DR. NICHOLAS JOSEPH LAPARA III M.D.
NPI 1396087359
Internal Medicine in New Iberia, LA

Active since March 17, 2013PECOS EnrolledAccepts Medicare Assignment
2315 E MAIN ST, NEW IBERIA, LA 70560(337) 374-7606 Get Directions Write a Review

NPPES record last updated: January 17, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 17, 2017, Sep 16, 2016 (2 updates tracked since 2016).

About Dr. Nicholas Joseph Lapara Iii M.d. NPPES

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

DR. NICHOLAS JOSEPH LAPARA III M.D. (NPI 1396087359) is an individual internal medicine provider in New Iberia, Louisiana, licensed in Louisiana (303013) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1396087359
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NICHOLAS JOSEPH LAPARA IIICredential: M.D.
Location Address2315 E MAIN STNew Iberia, LA 70560-4031
Mailing Address2315 E Main StNew Iberia, LA 70560-4031 · (337) 374-7606
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 17, 2013
Last NPPES UpdateJanuary 17, 20172 updates tracked since enumeration
NPI 1396087359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in LA · 303013
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.
2315 E MAIN ST, New Iberia, LA 70560

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

Dr. Nicholas Joseph Lapara Iii 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 ID8123241114
PECOS Enrollment IDI20161228000617
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 8

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.
539 services221 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.
221 services100 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
149 services53 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.
121 services112 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.
104 services101 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
84 services34 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

Iberia Medical Center

Acute Care Hospitals · New Iberia, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190054
Location2315 E Main StreetNew Iberia, LA 70562 · Iberia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70560 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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%296 patients5/55-star benchmark: 100%
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 3

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
2 suppliers11 claims22 services$55.61 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers11 claims66 services$24.96 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
2 suppliers14 claims14 services$95.67 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.

Emergency Medicine
2315 E MAIN ST
NEW IBERIA, LA 70560
Emergency Medicine
2315 E MAIN ST
NEW IBERIA, LA 70560
Radiology (Diagnostic Radiology)
2315 E MAIN ST
NEW IBERIA, LA 70560
Radiology (Diagnostic Radiology)
2315 E MAIN ST
NEW IBERIA, LA 70560
Emergency Medicine (Emergency Medical Services)
2315 E MAIN ST
NEW IBERIA, LA 70560
Nurse Practitioner
2315 E MAIN ST
NEW IBERIA, LA 70560
Nurse Anesthetist, Certified Registered
2315 E MAIN ST
NEW IBERIA, LA 70560
Nurse Practitioner (Family)
2315 E MAIN ST
NEW IBERIA, LA 70560

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 Nicholas Lapara's NPI number?

The NPI number for Nicholas Lapara is 1396087359. It was assigned to this individual provider in the NPPES registry on March 17, 2013.

Where is Nicholas Lapara located?

Nicholas Lapara practices at 2315 E Main St, New Iberia, LA 70560. The listed phone number is (337) 374-7606.

What is Nicholas Lapara's specialty?

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

Is Nicholas Lapara enrolled in Medicare?

Yes. Nicholas Lapara 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 Nicholas Lapara accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Nicholas Lapara 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 Nicholas Lapara affiliated with any hospitals?

According to CMS data, Nicholas Lapara is affiliated with Ochsner Lafayette General Medical Center and Iberia Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Lapara was last updated on January 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.