DR. FRANCIS RALPH DAUTERIVE M.D. NPI 1376578070
Obstetrics & Gynecology in Baton Rouge, LA

Individual Male Years of Experience 40 Obstetrics & Gynecology PECOS Enrolled Accepts Medicare Approved Payment

About DR. FRANCIS RALPH DAUTERIVE M.D.

Francis Dauterive is a women's health care provider established in Baton Rouge, Louisiana and his medical specialization is Obstetrics & Gynecology with more than 40 years of experience. He graduated from Louisiana State University School Of Medicine In New Orleans in 1983. The NPI number of Francis Dauterive is 1376578070 and was assigned on July 2006. The practitioner's primary taxonomy code is 207V00000X with license number L017249 (LA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1376578070
Provider NameDR. FRANCIS RALPH DAUTERIVE M.D.
Provider Location Address9001 SUMMA AVE BATON ROUGE, LA 70809
Provider Mailing Address9001 SUMMA AVE BATON ROUGE, LA 70809
GenderMale
NPI Entity TypeIndividual
Medical School NameLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year1983
Is Sole Proprietor?No
Enumeration Date07-11-2006
Last Update Date12-07-2007

Women's health care providers like Dr. Francis Ralph Dauterive M.d. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.Francis Dauterive is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Francis Dauterive is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Ochsner Medical Center - Baton Rouge.

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.65 for a new patient copayment and $17.59 for an established patient copayment.



Primary Taxonomy

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.L017249
License StateLA
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Business Address

DR. FRANCIS RALPH DAUTERIVE M.D.
9001 SUMMA AVE
BATON ROUGE, LA
ZIP 70809
Phone: (225) 761-5200
Fax: (225) 761-5220

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Mailing Address

DR. FRANCIS RALPH DAUTERIVE M.D.
9001 SUMMA AVE
BATON ROUGE, LA
ZIP 70809
Phone: (225) 761-5200


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID5193855310
PECOS Enrollment IDI20100615000762
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 70809 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.01 $172.78 $130.62
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14 $43.19 $32.65
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$16.83 $140.34 $70.36
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.2 $35.08 $17.59

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 30Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Francis Dauterive is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
OCHSNER MEDICAL CENTER - BATON ROUGE17000 MEDICAL CENTER DR
BATON ROUGE, LA 70816
(225) 752-2470Acute Care Hospitals190202

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
D04214MEDICARE UPIN (02)
1371939MEDICAID (05)LA
53336MEDICARE ID-TYPE UNSPECIFIED (04)

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376578070
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2314610716014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 0 + 7 + 1 + 6 + 0 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1376578070 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891762167 TERRI L. ROSS PA
Individual
Physician Assistant9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1447217336DR. CHAD BRADEN MD
Individual
Family Medicine9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5480
1770535056DR. SUSAN MCNAMARA MD
Individual
Internal Medicine9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1023046158DR. THOMAS R FAIRLEY O.D.
Individual
Optometrist9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1841229747DR. BASIL DEMETRIUS CATSIKIS M.D.
Individual
Radiology (Diagnostic Radiology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1083644041DR. RUBEN FABREGA MD
Individual
Internal Medicine (Hematology & Oncology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1972533750DR. STEPHAINE L CAULEY O.D.
Individual
Optometrist9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1700818135 CHRISTOPHER PAUL GRENIER M.D.
Individual
Ophthalmology9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1912930785DR. TRANG P HUYNH M.D.
Individual
Obstetrics & Gynecology9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1538192026DR. LLOYD FRANK LOCASCIO M.D.
Individual
Radiology (Diagnostic Radiology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1306879960DR. AMIN KAMYAR M.D.
Individual
Internal Medicine (Nephrology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1942234828 GEORGE W HOWARD III MD
Individual
Internal Medicine (Gastroenterology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1194758110 JUDY M ROHEIM MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1518991975 BURKE JOSEPH BROOKS JR. M.D.
Individual
Internal Medicine (Hematology & Oncology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1730113192DR. DAVID JOHN CARLSON M.D.
Individual
Family Medicine9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1114951571 NANCY DEIHL CHANDLER MD
Individual
Radiology (Diagnostic Radiology)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1184659948DR. BRUCE PALMER CLELAND M.D.
Individual
Surgery9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1528093671DR. CLAUDE JENKINS TELLIS MD
Individual
Internal Medicine (Pulmonary Disease)9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1689609398DR. JOHN EDWARD ERFFMEYER M.D.
Individual
Allergy & Immunology9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200
1518992213 MICHAEL STEPHEN DUREL MD
Individual
Obstetrics & Gynecology9001 SUMMA AVE
BATON ROUGE, LA 70809
(225) 761-5200

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Francis Ralph Dauterive M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.