Deactivated NPI 1639162290 Deactivated / Inactive NPI Male Practitioner

Dr. Gregory D Lord , MD

General Practice • Leesville, LA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Gregory Lord has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 29, 2005

NPI Deactivation Date March 23, 2006

Total Practice Duration ~25 Years of Practice (1981 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Lord, MD was a registered General Practice in Leesville, LA. Prior to record deactivation on 2006-03-23, Dr. Lord completed approximately 25 years of clinical practice following graduation from Louisiana State University School Of Medicine In Shreveport in 1981.

Dr. Lord was affiliated with Physical Therapy Services Of West Louisiana Inc and did not directly accept Medicare assignment.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, chronic care management services, first, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

301 W Fertitta Blvd Ste 1

Leesville, LA 714464665

Telephone 3372380167

Fax 3372380574

Associated Practice Facility / Clinic

🏢 Deer Creek Imaging Center Facility NPI 1013900760

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In Shreveport

Graduation Year

1981

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Leesville, LA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs Matches City Avg

City Avg: 45.0 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

2 Specialists

Practicing in Leesville, LA (173 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lord (45 Years) 45 Yrs

Leesville Specialty Average (45.0 Years) 45.0 Yrs

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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	966	110	$282.16	$74.10
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	488	275	$120.00	$58.31
99213 Established patient office or other outpatient visit, typically 15 minutes	328	204	$120.00	$84.12
71046 X-ray of chest, 2 views	237	201	$203.00	$30.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	157	$197.00	$118.97
81000 Manual urinalysis test with examination using microscope, non-automated	179	162	$53.00	$3.94
93000 Routine ekg using at least 12 leads including interpretation and report	162	157	$90.44	$13.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	159	159	$205.00	$120.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	124	107	$345.03	$121.83
99239 Hospital discharge day management, more than 30 minutes	117	105	$251.86	$106.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	117	101	$69.00	$7.61
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	105	40	$165.09	$69.72
87804 Detection test by immunoassay with direct visual observation for influenza virus	86	41	$60.00	$16.22
J0696 Injection, ceftriaxone sodium, per 250 mg	61	13	$40.92	$0.48
77080 Dxa bone density measurement of hip, pelvis, spine	50	50	$336.00	$34.32
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	44	42	$85.00	$40.55
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	17	$112.00	$38.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	22	$272.00	$167.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	17	$50.00	$13.09
J1040 Injection, methylprednisolone acetate, 80 mg	20	18	$64.00	$9.67
82270 Stool analysis for blood to screen for colon tumors	18	18	$20.00	$4.29
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	16	15	$97.32	$47.32
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	14	$133.00	$48.96
J1010 Injection, methylprednisolone acetate, 1 mg	12	11	$64.00	$0.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,646	509	$120.00	$58.94
80053 Blood test, comprehensive group of blood chemicals	1,018	500	$119.00	$10.31
99213 Established patient office or other outpatient visit, typically 15 minutes	969	391	$120.00	$84.55
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	908	486	$69.00	$7.59
81000 Manual urinalysis test with examination using microscope, non-automated	580	406	$53.00	$3.93
71046 X-ray of chest, 2 views	540	395	$203.00	$30.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	478	315	$197.00	$119.69
93000 Routine ekg using at least 12 leads including interpretation and report	386	364	$91.00	$13.44
80061 Blood test, lipids (cholesterol and triglycerides)	363	338	$118.00	$13.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	329	37	$308.00	$76.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	320	320	$205.00	$120.74
