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DR. JULIO PETILON M.D.
NPI 1245205020
Orthopaedic Surgery in Lafayette, LA

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
70.95/100
CMS Quality Rating
105 PATRIOT ST, LAFAYETTE, LA 70508(337) 981-2125(337) 981-2174 Get Directions Write a Review

NPPES record last updated: October 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2024, Nov 19, 2019, Jul 30, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Julio Petilon M.d. NPPES

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

DR. JULIO PETILON M.D. (NPI 1245205020) is an individual orthopaedic surgery provider in Lafayette, Louisiana, licensed in Louisiana (343117) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Lafayette Surgical Specialty Hospital, and is a graduate of Tufts University School Of Medicine (2001).

NPPES Registry Identity

NPI1245205020
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JULIO PETILONCredential: M.D.
Location Address105 PATRIOT STLafayette, LA 70508-6831
Mailing Address105 Patriot StLafayette, LA 70508-6831 · (337) 981-2125 · Fax (337) 981-2174
Phone(337) 981-2125
Fax(337) 981-2174
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2001
Enumeration DateFebruary 23, 2006
Last NPPES UpdateOctober 10, 20244 updates tracked since enumeration
NPPES CertifiedOctober 10, 2024
✔ NPI 1245205020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in LA · 343117✔ Licensed in GA · 73625
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
105 PATRIOT ST, Lafayette, LA 70508
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Other Identifiers 2

Medicaid7100128410KY
Medicaid200995080IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Dr. Julio Petilon 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 ID4981736204
PECOS Enrollment IDI20241121000345
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 Julio Petilon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Spine & Orthopaedics LLC
Same address
Orthopaedic Surgery
105 PATRIOT ST STE 101
Lafayette, LA 70508
  • Reassigned Medicare billing, Louisiana enrollment
NPI 1255168175 (337) 981-2125
Regenerative Orthopaedics And Spine Institute, LLC
514 mi
Orthopaedic Surgery
135 N. PARK PLACE, SUITE 101
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 23 clinicians in this Medicare group
NPI 1568858231 (770) 892-0300

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.
115 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.
56 services43 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
43 services43 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
38 services26 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
31 services31 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.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Lafayette Surgical Specialty Hospital

Acute Care Hospitals · Lafayette, LA
OwnershipPhysician
CMS Certification Number190259
Location1101 Kaliste Saloom RdLafayette, LA 70508 · Lafayette County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70508 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
$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.

70.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.54
Promoting Interoperability100
Improvement Activities40
Cost36.64

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.

LENA OPITZ SEVIN PA-C
Physician Assistant (Medical)
105 PATRIOT ST, STE 101
LAFAYETTE, LA 70508
Lafayette Parish (337) 981-2125
MSH CLINIC
Pain Medicine (Pain Medicine)
105 PATRIOT ST, SUITE 101
LAFAYETTE, LA 70508
Lafayette Parish (337) 981-2125
ASHLEY VICTORIA DUPLANTIS PA-C
Physician Assistant (Surgical)
105 PATRIOT ST, SUITE 101
LAFAYETTE, LA 70508
Lafayette Parish (337) 981-2125
JOEY ADAM GUILLORY PA-C
Physician Assistant
105 PATRIOT ST, STE 101
LAFAYETTE, LA 70508
Lafayette Parish (337) 534-0653

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 Julio Petilon's NPI number?

The NPI number for Julio Petilon is 1245205020. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Julio Petilon located?

Julio Petilon practices at 105 Patriot St, Lafayette, LA 70508. The listed phone number is (337) 981-2125.

What is Julio Petilon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Julio Petilon enrolled in Medicare?

Yes. Julio Petilon 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 Julio Petilon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julio Petilon reassigns Medicare benefits to 2 organizations: Southern Spine & Orthopaedics LLC (Lafayette, LA) and Regenerative Orthopaedics And Spine Institute, LLC (Stockbridge, GA). 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 Julio Petilon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Julio Petilon accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Julio Petilon 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 Julio Petilon affiliated with any hospitals?

According to CMS data, Julio Petilon is affiliated with Lafayette Surgical Specialty Hospital.

When was this NPI record last updated?

The NPPES record for Julio Petilon was last updated on October 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.