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SETH GUIDRY MD
NPI 1144607151
Internal Medicine in Thibodaux, LA

Active since April 28, 2015PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
602 N ACADIA RD, THIBODAUX, LA 70301(985) 447-5500 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Seth Guidry Md NPPES

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

SETH GUIDRY MD (NPI 1144607151) is an individual internal medicine provider in Thibodaux, Louisiana, licensed in Louisiana (322165) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Thibodaux Regional Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1144607151
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSETH GUIDRYCredential: MD
Location Address602 N ACADIA RDThibodaux, LA 70301-4823
Mailing Address401 Terre Haute PlHouma, LA 70364-1149 · (985) 232-5647
Phone(985) 447-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 28, 2015
Last NPPES UpdateOctober 30, 2020
NPPES CertifiedOctober 30, 2020
✔ NPI 1144607151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 322165
Definition
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.
Also ListedPediatricsTaxonomy 208000000X · License 322165 (LA)
602 N ACADIA RD, Thibodaux, LA 70301
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Secondary Practice Location 1

Location 16431 Fannin St, Suite MSB 1.134Houston, TX 77030-1501 · Phone (713) 500-6500 · Fax (713) 500-6530

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seth Guidry 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 ID1557798386
PECOS Enrollment IDI20201118000318
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.

Areas of Expertise CMS Part B claims 9

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.
75 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services32 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
45 services29 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
34 services15 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
25 services11 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
23 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Thibodaux Regional Medical Center

Acute Care Hospitals · Thibodaux, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190004
Location602 N Acadia RoadThibodaux, LA 70301 · Lafourche County
Emergency services Birthing friendly

Terrebonne General Medical Center - Parish

Acute Care Hospitals · Houma, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190008
Location8166 Main StreetHouma, LA 70360 · Terrebonne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70301 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.77
Promoting Interoperability100
Improvement Activities40
Cost59.05

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN TRAHAN LAT,ATC
Specialist/Technologist (Athletic Trainer)
602 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4502
REBECCA ANN MELANCON NP
Nurse Practitioner (Neonatal, Critical Care)
602 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 447-5500
CANDICE ESCHETE
Nurse Practitioner (Family)
602 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4727
JOHN JEROME TOSH M.D.
Emergency Medicine
602 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (504) 837-8000
CHARLES J MONIER JR. MD
Internal Medicine (Gastroenterology)
602 N ACADIA RD, SUITE 101
THIBODAUX, LA 70301
Lafourche Parish (985) 446-1958
DWAYNE ANDRAS NP
Nurse Practitioner (Acute Care)
602 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4740
SARAH ELLIOTT JENKINS
Nurse Anesthetist, Certified Registered
602 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 447-5500
DR. BRADLEY BER I MD
Hospitalist
602 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 447-5500

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 Seth Guidry's NPI number?

The NPI number for Seth Guidry is 1144607151. It was assigned to this individual provider in the NPPES registry on April 28, 2015.

Where is Seth Guidry located?

Seth Guidry practices at 602 N Acadia Rd, Thibodaux, LA 70301. The listed phone number is (985) 447-5500.

What is Seth Guidry's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Seth Guidry enrolled in Medicare?

Yes. Seth Guidry 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.

What insurance does Seth Guidry accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Seth Guidry 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.

Is Seth Guidry affiliated with any hospitals?

According to CMS data, Seth Guidry is affiliated with Thibodaux Regional Medical Center and Terrebonne General Medical Center - Parish.

When was this NPI record last updated?

The NPPES record for Seth Guidry was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.