82306 Vitamin d-3 level	285	269	$146.00	$28.91
84439 Thyroxine (thyroid chemical), free	263	261	$70.00	$8.84
84443 Blood test, thyroid stimulating hormone (TSH)	256	251	$128.96	$16.46
J0696 Injection, ceftriaxone sodium, per 250 mg	240	38	$40.30	$0.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	240	219	$272.00	$167.28
83036 Hemoglobin A1C level	216	166	$101.21	$9.39
77080 Dxa bone density measurement of hip, pelvis, spine	202	202	$336.00	$34.17
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	178	57	$126.00	$70.68
82570 Creatinine level to test for kidney function or muscle injury	177	136	$51.00	$5.05
87804 Detection test by immunoassay with direct visual observation for influenza virus	154	73	$60.00	$16.03
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	144	142	$150.00	$33.44
G0008 Administration of influenza virus vaccine	143	142	$50.00	$28.99
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	142	55	$126.00	$70.76
G0103 Prostate cancer screening; prostate specific antigen test (psa)	131	131	$129.00	$18.92
82043 Urine microalbumin (protein) level	95	95	$31.21	$5.60
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	88	39	$156.00	$101.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	83	49	$50.00	$13.07
J1040 Injection, methylprednisolone acetate, 80 mg	81	65	$64.00	$11.81
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	75	71	$85.00	$39.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	69	45	$156.00	$101.30
20610 Aspiration and/or injection of fluid from large joint	69	54	$127.00	$61.49
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	57	16	$92.00	$21.02
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	54	25	$112.00	$38.27
J1020 Injection, methylprednisolone acetate, 20 mg	42	12	$14.24	$5.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	37	$308.00	$125.21
82270 Stool analysis for blood to screen for colon tumors	38	38	$20.00	$4.29
99239 Hospital discharge day management, more than 30 minutes	34	32	$220.00	$109.47
73030 X-ray of shoulder, minimum of 2 views	28	24	$102.43	$31.39
73564 X-ray of knee, 4 or more views	24	21	$110.67	$42.08
72110 X-ray of lower and sacral spine, minimum of 4 views	23	22	$175.00	$44.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	21	$133.00	$48.42
99306 Initial nursing facility visit, typically 45 minutes per day	20	20	$350.00	$173.79
84550 Uric acid level, blood	19	17	$31.00	$4.43
74018 X-ray of abdomen, 1 view	16	14	$139.00	$27.27
36415 Insertion of needle into vein for collection of blood sample	15	11	$22.00	$8.40
73502 X-ray of hip, 2-3 views	14	14	$220.00	$42.35
10060 Simple or single drainage of skin abscess	14	13	$240.00	$115.99
69210 Removal of impacted ear wax	14	14	$226.00	$43.21
73630 X-ray of foot, minimum of 3 views	13	12	$103.23	$30.98
71101 X-ray of ribs on side of body, minimum of 3 views	12	12	$109.00	$38.51
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$275.00	$155.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$105.00	$52.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,721	518	$120.00	$60.69
80053 Blood test, comprehensive group of blood chemicals	1,145	513	$119.00	$10.37
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	981	500	$69.00	$7.60
99213 Established patient office or other outpatient visit, typically 15 minutes	951	396	$120.00	$86.46
81000 Manual urinalysis test with examination using microscope, non-automated	573	412	$53.00	$3.95
71046 X-ray of chest, 2 views	566	394	$203.00	$30.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	428	272	$196.90	$120.97
80061 Blood test, lipids (cholesterol and triglycerides)	390	358	$118.00	$13.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	388	354	$272.00	$172.95
84443 Blood test, thyroid stimulating hormone (TSH)	382	354	$129.00	$16.59
93000 Routine ekg using at least 12 leads including interpretation and report	356	336	$91.00	$13.57
84439 Thyroxine (thyroid chemical), free	355	346	$70.00	$8.89
82306 Vitamin d-3 level	349	335	$146.00	$29.25
83036 Hemoglobin A1C level	316	192	$101.00	$9.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	303	303	$205.00	$124.28
J0696 Injection, ceftriaxone sodium, per 250 mg	295	50	$40.19	$0.48
87804 Detection test by immunoassay with direct visual observation for influenza virus	202	89	$60.00	$16.05
82570 Creatinine level to test for kidney function or muscle injury	192	146	$51.00	$5.09
