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LUIS E ALVAREZ M.D.
NPI 1174599559
Internal Medicine - Gastroenterology in New Iberia, LA

Active since February 27, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 19D2164782 · Certificate of Compliance
92.86/100
CMS Quality Rating
1100 ANDRE ST, STE 301, NEW IBERIA, LA 70563(337) 364-9225(337) 446-4555 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Luis E Alvarez M.d. NPPES

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

LUIS E ALVAREZ M.D. (NPI 1174599559) is an individual gastroenterology provider in New Iberia, Louisiana, licensed in Louisiana (08364R) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through April 18, 2028, and is affiliated with Ochsner Lafayette General Medical Center.

NPPES Registry Identity

NPI1174599559
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameLUIS E ALVAREZCredential: M.D.
Location Address1100 ANDRE ST, STE 301New Iberia, LA 70563-2159
Mailing Address1100 Andre St, Ste 301New Iberia, LA 70563-2159 · (337) 364-9225 · Fax (337) 446-4555
Phone(337) 364-9225
Fax(337) 446-4555
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 1989
Enumeration DateFebruary 27, 2006
Last NPPES UpdateMarch 15, 2023
NPPES CertifiedMarch 15, 2023
✔ NPI 1174599559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in LA · 08364R
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1100 ANDRE ST, New Iberia, LA 70563
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Accepted Insurance

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

Luis E Alvarez M.d. 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 ID1456243740
PECOS Enrollment IDI20040330000435
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 19D2164782

Luis E Alvarez, MD, Apmc · New Iberia, LA
Active · expires Apr 18, 2028
CLIA Number19D2164782
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2026
Certificate Expiration DateApril 18, 2028
Laboratory DirectorDr. Amy L. Collinsworth
Laboratory Phone(337) 364-9225
Laboratory LocationLuis E Alvarez, MD, Apmc1100 Andre Street, Suite 301, New Iberia, LA 70563
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 15

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
746 services259 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.
399 services299 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
389 services143 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
306 services141 patients
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.
248 services192 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
181 services173 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Abbeville General Hospital

Acute Care Hospitals · Abbeville, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190034
Location118 N Hospital DrAbbeville, LA 70510 · Vermilion County
Emergency services Birthing friendly

Iberia Medical Center

Acute Care Hospitals · New Iberia, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190054
Location2315 E Main StreetNew Iberia, LA 70562 · Iberia County
Emergency services Birthing friendly

Ochsner St Martin Hospital

Critical Access Hospitals · Breaux Bridge, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number191302
Location210 Champagne BoulevardBreaux Bridge, LA 70517 · St. Martin County
Emergency services

Bayou Bend Health System

Critical Access Hospitals · Franklin, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191310
Location1097 Northwest BlvdFranklin, LA 70538 · St. Mary County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70563 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.

92.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost59.55

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
75%85 patients4/55-star benchmark: 95%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
97%1,622 patients5/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
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.
95%4,176 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,937 patients4/55-star benchmark: 100%
Health Information Exchange
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…
11%94 patients1/55-star benchmark: 96%
Medication Reconciliation
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.
98%657 patients4/55-star benchmark: 100%
Patient-Specific Education
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.
91%1,316 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
84%2,753 patients4/55-star benchmark: 97%
Provide Patient Access
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…
94%1,353 patients4/55-star benchmark: 100%
Secure Messaging
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…
11%1,353 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 747 patients
1%747 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

ROBERT S. LEWIS, MD, LLC
Internal Medicine (Cardiovascular Disease)
1100 ANDRE ST, SUITE 201
NEW IBERIA, LA 70563
Iberia Parish (337) 365-6797
CHRISTA HARDY SWIGER CRNA
Nurse Anesthetist, Certified Registered
1100 ANDRE ST, SUITE 300
NEW IBERIA, LA 70563
Iberia Parish (337) 364-9225
GI DIAGNOSTIC CENTER
Clinic/Center (Ambulatory Surgical)
1100 ANDRE ST, STE 300
NEW IBERIA, LA 70563
Iberia Parish (337) 365-6591
JONATHAN B PURDY DPM
Podiatrist (Foot & Ankle Surgery)
1100 ANDRE ST, SUITE 202
NEW IBERIA, LA 70563
Iberia Parish (337) 256-8494
JONATHAN STEIN, MD, APMC
Internal Medicine (Cardiovascular Disease)
1100 ANDRE ST, SUITE 205
NEW IBERIA, LA 70563
Iberia Parish (337) 367-1936
SLEEP SOLUTIONS OF ACADIANA, LLC
Clinic/Center (Sleep Disorder Diagnostic)
1100 ANDRE ST
NEW IBERIA, LA 70563
Iberia Parish (337) 364-8500
PROGRESSIVE ACUTE CARE PHYSICIAN SERVICES DAUTERIVE LLC
Family Medicine
1100 ANDRE ST, SUITE 101
NEW IBERIA, LA 70563
Iberia Parish (337) 369-9309
DR. EDWARD J WREN III MD
Anesthesiology
1100 ANDRE ST, SUITE 300
NEW IBERIA, LA 70563
Iberia Parish (337) 364-9225

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 Luis Alvarez's NPI number?

The NPI number for Luis Alvarez is 1174599559. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Luis Alvarez located?

Luis Alvarez practices at 1100 Andre St Ste 301, New Iberia, LA 70563. The listed phone number is (337) 364-9225.

What is Luis Alvarez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Luis Alvarez enrolled in Medicare?

Yes. Luis Alvarez 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.

Does Luis Alvarez hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 19D2164782) is associated with this NPI, valid through April 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Luis Alvarez accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Luis Alvarez 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 Luis Alvarez affiliated with any hospitals?

According to CMS data, Luis Alvarez is affiliated with Ochsner Lafayette General Medical Center, Abbeville General Hospital, Iberia Medical Center, Ochsner St Martin Hospital and Bayou Bend Health System.

When was this NPI record last updated?

The NPPES record for Luis Alvarez was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.