GERARD GUIDRY M.D.
NPI 1235198599
Ophthalmology in Lake Charles, LA

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
80.94/100
CMS Quality Rating
1000 WALTERS ST, LAKE CHARLES, LA 70607(337) 480-8066(337) 480-8061 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2022, Feb 4, 2022 (2 updates tracked since 2022).

About Gerard Guidry M.d. NPPES

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

GERARD GUIDRY M.D. (NPI 1235198599) is an individual ophthalmology provider in Lake Charles, Louisiana, licensed in Louisiana (020598) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Charles Memorial Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1989).

NPPES Registry Identity

NPI1235198599
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameGERARD GUIDRYCredential: M.D.
Location Address1000 WALTERS STLake Charles, LA 70607-4647
Mailing AddressPo Box 122108 Dept 2108Dallas, TX 75312-0001 · (337) 494-2921 · Fax (337) 494-6523
Fax(337) 480-8061
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1989
Enumeration DateMarch 23, 2006
Last NPPES UpdateApril 27, 20222 updates tracked since enumeration
NPPES CertifiedApril 27, 2022
✔ NPI 1235198599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in LA · 020598
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1000 WALTERS ST, Lake Charles, LA 70607

Other Identifiers 2

Medicaid1684856LA
OtherMD.020598LA · State License

Accepted 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

Gerard Guidry 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 ID941254544
PECOS Enrollment IDI20050308000005
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

4

Medicare enrollment records show Gerard Guidry reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Medicine & Rehabilitation
1000 WALTERS ST
Lake Charles, LA 70607
  • Reassigned Medicare billing, Louisiana enrollment
  • 48 clinicians in this Medicare group
Interventional Cardiology
1701 OAK PARK BLVD
Lake Charles, LA 70601
  • Reassigned Medicare billing, Louisiana enrollment
  • 20 clinicians in this Medicare group
Legal Medicine
10423 OLD HAMMOND HWY
Baton Rouge, LA 70816
  • Reassigned Medicare billing, Louisiana enrollment
  • 15 clinicians in this Medicare group
Ophthalmology
249 CORPORATE DR
Houma, LA 70360
  • Reassigned Medicare billing, Louisiana enrollment
  • 5 clinicians in this Medicare group

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 3

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
114 services113 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
39 services28 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190060
Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70607 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.

80.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.05
Improvement Activities40

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.

Pharmacist
1000 WALTERS ST
LAKE CHARLES, LA 70607
Pharmacist
1000 WALTERS ST
LAKE CHARLES, LA 70607
Nurse Anesthetist, Certified Registered
1000 WALTERS ST, LSU W O MOSS REGIONAL MEDICAL CENTER
LAKE CHARLES, LA 70607
Dietitian, Registered
1000 WALTERS ST
LAKE CHARLES, LA 70607
Nurse Practitioner (Family)
1000 WALTERS ST
LAKE CHARLES, LA 70607
Family Medicine
1000 WALTERS ST
LAKE CHARLES, LA 70607
Internal Medicine (Hospice and Palliative Medicine)
1000 WALTERS ST
LAKE CHARLES, LA 70607
Pediatrics
1000 WALTERS ST
LAKE CHARLES, LA 70607

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 Gerard Guidry's NPI number?

The NPI number for Gerard Guidry is 1235198599. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Gerard Guidry located?

Gerard Guidry practices at 1000 Walters St, Lake Charles, LA 70607. The listed phone number is (337) 480-8066.

What is Gerard Guidry's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Gerard Guidry enrolled in Medicare?

Yes. Gerard 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.

Which organizations bill Medicare for Gerard Guidry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gerard Guidry reassigns Medicare benefits to 4 organizations: Lcms Rehabilitation Institute Of Southwest Louisiana (Lake Charles, LA), Southwest Louisiana Hospital Association Inc (Lake Charles, LA), Tiger Vision, L.L.C. (Baton Rouge, LA) and Seeca Medical Inc (Houma, 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 Gerard Guidry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gerard Guidry accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next list Gerard 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 Gerard Guidry affiliated with any hospitals?

According to CMS data, Gerard Guidry is affiliated with Lake Charles Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Gerard Guidry was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.