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MARC FERNANDEZ MD
NPI 1134549322
Family Medicine in Lafayette, LA

Active since April 26, 2014PECOS EnrolledAccepts Medicare Assignment
121 RUE LOUIS XIV BLDG 5, LAFAYETTE, LA 70508(337) 269-7494 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marc Fernandez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARC FERNANDEZ MD (NPI 1134549322) is an individual family medicine provider in Lafayette, Louisiana, licensed in Louisiana (301084) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (2014).

NPPES Registry Identity

NPI1134549322
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARC FERNANDEZCredential: MD
Location Address121 RUE LOUIS XIV BLDG 5Lafayette, LA 70508-5786
Mailing Address105 Innisbrook DrBroussard, LA 70518-6102
Phone(337) 269-7494
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2014
Enumeration DateApril 26, 2014
Last NPPES UpdateFebruary 1, 2018
✔ NPI 1134549322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 301084
Definition
Family 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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License MD.301084 (LA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
121 RUE LOUIS XIV BLDG 5, Lafayette, LA 70508
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marc Fernandez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294953485
PECOS Enrollment IDI20231114003178
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Marc Fernandez reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lourdes After Hours LLC
0.4 mi
Urgent Care
1700 KALISTE SALOOM RD, BUILDING 2, STE 200
Lafayette, LA 70508
  • Reassigned Medicare billing, Louisiana enrollment
  • 87 clinicians in this Medicare group
NPI 1649297730 (337) 981-5085
Eunice Emergency Group LLC
31 mi
Emergency Medicine
3501 HIGHWAY 190
Eunice, LA 70535
  • Reassigned Medicare billing, Louisiana enrollment
  • 76 clinicians in this Medicare group
NPI 1104895689 (337) 580-7900
Emergency Group Of St Landry LLC
39 mi
Emergency Medicine
800 E MAIN ST
Ville Platte, LA 70586
  • Reassigned Medicare billing, Louisiana enrollment
  • 67 clinicians in this Medicare group
NPI 1164491320 (318) 363-5684
Allcare Ga PC
516 mi
Internal Medicine
3867 ROSWELL RD NE STE 100
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 35 clinicians in this Medicare group
NPI 1972080554 (678) 999-8263
Capital Healthcare PC
1,038 mi
Primary Care
6020 RICHMOND HWY STE 102
Alexandria, VA 22303
  • Reassigned Medicare billing, Georgia enrollment
  • 41 clinicians in this Medicare group
NPI 1811239627 (571) 308-6776

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers11 claims24 services$6.76 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier14 claims14 services$35.17 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$22.82 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.03 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers12 claims12 services$18.93 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers12 claims14 services$11.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marc Fernandez's NPI number?

The NPI number for Marc Fernandez is 1134549322. It was assigned to this individual provider in the NPPES registry on April 26, 2014.

Where is Marc Fernandez located?

Marc Fernandez practices at 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508. The listed phone number is (337) 269-7494.

What is Marc Fernandez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marc Fernandez enrolled in Medicare?

Yes. Marc Fernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marc Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Fernandez reassigns Medicare benefits to 5 organizations: Lourdes After Hours LLC (Lafayette, LA), Eunice Emergency Group LLC (Eunice, LA), Emergency Group Of St Landry LLC (Ville Platte, LA), Allcare Ga PC (Atlanta, GA) and Capital Healthcare PC (Alexandria, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Fernandez accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Marc Fernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marc Fernandez was last updated on February 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.