77080 Dxa bone density measurement of hip, pelvis, spine	187	187	$336.00	$33.96
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	178	53	$126.00	$65.83
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	177	173	$150.00	$31.38
G0008 Administration of influenza virus vaccine	176	172	$50.00	$27.34
G0103 Prostate cancer screening; prostate specific antigen test (psa)	155	155	$129.00	$19.08
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	151	64	$126.00	$65.82
82043 Urine microalbumin (protein) level	120	119	$31.00	$5.66
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	105	72	$50.00	$13.09
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	104	89	$84.42	$39.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	89	47	$156.00	$86.53
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	88	53	$156.00	$86.54
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	82	34	$112.00	$38.42
85610 Blood test, clotting time	73	14	$97.00	$4.25
20610 Aspiration and/or injection of fluid from large joint	64	51	$127.00	$63.03
J1040 Injection, methylprednisolone acetate, 80 mg	60	48	$64.00	$10.67
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	42	33	$54.17	$6.74
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	42	23	$92.00	$21.26
99306 Initial nursing facility visit, typically 45 minutes per day	42	40	$350.00	$158.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	36	$133.00	$50.00
72110 X-ray of lower and sacral spine, minimum of 4 views	37	34	$175.00	$47.14
82270 Stool analysis for blood to screen for colon tumors	32	32	$20.00	$4.32
73564 X-ray of knee, 4 or more views	31	26	$99.81	$42.48
73030 X-ray of shoulder, minimum of 2 views	28	23	$86.57	$31.87
84550 Uric acid level, blood	24	20	$31.00	$4.47
74018 X-ray of abdomen, 1 view	19	15	$139.00	$25.37
84153 Psa (prostate specific antigen) measurement, total	18	15	$129.00	$18.22
73502 X-ray of hip, 2-3 views	18	18	$220.00	$42.99
80048 Blood test, basic group of blood chemicals (calcium, total)	17	11	$31.00	$8.40
69210 Removal of impacted ear wax	16	16	$226.00	$45.94
36415 Insertion of needle into vein for collection of blood sample	14	14	$22.00	$2.97
72050 X-ray of upper spine, 4 or 5 views	13	13	$134.00	$48.93
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$275.00	$160.46
71101 X-ray of ribs on side of body, minimum of 3 views	11	11	$109.00	$39.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,597	525	$120.00	$39.24
80053 Blood test, comprehensive group of blood chemicals	1,278	571	$119.00	$10.50
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,093	561	$69.00	$7.72
99213 Established patient office or other outpatient visit, typically 15 minutes	881	401	$120.00	$87.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	772	392	$197.00	$123.72
81000 Manual urinalysis test with examination using microscope, non-automated	713	479	$53.00	$4.00
71046 X-ray of chest, 2 views	654	451	$203.00	$30.95
84443 Blood test, thyroid stimulating hormone (TSH)	464	424	$129.00	$16.80
80061 Blood test, lipids (cholesterol and triglycerides)	432	404	$118.00	$13.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	422	384	$271.66	$171.34
84439 Thyroxine (thyroid chemical), free	421	405	$70.00	$9.00
93000 Routine ekg using at least 12 leads including interpretation and report	407	388	$91.00	$14.07
82306 Vitamin d-3 level	406	386	$146.00	$29.27
J0696 Injection, ceftriaxone sodium, per 250 mg	389	65	$41.31	$0.53
83036 Hemoglobin A1C level	334	208	$101.00	$9.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	332	332	$205.00	$127.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	287	22	$308.00	$70.41
77080 Dxa bone density measurement of hip, pelvis, spine	242	242	$336.00	$34.97
82570 Creatinine level to test for kidney function or muscle injury	230	160	$51.00	$5.14
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	200	63	$126.00	$66.79
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	195	49	$126.00	$66.79
87804 Detection test by immunoassay with direct visual observation for influenza virus	182	89	$61.52	$16.55
G0008 Administration of influenza virus vaccine	175	173	$50.00	$15.73
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	175	173	$150.00	$29.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	172	55	$156.00	$87.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	167	103	$50.00	$13.11
