DR. ATHENA FUQUA LEFORT M.D.
NPI 1386836476
Pediatrics in Marrero, LA

Active since August 13, 2007PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
1101 MEDICAL CENTER BLVD, WEST JEFFERSON PEDIATRIC ER, MARRERO, LA 70072(504) 349-1554(504) 349-1579 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Athena Fuqua Lefort M.d. NPPES

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

DR. ATHENA FUQUA LEFORT M.D. (NPI 1386836476) is an individual pediatrics provider in Marrero, Louisiana, licensed in Louisiana (MD.201781) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Childrens Hospital, and is a graduate of University Of Alabama School Of Medicine (2006).

NPPES Registry Identity

NPI1386836476
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ATHENA FUQUA LEFORTCredential: M.D.
Location Address1101 MEDICAL CENTER BLVD, WEST JEFFERSON PEDIATRIC ERMarrero, LA 70072-3147
Mailing Address1101 Medical Center Blvd, West Jefferson Pediatric ErMarrero, LA 70072-3147 · (504) 349-1554 · Fax (504) 349-1579
Fax(504) 349-1579
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2006
Enumeration DateAugust 13, 2007
Last NPPES UpdateOctober 5, 2010
✔ NPI 1386836476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · MD.201781
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1101 MEDICAL CENTER BLVD, Marrero, LA 70072

Other Identifiers 1

Medicaid1508306LA

Accepted 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

Dr. Athena Fuqua Lefort 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 ID1052507571
PECOS Enrollment IDI20101123000863
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 Reassignments

3

Medicare enrollment records show Athena Lefort reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1101 MEDICAL CENTER BLVD, MEDICAL STAFF OFFICE
Marrero, LA 70072
  • Reassigned Medicare billing, Louisiana enrollment
  • 82 clinicians in this Medicare group
Pediatrics
298 HENRY CLAY AVE
New Orleans, LA 70118
  • Reassigned Medicare billing, Louisiana enrollment
  • 297 clinicians in this Medicare group
Specialist
200 HENRY CLAY AVE
New Orleans, LA 70118
  • Reassigned Medicare billing, Louisiana enrollment
  • 220 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Childrens Hospital

Childrens · New Orleans, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number193300
Location200 Henry Clay AveNew Orleans, LA 70118 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70072 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Registered Nurse (Critical Care Medicine)
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Hospitalist
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Emergency Medicine
1101 MEDICAL CENTER BLVD, EMERGENCY DEPARTMENT
MARRERO, LA 70072
Internal Medicine
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Internal Medicine
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Student in an Organized Health Care Education/Training Program
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072
Emergency Medicine
1101 MEDICAL CENTER BLVD
MARRERO, LA 70072

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 Athena Lefort's NPI number?

The NPI number for Athena Lefort is 1386836476. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Athena Lefort located?

Athena Lefort practices at 1101 Medical Center Blvd West Jefferson Pediatric ER, Marrero, LA 70072. The listed phone number is (504) 349-1554.

What is Athena Lefort's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Athena Lefort enrolled in Medicare?

Yes. Athena Lefort 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 organizations bill Medicare for Athena Lefort's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Athena Lefort reassigns Medicare benefits to 3 organizations: Wjh Physician Services (Marrero, LA), Childrens Hospital Medical Practice Corporation (New Orleans, LA) and Children's Hospital (New Orleans, LA). Each 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 Athena Lefort's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Athena Lefort accept?

Health plans from HMO Louisiana and Molina Healthcare list Athena Lefort 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 Athena Lefort affiliated with any hospitals?

According to CMS data, Athena Lefort is affiliated with Childrens Hospital.

When was this NPI record last updated?

The NPPES record for Athena Lefort was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.