LOUIS ROBERT LAMBIASE MD
NPI 1245207513
Internal Medicine - Gastroenterology in Montgomery, AL

Active since March 04, 2006PECOS EnrolledAccepts Medicare Assignment
80.87/100
CMS Quality Rating
2055 E SOUTH BLVD STE 202, MONTGOMERY, AL 36116(334) 747-7575(334) 747-7590 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Louis Robert Lambiase Md NPPES

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

LOUIS ROBERT LAMBIASE MD (NPI 1245207513) is an individual gastroenterology provider in Montgomery, Alabama, licensed in Alabama (42770) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Montgomery, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1987).

NPPES Registry Identity

NPI1245207513
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameLOUIS ROBERT LAMBIASECredential: MD
Location Address2055 E SOUTH BLVD STE 202Montgomery, AL 36116-2002
Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005 · (334) 747-4159
Fax(334) 747-7590
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1987
Enumeration DateMarch 4, 2006
Last NPPES UpdateJanuary 5, 2023
NPPES CertifiedJanuary 5, 2023
NPI 1245207513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in AL · 42770 Licensed in TN · 44678
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 44678 (TN)
2055 E SOUTH BLVD STE 202, Montgomery, AL 36116

Secondary Practice Location 1

Location 12119 E South Blvd Ste 200Montgomery, AL 36116-2496 · Phone (334) 613-7070 · Fax (334) 613-7072

Other Identifiers 1

Medicaid000811775AGA

Accepted 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

Louis Robert Lambiase 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 ID4981680238
PECOS Enrollment IDI20220304000311
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.
45 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services13 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.
19 services15 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.
14 services14 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
13 services13 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36116 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

80.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.7
Promoting Interoperability100
Improvement Activities40
Cost59.55

Reported Quality Measures

e-Prescribing
98%107 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
93%191 patients4/55-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.

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.

Internal Medicine
2055 E SOUTH BLVD STE 202
MONTGOMERY, AL 36116
Internal Medicine
2055 E SOUTH BLVD STE 202
MONTGOMERY, AL 36116
Internal Medicine
2055 E SOUTH BLVD STE 202
MONTGOMERY, AL 36116
Internal Medicine
2055 E SOUTH BLVD STE 202
MONTGOMERY, AL 36116
Internal Medicine
2055 E SOUTH BLVD STE 202
MONTGOMERY, AL 36116

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 Louis Lambiase's NPI number?

The NPI number for Louis Lambiase is 1245207513. It was assigned to this individual provider in the NPPES registry on March 4, 2006.

Where is Louis Lambiase located?

Louis Lambiase practices at 2055 E South Blvd Ste 202, Montgomery, AL 36116. The listed phone number is (334) 747-7575.

What is Louis Lambiase's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Louis Lambiase enrolled in Medicare?

Yes. Louis Lambiase 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 Louis Lambiase accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Louis Lambiase 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.

When was this NPI record last updated?

The NPPES record for Louis Lambiase was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.