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LURIS SANCHEZ M.D.
NPI 1205832235
Family Medicine in Opelousas, LA

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
828 CRESWELL LN, OPELOUSAS, LA 70570(337) 942-8088(337) 942-8018 Get Directions Write a Review

NPPES record last updated: May 16, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Luris Sanchez M.d. NPPES

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

LURIS SANCHEZ M.D. (NPI 1205832235) is an individual family medicine provider in Opelousas, Louisiana, licensed in Louisiana (10955R) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Opelousas General Health System, and is a graduate of University Of Texas Medical Branch At Galveston (1994).

NPPES Registry Identity

NPI1205832235
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLURIS SANCHEZCredential: M.D.
Location Address828 CRESWELL LNOpelousas, LA 70570-5882
Mailing Address828 Creswell LnOpelousas, LA 70570-5882 · (337) 942-8088 · Fax (337) 942-8018
Phone(337) 942-8088
Fax(337) 942-8018
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1994
Enumeration DateJune 23, 2005
Last NPPES UpdateMay 16, 2013
✔ NPI 1205832235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 10955R
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.
828 CRESWELL LN, Opelousas, LA 70570
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Other Identifiers 3

Medicaid1999296LA
Medicare UPINF93658
Medicare ID-Type Unspecified5U839

Accepted Insurance

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

Luris Sanchez 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 ID1254236219
PECOS Enrollment IDI20031203000312
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

2

Medicare enrollment records show Luris Sanchez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Luris Sanchez MD Apmc
Same address
Family Medicine
828 CRESWELL LN
Opelousas, LA 70570
  • Reassigned Medicare billing, Louisiana enrollment
NPI 1316989049 (337) 942-8088
St. Martin Hospital, Inc.
20 mi
Cardiovascular Disease
210 CHAMPAGNE BLVD
Breaux Bridge, LA 70517
  • Reassigned Medicare billing, Louisiana enrollment
  • 47 clinicians in this Medicare group
NPI 1407175615 (337) 332-2178

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 8

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 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.
260 services77 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.
180 services50 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
59 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 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.
18 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Opelousas General Health System

Acute Care Hospitals · Opelousas, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number190017
Location539 East Prudhomme StreetOpelousas, LA 70570 · St. Landry 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70570 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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
10%221 patients1/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
2%313 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
1%349 patients1/55-star benchmark: 85%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
2%178 patients1/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
0%580 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 667 patients
Patients tobacco: 74% · 667 patients
2%174 patients1/55-star benchmark: 98%
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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
5 suppliers18 claims33 services$6.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims18 services$114.24 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers12 claims3,136 services$0.03 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
2 suppliers12 claims12 services$207.90 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers12 claims12 services$23.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

LURIS SANCHEZ MD APMC
Family Medicine
828 CRESWELL LN
OPELOUSAS, LA 70570
St. Landry Parish (337) 942-8088
CLHG-ACADIAN LLC
Clinic/Center (Rural Health)
828 CRESWELL LN
OPELOUSAS, LA 70570
St. Landry Parish (337) 948-1802
CHANDA DANIELLE BABINEAUX
Nurse Practitioner
828 CRESWELL LN
OPELOUSAS, LA 70570
St. Landry Parish (337) 942-1802
LHCG CLXIX, LLC
Clinic/Center (Rural Health)
828 CRESWELL LN
OPELOUSAS, LA 70570
St. Landry Parish (337) 948-1802

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 Luris Sanchez's NPI number?

The NPI number for Luris Sanchez is 1205832235. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Luris Sanchez located?

Luris Sanchez practices at 828 Creswell Ln, Opelousas, LA 70570. The listed phone number is (337) 942-8088.

What is Luris Sanchez's specialty?

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

Is Luris Sanchez enrolled in Medicare?

Yes. Luris Sanchez 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 Luris Sanchez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luris Sanchez reassigns Medicare benefits to 2 organizations: Luris Sanchez MD Apmc (Opelousas, LA) and St. Martin Hospital, Inc. (Breaux Bridge, LA). 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 Luris Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luris Sanchez accept?

Health plans from HMO Louisiana and UnitedHealthcare list Luris Sanchez 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 Luris Sanchez affiliated with any hospitals?

According to CMS data, Luris Sanchez is affiliated with Opelousas General Health System and Ochsner St Martin Hospital.

When was this NPI record last updated?

The NPPES record for Luris Sanchez was last updated on May 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.