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LAURA PELAEZ M.D
NPI 1245471234
Otolaryngology in New Orleans, LA

Active since March 20, 2009PECOS EnrolledAccepts Medicare Assignment
88.05/100
CMS Quality Rating
533 BOLIVAR ST, STE 566, NEW ORLEANS, LA 70112(504) 568-4785(505) 568-4460 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura Pelaez M.d NPPES

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

LAURA PELAEZ M.D (NPI 1245471234) is an individual otolaryngology provider in New Orleans, Louisiana, licensed in Louisiana (206592) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1245471234
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameLAURA PELAEZCredential: M.D
Location Address533 BOLIVAR ST, STE 566New Orleans, LA 70112-1349
Mailing Address533 Bolivar St, Ste 566New Orleans, LA 70112-1349 · (504) 568-4785 · Fax (505) 568-4460
Phone(504) 568-4785
Fax(505) 568-4460
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 20, 2009
Last NPPES UpdateNovember 14, 2014
✔ NPI 1245471234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in LA · 206592
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
533 BOLIVAR ST, New Orleans, LA 70112
Open in Google Maps ↗

Other Identifiers 1

Medicaid1993671LA

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 Magnolia Health and more.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

Laura Pelaez 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 ID4284855982
PECOS Enrollment IDI20141022000741
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 4

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 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services21 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
22 services17 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70112 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

88.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.6
Promoting Interoperability100
Improvement Activities40
Cost58.23

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Sterile water/saline, 500 ml A4217
DME-Medical/Surgical Supplies · category DA000N
2 suppliers13 claims608 services$2.82 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier11 claims325 services$6.34 avg. paid by Medicare
Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
2 suppliers13 claims1,155 services$2.55 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
2 suppliers13 claims385 services$4.49 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6402
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims975 services$0.11 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
2 suppliers13 claims15 services$7.21 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 16

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

DR. SHALIMAR SMALL M.D.
Ophthalmology
533 BOLIVAR ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 268-2201
DR. JONATHAN ALLEN SANDERS M.D.
Emergency Medicine
533 BOLIVAR ST, RM 508
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4750
DR. STEPHANIE NICHOLAS TAYLOR M.D.
Internal Medicine (Infectious Disease)
533 BOLIVAR ST
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-5031
DR. LEE SPINDLER ENGEL MD
Internal Medicine (Infectious Disease)
533 BOLIVAR ST, LSU-HSC, CSRB ROOM 307
NEW ORLEANS, LA 70112
Orleans Parish (504) 599-1144
DR. BRIAN ASHFORD
Obstetrics & Gynecology
533 BOLIVAR ST, RM 639
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4864
CELESTE CHRISTINA GARY MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
533 BOLIVAR ST, SUITE 566
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4785
DIEGO RAMON LOPEZ OSA M.D.
Student in an Organized Health Care Education/Training Program
533 BOLIVAR ST, SUITE 639
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4864
DR. ROBERT GLYNN PEDEN M.D.
Otolaryngology (Facial Plastic Surgery)
533 BOLIVAR ST, SUITE 566
NEW ORLEANS, LA 70112
Orleans Parish (504) 568-4785

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 Laura Pelaez's NPI number?

The NPI number for Laura Pelaez is 1245471234. It was assigned to this individual provider in the NPPES registry on March 20, 2009.

Where is Laura Pelaez located?

Laura Pelaez practices at 533 Bolivar St Ste 566, New Orleans, LA 70112. The listed phone number is (504) 568-4785.

What is Laura Pelaez's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Laura Pelaez enrolled in Medicare?

Yes. Laura Pelaez 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 Laura Pelaez accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Laura Pelaez 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 Laura Pelaez affiliated with any hospitals?

According to CMS data, Laura Pelaez is affiliated with University Medical Center New Orleans.

When was this NPI record last updated?

The NPPES record for Laura Pelaez was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.