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NICOLE D PROSPERIE MD
NPI 1225229552
Obstetrics & Gynecology in Thibodaux, LA

Active since August 01, 2007PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
604 N ACADIA RD STE 500, THIBODAUX, LA 70301(985) 448-1216(985) 446-8765 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2026, Dec 14, 2015 (2 updates tracked since 2015).

About Nicole D Prosperie Md NPPES

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

NICOLE D PROSPERIE MD (NPI 1225229552) is an individual obstetrics & gynecology provider in Thibodaux, Louisiana, licensed in Louisiana (MD203822) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Thibodaux Regional Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1225229552
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNICOLE D PROSPERIECredential: MD
Location Address604 N ACADIA RD STE 500Thibodaux, LA 70301-4743
Mailing AddressPo Box 5478Thibodaux, LA 70302-5478 · (985) 448-1216 · Fax (985) 446-8765
Phone(985) 448-1216
Fax(985) 446-8765
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 1, 2007
Last NPPES UpdateMarch 17, 20262 updates tracked since enumeration
NPPES CertifiedMarch 17, 2026
✔ NPI 1225229552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in LA · MD203822
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

604 N ACADIA RD STE 500, Thibodaux, LA 70301
Open in Google Maps ↗

Other Identifiers 2

Medicaid1000965LA
OtherP01534049LA · Railroad 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.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

Nicole D Prosperie 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 ID143499384
PECOS Enrollment IDI20110804000571
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 2

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.
39 services35 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

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
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
74%257 patients4/55-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)…
50%892 patients
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.
97%2,184 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.
87%2,301 patients3/55-star benchmark: 99%
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.
99%110 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.
89%1,495 patients4/55-star benchmark: 97%
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…
94%1,062 patients4/55-star benchmark: 97%
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
70%171 patients4/55-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: 98% · 949 patients
Patients tobacco: 93% · 949 patients
46%93 patients2/55-star benchmark: 98%
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…
99%1,495 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…
62%1,495 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
25%1,495 patients
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 4

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

CATHERINE M DIEBOLD M.D.
Obstetrics & Gynecology
604 N ACADIA RD STE 500
THIBODAUX, LA 70301
Lafourche Parish (985) 448-1216
JOHN R BLOSS M.D.
Obstetrics & Gynecology (Gynecology)
604 N ACADIA RD STE 500
THIBODAUX, LA 70301
Lafourche Parish (985) 448-1216
RHANDI A WISE MD
Obstetrics & Gynecology
604 N ACADIA RD STE 500
THIBODAUX, LA 70301
Lafourche Parish (985) 448-1216
TRISHA F FOLSE WHNP,MSN
Nurse Practitioner (Women's Health)
604 N ACADIA RD STE 500
THIBODAUX, LA 70301
Lafourche Parish (985) 448-1216

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 Nicole Prosperie's NPI number?

The NPI number for Nicole Prosperie is 1225229552. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Nicole Prosperie located?

Nicole Prosperie practices at 604 N Acadia Rd Ste 500, Thibodaux, LA 70301. The listed phone number is (985) 448-1216.

What is Nicole Prosperie's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nicole Prosperie enrolled in Medicare?

Yes. Nicole Prosperie 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 Nicole Prosperie accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Nicole Prosperie 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 Nicole Prosperie affiliated with any hospitals?

According to CMS data, Nicole Prosperie is affiliated with Thibodaux Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Prosperie was last updated on March 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.