G0103 Prostate cancer screening; prostate specific antigen test (psa)	161	161	$128.80	$19.31
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	159	47	$156.00	$87.85
82043 Urine microalbumin (protein) level	133	131	$31.00	$5.70
J1040 Injection, methylprednisolone acetate, 80 mg	112	89	$64.00	$10.35
85610 Blood test, clotting time	91	20	$97.00	$4.29
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	89	44	$112.00	$38.82
72110 X-ray of lower and sacral spine, minimum of 4 views	58	56	$175.00	$45.85
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	55	46	$133.00	$50.30
20610 Aspiration and/or injection of fluid from large joint	51	42	$127.00	$63.31
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	49	25	$92.00	$21.04
J1020 Injection, methylprednisolone acetate, 20 mg	44	13	$15.68	$3.14
82270 Stool analysis for blood to screen for colon tumors	43	43	$20.00	$4.38
36415 Insertion of needle into vein for collection of blood sample	38	20	$22.00	$3.00
73030 X-ray of shoulder, minimum of 2 views	35	29	$96.31	$29.44
99306 Initial nursing facility visit, typically 45 minutes per day	33	33	$350.00	$161.84
84550 Uric acid level, blood	29	23	$31.00	$4.25
69210 Removal of impacted ear wax	29	26	$226.00	$45.58
74018 X-ray of abdomen, 1 view	29	27	$139.00	$27.58
99239 Hospital discharge day management, more than 30 minutes	25	22	$220.00	$103.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	22	$308.00	$128.51
73564 X-ray of knee, 4 or more views	23	18	$101.61	$42.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$66.00	$53.48
72050 X-ray of upper spine, 4 or 5 views	19	19	$134.00	$48.37
73502 X-ray of hip, 2-3 views	18	17	$220.00	$42.67
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	17	12	$98.00	$42.49
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$273.53	$161.76
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$309.65	$205.63
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	15	15	$65.00	$41.38
84153 Psa (prostate specific antigen) measurement, total	15	13	$103.40	$18.39
G0009 Administration of pneumococcal vaccine	13	13	$50.00	$15.89
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$150.00	$125.00
73630 X-ray of foot, minimum of 3 views	13	12	$108.15	$31.49
71101 X-ray of ribs on side of body, minimum of 3 views	11	11	$112.09	$36.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,114	623	$120.00	$40.30
80053 Blood test, comprehensive group of blood chemicals	1,230	573	$119.05	$10.46
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,109	562	$69.00	$7.68
99213 Established patient office or other outpatient visit, typically 15 minutes	974	418	$120.04	$70.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	696	377	$196.94	$102.05
81000 Manual urinalysis test with examination using microscope, non-automated	668	457	$52.94	$3.95
71046 X-ray of chest, 2 views	545	406	$203.00	$30.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	480	34	$308.00	$71.68
84443 Blood test, thyroid stimulating hormone (TSH)	427	383	$129.00	$16.67
80061 Blood test, lipids (cholesterol and triglycerides)	425	376	$118.00	$13.26
84439 Thyroxine (thyroid chemical), free	375	360	$70.00	$8.93
93000 Routine ekg using at least 12 leads including interpretation and report	363	338	$91.00	$16.13
82306 Vitamin d-3 level	360	343	$146.00	$29.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	356	72	$126.00	$67.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	348	331	$271.77	$139.39
83036 Hemoglobin A1C level	334	211	$101.00	$9.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	320	55	$125.98	$67.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	295	295	$205.17	$110.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	251	66	$156.00	$89.50
J0696 Injection, ceftriaxone sodium, per 250 mg	244	67	$52.43	$0.57
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	243	238	$150.00	$29.11
G0008 Administration of influenza virus vaccine	243	238	$49.92	$15.81
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	228	54	$156.00	$89.31
82570 Creatinine level to test for kidney function or muscle injury	200	152	$51.01	$5.12
77080 Dxa bone density measurement of hip, pelvis, spine	195	195	$336.00	$36.11
G0103 Prostate cancer screening; prostate specific antigen test (psa)	147	147	$127.69	$19.17
85610 Blood test, clotting time	130	22	$97.00	$4.25
82043 Urine microalbumin (protein) level	118	116	$31.00	$5.69
