116.60
99285 Emergency department visit for life threatening or functioning severity	46	45	$945.74	$171.79
99283 Emergency department visit with low level of medical decision making	15	14	$577.40	$62.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	59	59	$590.81	$116.95
99285 Emergency department visit for life threatening or functioning severity	47	45	$908.19	$167.41
99283 Emergency department visit with low level of medical decision making	15	15	$445.67	$61.83
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	11	11	$50.00	$8.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$320.00	$105.47
99285 Emergency department visit for life threatening or functioning severity	18	18	$900.00	$168.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$420.00	$153.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$500.00	$188.43
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$87.00	$14.84
99284 Emergency department visit with moderate level of medical decision making	13	13	$590.00	$114.67
71020 X-ray of chest, 2 views, front and side	13	13	$250.00	$23.52
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$50.00	$8.27
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	12	12	$196.00	$60.51

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX K0288

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License TX K0288

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

104115405 (TX)

Medicaid State Provider ID

1041154 04 (TX)

Commercial Insurance / Payer ID Bcbs

8BZ262 (TX)

Commercial Insurance / Payer ID Medicare

8L9750 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Rachel Souers , MD

Pediatrics

NPI 1003029497

Doctor of Medicine (M.D.)

Dr. Milton Squiers , MD

Pediatrics

NPI 1427133081

Doctor of Medicine (M.D.)

Dr. Poonam Kaza , MD

Pediatrics

NPI 1518221019

Doctor of Medicine (M.D.)

Dr. Maisie Miller , MD

Pediatrics

NPI 1881854776

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 29, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2015

Registered at 1500 W ROSEDALE ST, FORT WORTH, TX 761047403 (Tel: 6828856726)

📍

Updated Business Mailing Address January 29, 2015

Registered at PO BOX 99371, FORT WORTH, TX 761990371 (Tel: 6828851855)

👤

Provider Name / Credentials Updated January 29, 2015

Recorded as LISA DUCHAMP, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2015

Internal Medicine (License #K0288 in TX)

🟢

Initial NPI Registration & Enumeration July 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134145675

Entity Type:

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

Enumeration Date: July 15, 2006

Last Update: January 29, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 99371

Fort Worth, TX 761990371

Phone: 6828851855

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.