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DR. JAMES B FALTERMAN JR. MD
NPI 1215928163
Specialist in New Iberia, LA

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
85.53/100
CMS Quality Rating
2313 E MAIN ST, NEW IBERIA, LA 70560(337) 365-9602(337) 365-0071 Get Directions Write a Review

NPPES record last updated: December 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James B Falterman Jr. Md NPPES

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

DR. JAMES B FALTERMAN JR. MD (NPI 1215928163) is an individual specialist in New Iberia, Louisiana, licensed in Louisiana (115780) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1984).

NPPES Registry Identity

NPI1215928163
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JAMES B FALTERMAN JR.Credential: MD
Location Address2313 E MAIN STNew Iberia, LA 70560-4091
Mailing Address2313 E Main StNew Iberia, LA 70560-4091 · (337) 365-9602 · Fax (337) 365-0071
Phone(337) 365-9602
Fax(337) 365-0071
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1984
Enumeration DateOctober 31, 2005
Last NPPES UpdateDecember 30, 2009
✔ NPI 1215928163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · 115780
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2313 E MAIN ST, New Iberia, LA 70560
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Other Identifiers 3

Medicare UPINB64367LA
Medicaid1367451LA
Medicare ID-Type UnspecifiedL0752LA · Medicare

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

Dr. James B Falterman Jr. 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 ID6002890324
PECOS Enrollment IDI20101004000858
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 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.
850 services327 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.
293 services221 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
124 services123 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
75 services74 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.
74 services58 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
74 services74 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

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

Our Lady Of Lourdes Regional Medical Center, Inc

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190102
Location4801 Ambassador Caffery ParkwayLafayette, LA 70508 · Lafayette 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

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.

85.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost51.77

Reported Quality Measures

Breast Cancer Screening
95%215 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
94%486 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
92%334 patients4/55-star benchmark: 98%
Coronary Artery Disease (CAD): Antiplatelet Therapy
100%102 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
7%108 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%2,098 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 12

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
16 suppliers115 claims230 services$6.27 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
4 suppliers19 claims19 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers53 claims69 services$1.11 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers13 claims13 services$19.27 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers13 claims13 services$15.93 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims74 services$2.42 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 5

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

DR. LEANDRE W. ODOM D.O.
Family Medicine
2313 E MAIN ST, SUITE B
NEW IBERIA, LA 70560
Iberia Parish (337) 560-5323
IBERIA GENERAL HOSPITAL & MEDICAL CENTER
Home Health
2313 E MAIN ST, SUITE D
NEW IBERIA, LA 70560
Iberia Parish (337) 364-4422
PAUL H. GULOTTA, JR., M.D., A.P.M.C.
Internal Medicine (Interventional Cardiology)
2313 E MAIN ST, SUITE C
NEW IBERIA, LA 70560
Iberia Parish (337) 364-1734
KENNETH A, RITTER JR. M.D., APC
Specialist
2313 E MAIN ST
NEW IBERIA, LA 70560
Iberia Parish (337) 365-0005
PAUL HENRY GULOTTA JR. M.D., A.P.M.C.
Internal Medicine (Interventional Cardiology)
2313 E MAIN ST, SUITE C
NEW IBERIA, LA 70560
Iberia Parish (337) 364-1734

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 James Falterman's NPI number?

The NPI number for James Falterman is 1215928163. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is James Falterman located?

James Falterman practices at 2313 E Main St, New Iberia, LA 70560. The listed phone number is (337) 365-9602.

What is James Falterman's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is James Falterman enrolled in Medicare?

Yes. James Falterman 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 James Falterman accept?

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

According to CMS data, James Falterman is affiliated with Ochsner Lafayette General Medical Center, Iberia Medical Center, Our Lady Of Lourdes Regional Medical Center, Inc, Ochsner St Martin Hospital and Bayou Bend Health System.

When was this NPI record last updated?

The NPPES record for James Falterman was last updated on December 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.