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	101	55	$91.50	$21.33
J1040 Injection, methylprednisolone acetate, 80 mg	96	74	$62.00	$11.57
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	84	39	$112.00	$38.67
87502 Detection test by nucleic acid for multiple types influenza virus	82	73	$336.00	$92.80
87804 Detection test by immunoassay with direct visual observation for influenza virus	70	33	$60.00	$16.17
82270 Stool analysis for blood to screen for colon tumors	66	66	$20.00	$4.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	59	41	$50.00	$13.57
72110 X-ray of lower and sacral spine, minimum of 4 views	56	52	$175.00	$43.18
20610 Aspiration and/or injection of fluid from large joint	56	40	$127.00	$60.50
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	49	37	$133.00	$51.04
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	47	26	$98.00	$43.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	34	$308.00	$137.09
99306 Initial nursing facility visit, typically 45 minutes per day	41	37	$350.00	$164.85
99238 Hospital discharge day management, 30 minutes or less	39	30	$185.00	$71.83
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	37	23	$98.00	$43.33
36415 Insertion of needle into vein for collection of blood sample	35	28	$22.00	$2.98
73564 X-ray of knee, 4 or more views	30	26	$107.10	$39.22
J1020 Injection, methylprednisolone acetate, 20 mg	29	11	$19.93	$3.49
73030 X-ray of shoulder, minimum of 2 views	26	21	$94.77	$30.47
74018 X-ray of abdomen, 1 view	24	23	$134.54	$25.36
84550 Uric acid level, blood	23	22	$25.52	$4.33
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$148.18	$118.28
69210 Removal of impacted ear wax	22	20	$226.00	$46.92
G0009 Administration of pneumococcal vaccine	22	22	$50.00	$15.77
72050 X-ray of upper spine, 4 or 5 views	21	19	$138.43	$46.31
73502 X-ray of hip, 2-3 views	19	19	$220.00	$41.37
80048 Blood test, basic group of blood chemicals (calcium, total)	18	13	$31.00	$8.40
73630 X-ray of foot, minimum of 3 views	17	17	$105.00	$30.14
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$61.71	$16.36
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$249.64	$159.24
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$266.00	$201.96
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	11	11	$245.00	$132.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,287	677	$120.00	$39.69
80053 Blood test, comprehensive group of blood chemicals	1,775	737	$119.10	$11.45
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,651	730	$69.05	$8.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	991	522	$196.94	$102.73
99213 Established patient office or other outpatient visit, typically 15 minutes	908	440	$120.08	$69.66
81000 Manual urinalysis test with examination using microscope, non-automated	900	590	$53.00	$3.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	783	66	$308.00	$71.16
71046 X-ray of chest, 2 views	724	549	$202.87	$28.99
80061 Blood test, lipids (cholesterol and triglycerides)	622	527	$118.00	$14.42
84443 Blood test, thyroid stimulating hormone (TSH)	601	522	$128.98	$18.16
84439 Thyroxine (thyroid chemical), free	520	497	$70.11	$9.72
93000 Routine ekg using at least 12 leads including interpretation and report	508	474	$92.51	$15.89
J0696 Injection, ceftriaxone sodium, per 250 mg	486	108	$50.89	$0.61
82306 Vitamin d-3 level	458	433	$146.00	$32.06
83036 Hemoglobin A1C level	421	248	$101.00	$10.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	416	381	$271.86	$137.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	350	350	$244.15	$108.27
82570 Creatinine level to test for kidney function or muscle injury	281	197	$51.00	$5.61
G0008 Administration of influenza virus vaccine	265	263	$49.74	$15.51
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	262	262	$150.00	$27.57
77080 Dxa bone density measurement of hip, pelvis, spine	229	229	$336.00	$36.42
G0103 Prostate cancer screening; prostate specific antigen test (psa)	207	207	$115.14	$19.64
J1040 Injection, methylprednisolone acetate, 80 mg	187	141	$64.00	$12.25
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	186	57	$126.16	$66.67
85610 Blood test, clotting time	170	28	$96.78	$4.28
82043 Urine microalbumin (protein) level	159	157	$36.23	$6.22
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	150	58	$155.55	$88.67
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	84	39	$111.62	$38.63
