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DR. JAMES S GARCELON M.D.,
NPI 1275526196
Surgery in Lafayette, LA

Active since August 25, 2005PECOS EnrolledAccepts Medicare Assignment
1211 COOLIDGE BLVD, SUITE 304, LAFAYETTE, LA 70503(337) 236-3030(337) 235-0094 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James S Garcelon M.d., NPPES

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

DR. JAMES S GARCELON M.D., (NPI 1275526196) is an individual surgery provider in Lafayette, Louisiana, licensed in Louisiana (10007R) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Regional Medical Center, Inc, and maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1275526196
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JAMES S GARCELONCredential: M.D.,
Location Address1211 COOLIDGE BLVD, SUITE 304Lafayette, LA 70503-2636
Mailing Address1211 Coolidge Blvd, Suite 304Lafayette, LA 70503-2636 · (337) 236-3030 · Fax (337) 235-0094
Phone(337) 236-3030
Fax(337) 235-0094
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1992
Enumeration DateAugust 25, 2005
Last NPPES UpdateJanuary 27, 2011
✔ NPI 1275526196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in LA · 10007R
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1211 COOLIDGE BLVD, Lafayette, LA 70503
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Secondary Practice Location 1

Location 14809 Ambassador Caffery Pkwy Ste 490Lafayette, LA 70508-8802 · Phone (337) 470-3980 · Fax (337) 470-3989

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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

Dr. James S Garcelon 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 ID2860538998
PECOS Enrollment IDI20091005000022
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 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 office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
60 services34 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.
20 services13 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Our Lady Of Lourdes Regional Medical Center, Inc

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190102
Location4801 Ambassador Caffery ParkwayLafayette, LA 70508 · Lafayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70503 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.

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.

BRYAN G SIBLEY MD APMC
Pediatrics
1211 COOLIDGE BLVD, STE 300
LAFAYETTE, LA 70503
Lafayette Parish (337) 289-0042
DR. MARIA DEL CARMEN SANCHEZ M.D.
Anesthesiology
1211 COOLIDGE BLVD, SUITE 302
LAFAYETTE, LA 70503
Lafayette Parish (337) 269-6062
ACADIANA ENDOSCOPY CENTER, INC.
Clinic/Center (Ambulatory Surgical)
1211 COOLIDGE BLVD, SUITE 302
LAFAYETTE, LA 70503
Lafayette Parish (337) 289-8249
DAMON T CUDIHY MD LLC
Specialist
1211 COOLIDGE BLVD, STE 403
LAFAYETTE, LA 70503
Lafayette Parish (337) 261-5433
SYLVIA M OATS APRN
Nurse Practitioner (Adult Health)
1211 COOLIDGE BLVD, SUITE 303
LAFAYETTE, LA 70503
Lafayette Parish (337) 232-6697
JAMIE STEPHENSON CPNP
Nurse Practitioner (Pediatrics)
1211 COOLIDGE BLVD
LAFAYETTE, LA 70503
Lafayette Parish (337) 289-0042
MRS. ALLISON DEVALCOURT BERTRAND N.P.
Nurse Practitioner (Family)
1211 COOLIDGE BLVD
LAFAYETTE, LA 70503
Lafayette Parish (337) 289-8400
DR. EDWARD PATRICK LYONS M.D.
Internal Medicine
1211 COOLIDGE BLVD, SUITE 301
LAFAYETTE, LA 70503
Lafayette Parish (337) 235-8381

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 James Garcelon's NPI number?

The NPI number for James Garcelon is 1275526196. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is James Garcelon located?

James Garcelon practices at 1211 Coolidge Blvd Suite 304, Lafayette, LA 70503. The listed phone number is (337) 236-3030.

What is James Garcelon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Garcelon enrolled in Medicare?

Yes. James Garcelon 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 James Garcelon accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list James Garcelon 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 James Garcelon affiliated with any hospitals?

According to CMS data, James Garcelon is affiliated with Our Lady Of Lourdes Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for James Garcelon was last updated on January 27, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.