RACHAEL S CRESAP MD
NPI 1396935144
Obstetrics & Gynecology in Alexandria, LA

Active since July 27, 2007PECOS EnrolledAccepts Medicare Assignment
3311 PRESCOTT RD STE 410, ALEXANDRIA, LA 71301(318) 442-2400(318) 442-2427 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rachael S Cresap Md NPPES

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

RACHAEL S CRESAP MD (NPI 1396935144) is an individual obstetrics & gynecology provider in Alexandria, Louisiana, licensed in Louisiana (MD.202043) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with St Tammany Parish Hospital, and maintains a secondary practice location in Covington.

NPPES Registry Identity

NPI1396935144
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameRACHAEL S CRESAPCredential: MD
Location Address3311 PRESCOTT RD STE 410Alexandria, LA 71301-3985
Mailing Address104 Innwood DrCovington, LA 70433-9123
Fax(318) 442-2427
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2006
Enumeration DateJuly 27, 2007
Last NPPES UpdateJuly 7, 2021
NPPES CertifiedJuly 7, 2021
✔ NPI 1396935144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in LA · MD.202043
Definition
An 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.
3311 PRESCOTT RD STE 410, Alexandria, LA 71301

Secondary Practice Location 1

Location 1104 Innwood DrCovington, LA 70433-9123 · Phone (985) 249-7022

Other Identifiers 1

Medicaid1077275LA

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

Rachael S Cresap 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 ID6204090392
PECOS Enrollment IDI20120621000596
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

5

Medicare enrollment records show Rachael Cresap reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1202 S TYLER ST
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 183 clinicians in this Medicare group
Specialist
606 W 12TH AVE
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 5 clinicians in this Medicare group
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Louisiana enrollment
  • 213 clinicians in this Medicare group
Family Medicine
919 HIDDEN RDG, 6TH FLOOR
Irving, TX 75038
  • Reassigned Medicare billing, Louisiana enrollment
  • 89 clinicians in this Medicare group
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, Louisiana enrollment
  • 108 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.

Areas of Expertise CMS Part B claims

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.

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.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

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
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
86%230 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
96%1,090 patients
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…
43%1,167 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,219 patients
Patients tobacco: 32% · 37 patients
97%1,219 patients4/55-star benchmark: 98%
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.

Other Providers at the Same Location NPPES 5

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

Obstetrics & Gynecology
3311 PRESCOTT RD STE 410
ALEXANDRIA, LA 71301
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3311 PRESCOTT RD STE 410
ALEXANDRIA, LA 71301
Obstetrics & Gynecology
3311 PRESCOTT RD STE 410
ALEXANDRIA, LA 71301
Psychiatry & Neurology (Neurology)
3311 PRESCOTT RD STE 410
ALEXANDRIA, LA 71301
Obstetrics & Gynecology
3311 PRESCOTT RD STE 410
ALEXANDRIA, LA 71301

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 Rachael Cresap's NPI number?

The NPI number for Rachael Cresap is 1396935144. It was assigned to this individual provider in the NPPES registry on July 27, 2007.

Where is Rachael Cresap located?

Rachael Cresap practices at 3311 Prescott Rd Ste 410, Alexandria, LA 71301. The listed phone number is (318) 442-2400.

What is Rachael Cresap's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rachael Cresap enrolled in Medicare?

Yes. Rachael Cresap 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 Rachael Cresap's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Cresap reassigns Medicare benefits to 5 organizations: St. Tammany Parish Hospital Service District No 1 (Covington, LA), Katherine L. Williams, MD Apmc (Covington, LA), Christus Trinity Clinic Texas (Tyler, TX), C H Wilkinson Physician Network (Irving, TX) and Obhg Louisiana, LLC (Greenville, SC). 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 Rachael Cresap's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachael Cresap accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Rachael Cresap 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 Rachael Cresap affiliated with any hospitals?

According to CMS data, Rachael Cresap is affiliated with St Tammany Parish Hospital.

When was this NPI record last updated?

The NPPES record for Rachael Cresap was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.