82270 Stool analysis for blood to screen for colon tumors	77	77	$23.00	$4.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	73	65	$308.00	$132.81
99238 Hospital discharge day management, 30 minutes or less	72	64	$185.00	$70.93
72110 X-ray of lower and sacral spine, minimum of 4 views	67	62	$204.55	$45.06
20610 Aspiration and/or injection of fluid from large joint	61	48	$179.23	$57.78
87502 Detection test by nucleic acid for multiple types influenza virus	60	53	$334.40	$93.88
84550 Uric acid level, blood	53	38	$31.00	$4.92
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	46	$133.00	$50.45
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	48	28	$154.17	$88.58
73030 X-ray of shoulder, minimum of 2 views	48	42	$141.52	$26.94
36415 Insertion of needle into vein for collection of blood sample	46	36	$25.91	$2.94
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	40	26	$98.00	$42.63
73564 X-ray of knee, 4 or more views	36	30	$142.75	$36.06
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$319.00	$195.07
73502 X-ray of hip, 2-3 views	28	28	$220.00	$39.18
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	18	$86.23	$20.99
74018 X-ray of abdomen, 1 view	26	24	$164.85	$24.07
69210 Removal of impacted ear wax	25	22	$203.60	$45.52
80048 Blood test, basic group of blood chemicals (calcium, total)	25	18	$45.00	$9.21
72050 X-ray of upper spine, 4 or 5 views	22	20	$182.50	$43.44
84153 Psa (prostate specific antigen) measurement, total	20	16	$98.60	$20.03
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	19	13	$126.00	$66.56
71101 X-ray of ribs on side of body, minimum of 3 views	19	17	$152.11	$33.50
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$278.68	$158.28
73630 X-ray of foot, minimum of 3 views	17	16	$140.29	$26.44
99306 Initial nursing facility visit, typically 45 minutes per day	15	15	$350.00	$162.20
73110 X-ray of wrist, minimum of 3 views	15	13	$120.80	$31.63
82150 Amylase (enzyme) level	13	13	$36.00	$7.06
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$61.36	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,230	645	$110.49	$40.22
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,925	774	$61.31	$9.32
80053 Blood test, comprehensive group of blood chemicals	1,885	761	$105.98	$12.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,601	184	$272.71	$71.40
71046 X-ray of chest, 2 views	1,536	659	$120.39	$18.12
99213 Established patient office or other outpatient visit, typically 15 minutes	1,231	519	$106.71	$68.67
81000 Manual urinalysis test with examination using microscope, non-automated	1,167	688	$47.88	$3.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	853	462	$175.07	$101.77
80061 Blood test, lipids (cholesterol and triglycerides)	665	571	$105.88	$16.03
84443 Blood test, thyroid stimulating hormone (TSH)	640	570	$115.47	$20.19
84439 Thyroxine (thyroid chemical), free	555	539	$53.06	$10.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	533	448	$236.29	$137.66
83036 Hemoglobin A1C level	432	251	$88.11	$11.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	384	384	$260.55	$108.72
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	356	333	$34.28	$8.33
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	355	332	$38.01	$7.65
82570 Creatinine level to test for kidney function or muscle injury	320	208	$42.21	$6.14
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	306	299	$205.95	$18.36
G0008 Administration of influenza virus vaccine	304	297	$50.00	$18.63
J0696 Injection, ceftriaxone sodium, per 250 mg	301	55	$26.67	$0.62
77080 Dxa bone density measurement of hip, pelvis, spine	281	190	$183.56	$25.69
93000 Routine ekg using at least 12 leads including interpretation and report	250	247	$91.00	$15.58
99238 Hospital discharge day management, 30 minutes or less	243	192	$162.10	$71.17
G0103 Prostate cancer screening; prostate specific antigen test (psa)	228	228	$93.50	$21.90
J1040 Injection, methylprednisolone acetate, 80 mg	193	154	$57.84	$12.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	171	141	$270.95	$127.69
85610 Blood test, clotting time	165	30	$76.21	$4.72
82043 Urine microalbumin (protein) level	163	162	$40.00	$6.84
72110 X-ray of lower and sacral spine, minimum of 4 views	140	91	$154.77	$29.77
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	105	36	$101.03	$39.24
73564 X-ray of knee, 4 or more views	100	56	$130.50	$23.92
