1. Home
  2. Directory
  3. Louisiana
  4. Lafayette
  5. Internal Medicine
  6. NPI Profile

KENNETH E MCCARRON MD
NPI 1366519423
Internal Medicine in Lafayette, LA

Active since November 30, 2006PECOS EnrolledAccepts Medicare Assignment
201 ST PATRICK ST, STE 203, LAFAYETTE, LA 70506(337) 261-1919(337) 261-1599 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kenneth E Mccarron Md NPPES

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

KENNETH E MCCARRON MD (NPI 1366519423) is an individual internal medicine provider in Lafayette, Louisiana, licensed in Louisiana (014180) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1977).

NPPES Registry Identity

NPI1366519423
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKENNETH E MCCARRONCredential: MD
Location Address201 ST PATRICK ST, STE 203Lafayette, LA 70506
Mailing Address1211 Coolidge Blvd, Ste 301Lafayette, LA 70503-2636 · (337) 261-1919 · Fax (337) 261-1599
Phone(337) 261-1919
Fax(337) 261-1599
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1977
Enumeration DateNovember 30, 2006
Last NPPES UpdateJune 27, 2019
✔ NPI 1366519423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 014180
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
201 ST PATRICK ST, Lafayette, LA 70506
Open in Google Maps ↗

Other Identifiers 1

Medicaid1310026LA

Accepted Insurance

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

Kenneth E Mccarron 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 ID7113072778
PECOS Enrollment IDI20090902000723
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 Reassignment

Medicare enrollment records show Kenneth Mccarron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lafayette Health Ventures, Inc.
0.2 mi
Surgery
900 E SAINT MARY BLVD, SUITE 106
Lafayette, LA 70503
  • Reassigned Medicare billing, Louisiana enrollment
  • 428 clinicians in this Medicare group
NPI 1164805719 (337) 289-8864

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 13

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.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
581 services581 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.
420 services295 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.
177 services144 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
126 services123 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
107 services107 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
48 services48 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Abbeville General Hospital

Acute Care Hospitals · Abbeville, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190034
Location118 N Hospital DrAbbeville, LA 70510 · Vermilion County
Emergency services Birthing friendly

Acadia General Hospital

Acute Care Hospitals · Crowley, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190044
Location1305 Crowley Rayne HighwayCrowley, LA 70526 · Acadia County
Emergency services

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

Ochsner St Martin Hospital

Critical Access Hospitals · Breaux Bridge, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number191302
Location210 Champagne BoulevardBreaux Bridge, LA 70517 · St. Martin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70506 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%67 patients
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.
100%4,039 patients5/55-star benchmark: 100%
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…
99%1,937 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
100%430 patients5/55-star benchmark: 97%
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
19 suppliers70 claims150 services$5.76 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers27 claims28 services$1.05 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$43.85 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$19.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kenneth Mccarron's NPI number?

The NPI number for Kenneth Mccarron is 1366519423. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Kenneth Mccarron located?

Kenneth Mccarron practices at 201 St Patrick St Ste 203, Lafayette, LA 70506. The listed phone number is (337) 261-1919.

What is Kenneth Mccarron's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kenneth Mccarron enrolled in Medicare?

Yes. Kenneth Mccarron 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 organization bills Medicare for Kenneth Mccarron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Mccarron reassigns Medicare benefits to Lafayette Health Ventures, Inc. (Lafayette, LA). The 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 Kenneth Mccarron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Mccarron accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Kenneth Mccarron 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 Kenneth Mccarron affiliated with any hospitals?

According to CMS data, Kenneth Mccarron is affiliated with Ochsner Lafayette General Medical Center, Abbeville General Hospital, Acadia General Hospital, Our Lady Of Lourdes Regional Medical Center, Inc and Ochsner St Martin Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Mccarron was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.