RONALD MCLENDON JR. M.D. NPI 1013151091

Family Medicine in Gretna, LA

NPI 1013151091 Individual Male Years of Experience 14 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting CLIA Number 19D2153824 CLIA Certificate of Waiver

About RONALD MCLENDON

Ronald Mclendon is a primary care provider established in Gretna, Louisiana and his medical specialization is family medicine with more than 14 years of experience. He graduated from Tulane University School Of Medicine in 2008. The NPI number of Ronald Mclendon is 1013151091 and was assigned on April 2009. The practitioner's primary taxonomy code is 207Q00000X with license number 204319 (LA). The provider is registered as an individual and his NPI record was last updated September 2021.

A primary care provider (PCP) like Ronald Mclendon Jr. M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Ronald Mclendon is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Ronald Mclendon is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with New Orleans East Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: adult sinusitis: computerized tomography (ct) for acute sinusitis (overuse), breast cancer screening, care plan, chronic care and preventative care management for empaneled patients, colorectal cancer screening, diabetes: eye exam, documentation of current medications in the medical record, e-prescribing, e-prescribing exclusion, health information exchange, health information exchange exclusion, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, provide patient access, secure messaging, security risk analysis, specialized registry reporting, specialized registry reporting for multiple registry engagement, use of decision support and standardized treatment protocols and view, download, or transmit (vdt). The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

The CLIA number of Ronald Mclendon Jr. M.d. is 19D2153824 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Ronald Mclendon Jr. M.d. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1013151091

Provider Name RONALD MCLENDON JR. M.D.
Provider Location Address1500 LAFAYETTE ST SUITE 141 GRETNA, LA 70053
Provider Mailing Address1500 LAFAYETTE ST SUITE 141 GRETNA, LA 70053
GenderMale
NPI Entity TypeIndividual
Medical School NameTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2008
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date04-22-2009
Last Update Date09-24-2021


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.204319
License StateLA
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

RONALD MCLENDON JR. M.D.
1500 LAFAYETTE ST
SUITE 141
GRETNA, LA
ZIP 70053
Phone: (504) 615-5981

Get Directions


Mailing Address

RONALD MCLENDON JR. M.D.
1500 LAFAYETTE ST
SUITE 141
GRETNA, LA
ZIP 70053
Phone: (504) 615-5981



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9537341987
PECOS Enrollment IDI20110307001005
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
120
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Breast Cancer Screening 57% 316
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Care Plan 65% 43
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Colorectal Cancer Screening 19% 633
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Diabetes: Eye Exam 21% 268
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
Documentation of Current Medications in the Medical Record 98% 4716
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 88% 5733
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 32% 1709
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Medication Reconciliation 97% 671
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 91% 523
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Provide Patient Access 63% 1629
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 29% 1629
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
View, Download, or Transmit (VDT) 31% 1629
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ronald Mclendon is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NEW ORLEANS EAST HOSPITAL5620 READ BLVD
NEW ORLEANS, LA 70127
(504) 592-6600Acute Care Hospitals190313

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1013151091 is:

CLIA Number19D2153824
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275739484S & C TOTAL LIVING INC.
Organization
Home Health1500 LAFAYETTE ST STE 119A
GRETNA, LA 70053
(504) 368-6226
1144496704DR. JAMES D OKUN MD
Individual
General Practice1500 LAFAYETTE ST SUITE 141
GRETNA, LA 70053
(504) 301-0545
1831453422MEDIPOINT STAFFING LLC
Organization
Hospitalist1500 LAFAYETTE ST SUITE 107
GRETNA, LA 70053
(504) 615-5981
1730560905WORKFORCE PREPARATION AND PLACEMENT SPECIALISTS, INC.
Organization
Day Training, Developmentally Disabled Services1500 LAFAYETTE ST SUITE 107-A
GRETNA, LA 70053
(504) 510-4788
1891131835DR. ARIEL MITCHELL PHD, NCC, LPC, LMFT
Individual
Counselor (Professional)1500 LAFAYETTE ST
GRETNA, LA 70053
(504) 906-5457
1932541091COGNITIVE SOLUTIONS, LLC
Organization
Community/Behavioral Health1500 LAFAYETTE ST SUITE 110
GRETNA, LA 70053
(504) 906-5457
1902237274 BRITTNEY LANDRY LPC
Individual
Counselor1500 LAFAYETTE ST SUITE 110
GRETNA, LA 70053
(504) 906-5457
1891222147 ESTELLE GREEN
Individual
Counselor (Mental Health)1500 LAFAYETTE ST SUITE 140
GRETNA, LA 70053
(225) 249-9875
1386139640DR. JASMINE HERNANDEZ PHD, LPC, NCC
Individual
Counselor (Professional)1500 LAFAYETTE ST
GRETNA, LA 70053
(504) 814-4480
1346733706ALTERNATIVE CARE CONSULTANTS, LLC
Organization
Counselor (Mental Health)1500 LAFAYETTE ST
GRETNA, LA 70053
(504) 358-7323
1215027149EXCEEDS THEIR NEEDS, INC.
Organization
Technician (Personal Care Attendant)1500 LAFAYETTE ST SUITE 150
GRETNA, LA 70053
(504) 366-8801
1356425573EXCEEDS THEIR NEEDS, INC
Organization
Technician (Attendant Care Provider)1500 LAFAYETTE ST SUITE 150
GRETNA, LA 70053
(504) 366-8801
1508943531EXCEEDS THEIR NEEDS, INC.
Organization
Adult Companion1500 LAFAYETTE ST SUITE 150
GRETNA, LA 70053
(504) 366-8801
1336228964EXCEEDS THEIR NEEDS, INC.
Organization
Technician (Personal Care Attendant)1500 LAFAYETTE ST SUITE 150
GRETNA, LA 70053
(504) 366-8801
1801969407EXCEEDS THEIR NEEDS, INC.
Organization
Day Training/Habilitation Specialist1500 LAFAYETTE ST SUITE 150
GRETNA, LA 70053
(504) 366-8801
1255404851EXCEEDS THEIR NEEDS, INC
Organization
Day Training/Habilitation Specialist1500 LAFAYETTE ST SUITE 150
GRETNA, LA 70053
(504) 366-8801
1285706820EXCEEDS THEIR NEEDS, INC.
Organization
Day Training/Habilitation Specialist1500 LAFAYETTE ST SUITE 150
GRETNA, LA 70053
(504) 366-8801
1811060452EXCEEDS THEIR NEEDS, INC.
Organization
Technician (Attendant Care Provider)1500 LAFAYETTE ST SUITE 150
GRETNA, LA 70053
(504) 366-8801
1467812560 SHANTAE JOHNSON
Individual
Social Worker1500 LAFAYETTE ST STE 150
GRETNA, LA 70053
(504) 846-6983

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.