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	82	42	$131.46	$88.95
73030 X-ray of shoulder, minimum of 2 views	80	50	$116.79	$17.25
20610 Aspiration and/or injection of fluid from large joint	77	60	$208.34	$57.66
74018 X-ray of abdomen, 1 view	71	41	$137.97	$16.29
73502 X-ray of hip, 2-3 views	68	43	$142.81	$25.09
87502 Detection test by nucleic acid for multiple types influenza virus	65	60	$263.63	$102.96
J0698 Injection, cefotaxime sodium, per gm	63	50	$156.00	$8.79
84550 Uric acid level, blood	63	44	$26.43	$5.38
36415 Insertion of needle into vein for collection of blood sample	53	45	$27.26	$2.94
73630 X-ray of foot, minimum of 3 views	53	29	$120.57	$17.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	52	42	$120.58	$51.02
73130 X-ray of hand, minimum of 3 views	51	24	$112.86	$19.90
72050 X-ray of upper spine, 4 or 5 views	50	33	$150.50	$30.10
82270 Stool analysis for blood to screen for colon tumors	48	48	$24.58	$4.29
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	47	26	$115.28	$67.22
69210 Removal of impacted ear wax	45	37	$162.27	$46.15
G0009 Administration of pneumococcal vaccine	40	40	$51.00	$18.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	40	27	$352.00	$100.47
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	37	37	$187.84	$105.18
71101 X-ray of ribs on side of body, minimum of 3 views	36	22	$107.89	$22.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$333.92	$179.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	21	$56.03	$20.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$340.20	$199.99
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	26	20	$27.31	$4.29
82150 Amylase (enzyme) level	24	22	$37.96	$7.84
94060 Test to measure expiratory airflow and volume changes before and after medication administration	24	15	$110.50	$34.66
73110 X-ray of wrist, minimum of 3 views	24	14	$98.67	$20.75
73610 X-ray of ankle, minimum of 3 views	22	12	$119.18	$19.75
70260 X-ray of skull, complete, minimum of 4 views	20	13	$180.85	$29.59
73522 X-ray of both hips, 3-4 views	19	12	$166.00	$28.33
J1030 Injection, methylprednisolone acetate, 40 mg	19	14	$43.37	$6.69
72070 X-ray of middle spine, 2 views	19	14	$116.84	$22.02
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	18	$58.00	$16.20
84153 Psa (prostate specific antigen) measurement, total	17	17	$82.18	$22.26
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$312.50	$159.04
82272 Stool analysis for blood	14	14	$27.07	$4.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71020 X-ray of chest, 2 views, front and side	1,813	629	$75.31	$12.95
80053 Blood test, comprehensive group of blood chemicals	1,737	730	$85.00	$13.59
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,701	758	$49.02	$10.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,323	158	$220.00	$70.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,168	584	$141.00	$101.16
99213 Established patient office or other outpatient visit, typically 15 minutes	1,089	497	$86.00	$68.41
81000 Manual urinalysis test with examination using microscope, non-automated	1,047	645	$38.00	$4.24
80061 Blood test, lipids (cholesterol and triglycerides)	617	533	$84.00	$12.50
J0696 Injection, ceftriaxone sodium, per 250 mg	600	114	$21.93	$0.64
84443 Blood test, thyroid stimulating hormone (TSH)	598	540	$92.00	$22.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	559	454	$194.00	$136.99
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	552	508	$33.00	$7.63
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	548	505	$30.00	$8.31
84439 Thyroxine (thyroid chemical), free	519	507	$22.49	$12.09
83036 Hemoglobin A1C level	454	260	$72.00	$12.98
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	447	290	$86.00	$40.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	412	412	$205.00	$109.40
G0008 Administration of influenza virus vaccine	318	312	$50.00	$23.25
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	308	307	$34.14	$18.65
77080 Dxa bone density measurement of hip, pelvis, spine	283	142	$88.57	$18.57
82570 Creatinine level to test for kidney function or muscle injury	275	195	$28.53	$6.94
99238 Hospital discharge day management, 30 minutes or less	232	161	$132.00	$69.77
G0103 Prostate cancer screening; prostate specific antigen test (psa)	218	218	$69.00	$24.63
J1040 Injection, methylprednisolone acetate, 80 mg	190	141	$44.55	$10.94
