Active NPI 1750338380 Individual Practitioner Male Practitioner

Dr. Carl Joseph Beaudry , MD

Specialist • Port Arthur, TX

Professional Overview & Biography Verified Profile Summary

Dr. Carl Beaudry, MD is a registered healthcare professional specializing in Specialist in Port Arthur, TX. Practice services are available at 2501 JIMMY JOHNSON BLVD under active NPI credentials.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2501 Jimmy Johnson Blvd
Suite 202

Port Arthur, TX 776402007

Telephone 4097224446

Fax 4097224448

Associated Practice Facility / Clinic

🏢 Prasada R Nalluri Md Pa Facility NPI 1265473151

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Port Arthur, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 50.0 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

6 Specialists

Practicing in Port Arthur, TX (2033 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.1% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	168	15	$2.00	$0.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	132	13	$5.00	$1.11
99213 Established patient office or other outpatient visit, typically 15 minutes	39	29	$213.00	$87.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	30	$315.00	$122.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	15	$59.00	$13.88
20610 Aspiration and/or injection of fluid from large joint	14	12	$176.00	$62.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$482.00	$161.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	473	38	$2.00	$0.14
J1020 Injection, methylprednisolone acetate, 20 mg	158	35	$16.00	$3.21
99213 Established patient office or other outpatient visit, typically 15 minutes	122	74	$213.00	$87.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	72	$315.00	$123.73
20610 Aspiration and/or injection of fluid from large joint	52	35	$184.00	$64.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$482.00	$157.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	38	$59.00	$13.30
73560 X-ray of knee, 1-2 views	15	13	$62.80	$24.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$315.00	$108.45
29881 Removal of knee cartilage using an endoscope	11	11	$1590.00	$522.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	632	50	$5.80	$0.12
J1020 Injection, methylprednisolone acetate, 20 mg	351	64	$16.00	$3.52
99213 Established patient office or other outpatient visit, typically 15 minutes	208	106	$213.58	$70.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	94	$315.47	$103.24
20610 Aspiration and/or injection of fluid from large joint	108	60	$181.78	$61.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	51	$59.00	$13.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$483.02	$154.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$315.69	$102.03
73560 X-ray of knee, 1-2 views	25	19	$64.24	$23.90
73565 X-ray of both knees while standing	18	18	$152.00	$27.91
73030 X-ray of shoulder, minimum of 2 views	17	11	$56.00	$20.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	840	61	$4.14	$0.12
J1020 Injection, methylprednisolone acetate, 20 mg	389	78	$11.21	$3.65
99213 Established patient office or other outpatient visit, typically 15 minutes	247	142	$213.00	$70.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	115	$315.00	$102.74
20610 Aspiration and/or injection of fluid from large joint	110	69	$195.49	$59.35
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	85	60	$59.00	$15.84
73560 X-ray of knee, 1-2 views	79	61	$64.47	$21.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	57	$482.00	$155.02
73502 X-ray of hip, 2-3 views	45	32	$85.00	$29.14
73030 X-ray of shoulder, minimum of 2 views	41	24	$56.00	$18.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$315.00	$103.43
73565 X-ray of both knees while standing	34	34	$153.53	$25.68
72170 X-ray of pelvis, 1-2 views	30	28	$65.87	$22.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$127.00	$42.78
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$67.00	$23.26
27447 Replacement of knee joint, both sides of knee	14	13	$4004.00	$1323.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	880	61	$1.93	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	158	$312.98	$99.17
99213 Established patient office or other outpatient visit, typically 15 minutes	198	115	$211.94	$66.94
J1030 Injection, methylprednisolone acetate, 40 mg	187	53	$6.00	$5.92
J1020 Injection, methylprednisolone acetate, 20 mg	133	52	$8.00	$4.30
20610 Aspiration and/or injection of fluid from large joint	123	84	$184.59	$57.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	85	61	$59.00	$18.86
73560 X-ray of knee, 1-2 views	76	52	$64.00	$20.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$479.56	$150.80
73030 X-ray of shoulder, minimum of 2 views	51	31	$56.00	$17.44
73565 X-ray of both knees while standing	31	31	$134.84	$24.10
73502 X-ray of hip, 2-3 views	29	16	$85.00	$26.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$312.88	$100.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$401.00	$129.07
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$67.00	$21.04
27447 Replacement of knee joint, both sides of knee	12	12	$4004.00	$1198.99
72170 X-ray of pelvis, 1-2 views	11	11	$65.00	$20.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,101	78	$2.00	$0.11
J1030 Injection, methylprednisolone acetate, 40 mg	454	102	$6.00	$5.62
99213 Established patient office or other outpatient visit, typically 15 minutes	334	171	$141.00	$66.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	132	$208.00	$98.42
20610 Aspiration and/or injection of fluid from large joint	146	101	$126.53	$56.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	109	76	$48.00	$22.54
73560 X-ray of knee, 1-2 views	103	74	$41.00	$19.38
73030 X-ray of shoulder, minimum of 2 views	51	36	$36.00	$17.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$209.00	$99.62
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$144.00	$68.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	32	$270.00	$128.91
73502 X-ray of hip, 2-3 views	32	19	$56.00	$26.59
29881 Removal of knee cartilage using an endoscope	20	19	$1132.80	$467.14
73565 X-ray of both knees while standing	19	19	$50.00	$23.76
27447 Replacement of knee joint, both sides of knee	18	17	$2686.00	$1285.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$318.00	$152.04
72100 X-ray of lower and sacral spine, 2-3 views	14	13	$44.00	$20.67

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TX E9531

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

097777901 (TX)

Commercial Insurance / Payer ID Physician Permit

E9531 (TX)

Commercial Insurance / Payer ID Aetna

687562 (TX)

Commercial Insurance / Payer ID 3739015001

CIGNA (TX)

Commercial Insurance / Payer ID Blue Cross

0082GS (TX)

Commercial Insurance / Payer ID Dps

S0033018 (TX)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Martin Haig , MD

Specialist

NPI 1134147705

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 July 25, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 25, 2012

Registered at 2501 JIMMY JOHNSON BLVD, SUITE 202, PORT ARTHUR, TX 776402007 (Tel: 4097224446)

📍

Updated Business Mailing Address July 25, 2012

Registered at 2501 JIMMY JOHNSON BLVD, SUITE 202, PORT ARTHUR, TX 776402007 (Tel: 4097224446)

👤

Provider Name / Credentials Updated July 25, 2012

Recorded as CARL BEAUDRY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2012

Specialist (License #E9531 in TX)

🟢

Initial NPI Registration & Enumeration May 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1750338380

Entity Type:

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

Enumeration Date: May 28, 2006

Last Update: March 07, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2501 Jimmy Johnson Blvd, Suite 202

Port Arthur, TX 776402007

Phone: 4097224446

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.