MARGARITA LAMOTHE M.D.
NPI 1306887187
Internal Medicine - Infectious Disease in Memphis, TN

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
6029 WALNUT GROVE RD STE C002, MEMPHIS, TN 38120(901) 685-3490 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Margarita Lamothe M.d. NPPES

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

MARGARITA LAMOTHE M.D. (NPI 1306887187) is an individual infectious disease provider in Memphis, Tennessee, licensed in Tennessee (MD018339) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1306887187
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameMARGARITA LAMOTHECredential: M.D.
Location Address6029 WALNUT GROVE RD STE C002Memphis, TN 38120-2112
Mailing Address6799 Great Oaks Rd Ste 250Memphis, TN 38138-2584 · (901) 685-3490 · Fax (901) 685-3499
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateJune 10, 2006
Last NPPES UpdateJanuary 7, 2019
NPI 1306887187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in TN · MD018339
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
6029 WALNUT GROVE RD STE C002, Memphis, TN 38120

Other Identifiers 4

Other0822233TN · Bcbs Of Tn
Medicaid3060256TN
Medicaid00113067MS
Other95001AR · Bcbs Of Ar

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

Margarita Lamothe 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 ID6608907647
PECOS Enrollment IDI20100708000374
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 9

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.

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.
1,526 services322 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
429 services215 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
168 services161 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
157 services145 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.
122 services71 patients
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.
64 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Saint Francis Bartlett Medical Center

Acute Care Hospitals · Bartlett, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440228
Location2986 Kate Bond RdBartlett, TN 38133 · Shelby County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38120 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,327 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
82%2,685 patients4/55-star benchmark: 100%
HIV Medical Visit Frequency
Percentage of patients, regardless of age with a diagnosis of HIV who had at least one medical visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between medical visits
59%408 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%697 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
4%697 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
1%733 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%733 patients1/55-star benchmark: 79%
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 9

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

Nurse Practitioner (Family)
6029 WALNUT GROVE RD STE C002
MEMPHIS, TN 38120
Nurse Practitioner (Family)
6029 WALNUT GROVE RD STE C002
MEMPHIS, TN 38120
Internal Medicine (Infectious Disease)
6029 WALNUT GROVE RD STE C002
MEMPHIS, TN 38120
Internal Medicine (Infectious Disease)
6029 WALNUT GROVE RD STE C002
MEMPHIS, TN 38120
Internal Medicine (Infectious Disease)
6029 WALNUT GROVE RD STE C002
MEMPHIS, TN 38120
Physician Assistant
6029 WALNUT GROVE RD STE C002
MEMPHIS, TN 38120
Nurse Practitioner (Acute Care)
6029 WALNUT GROVE RD STE C002
MEMPHIS, TN 38120
Physical Therapist
6029 WALNUT GROVE RD STE C002
MEMPHIS, TN 38120

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 Margarita Lamothe's NPI number?

The NPI number for Margarita Lamothe is 1306887187. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Margarita Lamothe located?

Margarita Lamothe practices at 6029 Walnut Grove Rd Ste C002, Memphis, TN 38120. The listed phone number is (901) 685-3490.

What is Margarita Lamothe's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Margarita Lamothe enrolled in Medicare?

Yes. Margarita Lamothe 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 Margarita Lamothe accept?

Health plans from BlueCross BlueShield of Tennessee list Margarita Lamothe 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 Margarita Lamothe affiliated with any hospitals?

According to CMS data, Margarita Lamothe is affiliated with Baptist Memorial Hospital, Methodist Hospitals Of Memphis and Saint Francis Bartlett Medical Center.

When was this NPI record last updated?

The NPPES record for Margarita Lamothe was last updated on January 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.