82043 Urine microalbumin (protein) level	160	159	$34.95	$7.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	149	116	$220.00	$124.60
85610 Blood test, clotting time	146	24	$42.00	$5.28
87502 Detection test by nucleic acid for multiple types influenza virus	132	110	$240.00	$113.79
94060 Test to measure expiratory airflow and volume changes before and after medication administration	130	65	$74.50	$27.62
73564 X-ray of knee, 4 or more views	110	51	$78.50	$18.11
72110 X-ray of lower and sacral spine, minimum of 4 views	100	51	$87.50	$22.44
73030 X-ray of shoulder, minimum of 2 views	96	42	$67.00	$13.32
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	91	34	$80.00	$38.81
20610 Aspiration and/or injection of fluid from large joint	86	68	$124.72	$57.73
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	75	35	$110.00	$88.31
74000 X-ray of abdomen, single view	68	30	$69.50	$10.97
82150 Amylase (enzyme) level	67	51	$32.00	$8.71
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	65	32	$90.00	$66.72
82270 Stool analysis for blood to screen for colon tumors	60	60	$20.00	$4.37
84550 Uric acid level, blood	59	40	$22.00	$4.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	44	$164.71	$103.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$266.00	$198.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	38	$95.00	$50.84
72050 X-ray of upper spine, 4 or 5 views	39	20	$84.62	$21.40
73630 X-ray of foot, minimum of 3 views	37	18	$74.68	$13.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	34	$286.00	$189.93
73502 X-ray of hip, 2-3 views	36	18	$78.50	$18.89
36415 Insertion of needle into vein for collection of blood sample	35	29	$22.00	$2.94
73130 X-ray of hand, minimum of 3 views	34	13	$67.00	$14.09
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	31	21	$25.00	$4.77
69210 Removal of impacted ear wax	28	25	$126.00	$46.94
71101 X-ray of ribs on side of body, minimum of 3 views	28	13	$71.50	$16.88
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	27	27	$272.41	$157.95
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	24	23	$45.00	$16.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	21	$275.00	$101.94
73610 X-ray of ankle, minimum of 3 views	24	11	$67.50	$14.39
94010 Test to measure expiratory airflow and volume	23	12	$50.39	$16.61
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	20	15	$70.00	$43.30
82272 Stool analysis for blood	17	14	$20.00	$4.37
J1030 Injection, methylprednisolone acetate, 40 mg	15	12	$36.00	$5.91
86677 Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)	15	12	$65.00	$15.63
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$43.00	$18.69
84153 Psa (prostate specific antigen) measurement, total	13	12	$69.00	$24.73
10060 Simple or single drainage of skin abscess	12	11	$210.58	$105.12
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	11	11	$43.64	$15.95

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License LA 016350

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1322750 (LA)

Hospital & Practice Group Affiliations

Physical Therapy Services Of West Louisiana Inc

301 W Fertitta Blvd, Leesville, LA 714464665

Phone: 3372389931

Practice Associates & Co-Workers

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

1 Associated Practitioners

Tess Cooley , PHYSICIAN ASSISTANT

Physician Assistant

NPI 1063080331

PHYSICIANASSISTANT

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location July 08, 2007

Registered at 301 W FERTITTA BLVD STE 1, LEESVILLE, LA 714464665 (Tel: 3372380167)

📍

Updated Business Mailing Address July 08, 2007

Registered at 301 W FERTITTA BLVD STE 1, LEESVILLE, LA 714464665 (Tel: 3372380167)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as GREGORY LORD, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #016350 in LA)

🔄

NPI Profile Reactivated April 12, 2006

Record officially reactivated for active practice on April 12, 2006

⚠️

NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

🟢

Initial NPI Registration & Enumeration August 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1639162290

Entity Type:

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

Enumeration Date: August 29, 2005

Last Update: July 08, 2007

Deactivation Date: March 23, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

301 W Fertitta Blvd Ste 1

Leesville, LA 714464665

Phone: 3372380167

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.