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DR. GREGORY J ARDOIN M.D.
NPI 1376633115
Internal Medicine - Pulmonary Disease in Alexandria, LA

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
87.37/100
CMS Quality Rating
201 4TH ST, 1A, ALEXANDRIA, LA 71301(318) 769-5864(318) 769-3910 Get Directions Write a Review

NPPES record last updated: May 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gregory J Ardoin M.d. NPPES

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

DR. GREGORY J ARDOIN M.D. (NPI 1376633115) is an individual pulmonary disease provider in Alexandria, Louisiana, licensed in Louisiana (017631) and active in the NPI registry since October 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 (1984).

NPPES Registry Identity

NPI1376633115
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. GREGORY J ARDOINCredential: M.D.
Location Address201 4TH ST, 1AAlexandria, LA 71301-8421
Mailing Address201 4th St Ste 1aAlexandria, LA 71301-8421 · (318) 769-5864 · Fax (318) 769-3910
Phone(318) 769-5864
Fax(318) 769-3910
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1984
Enumeration DateOctober 13, 2006
Last NPPES UpdateMay 11, 2011
✔ NPI 1376633115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in LA · 017631
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 017631 (LA)
201 4TH ST, Alexandria, LA 71301
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINB89682
Medicaid1385425LA
Medicare ID-Type Unspecified54115LA

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

Dr. Gregory J Ardoin 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 ID3678658895
PECOS Enrollment IDI20080312000565
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 6

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 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.
81 services37 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.
59 services54 patients
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.
40 services27 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.
30 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services13 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Ochsner University Hospital And Clinics

Acute Care Hospitals · Lafayette, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190006
Location2390 West CongressLafayette, LA 70506 · Lafayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71301 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.

87.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.52
Promoting Interoperability100
Improvement Activities40
Cost55.04

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
2 suppliers17 claims34 services$6.20 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers25 claims25 services$794.56 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$91.55 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.10 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 20

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

DR. ARUN K KARSAN M.D.
Internal Medicine (Interventional Cardiology)
201 4TH ST, SUITE 2D
ALEXANDRIA, LA 71301
Rapides Parish (318) 442-7867
DR. RON L HAYS MD
Internal Medicine
201 4TH ST, STE 5A, BOX 30129
ALEXANDRIA, LA 71301
Rapides Parish (318) 448-1249
DR. PHILIP C. LINDSAY M.D.
Surgery
201 4TH ST, STE 5B
ALEXANDRIA, LA 71301
Rapides Parish (318) 769-3501
WESLEY WRIGHT DAVIS M.D.
Internal Medicine (Cardiovascular Disease)
201 4TH ST, SUITE 3B
ALEXANDRIA, LA 71301
Rapides Parish (318) 442-8698
DR. JAY L PILAND MD
Internal Medicine
201 4TH ST, STE. 5A, BOX 30129
ALEXANDRIA, LA 71301
Rapides Parish (318) 448-1249
CARDIOLOGY ASSOCIATES OF CENTRAL LA
Internal Medicine (Interventional Cardiology)
201 4TH ST, SUITE 3 B
ALEXANDRIA, LA 71301
Rapides Parish (318) 442-8698
LISA VAN MOL N.P.
Nurse Practitioner
201 4TH ST, SUITE 4A
ALEXANDRIA, LA 71301
Rapides Parish (318) 442-8698
SABAH VAROQUA MD -A MEDICAL CORPORATION
Specialist
201 4TH ST
ALEXANDRIA, LA 71301
Rapides Parish (318) 443-4744

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 Gregory Ardoin's NPI number?

The NPI number for Gregory Ardoin is 1376633115. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Gregory Ardoin located?

Gregory Ardoin practices at 201 4th St 1A, Alexandria, LA 71301. The listed phone number is (318) 769-5864.

What is Gregory Ardoin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Gregory Ardoin enrolled in Medicare?

Yes. Gregory Ardoin 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 Gregory Ardoin accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and HMO Louisiana list Gregory Ardoin 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 Gregory Ardoin affiliated with any hospitals?

According to CMS data, Gregory Ardoin is affiliated with Ochsner Lafayette General Medical Center and Ochsner University Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Gregory Ardoin was last updated on May 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.