PETER STEVENS FAIL MD
NPI 1437156429
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Houma, LA

Active since July 05, 2005PECOS EnrolledAccepts Medicare Assignment
225 DUNN ST, HOUMA, LA 70360(985) 876-0300(985) 872-0317 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Stevens Fail Md NPPES

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

PETER STEVENS FAIL MD (NPI 1437156429) is an individual advanced heart failure and transplant cardiology provider in Houma, Louisiana, licensed in Louisiana (11924R) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1437156429
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NamePETER STEVENS FAILCredential: MD
Location Address225 DUNN STHouma, LA 70360
Mailing Address225 Dunn StHouma, LA 70360-4440 · (985) 876-0300 · Fax (985) 872-0317
Fax(985) 872-0317
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 5, 2005
Last NPPES UpdateJuly 5, 2018
NPI 1437156429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in LA · 11924R
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 11924R (LA)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 11924R (LA)
225 DUNN ST, Houma, LA 70360

Other Identifiers 2

Other060042304LA · Rr Medicare
Medicaid1681784LA

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

Peter Stevens Fail 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 ID6608977780
PECOS Enrollment IDI20100225000485
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 59

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
38,576 services347 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.
985 services636 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
688 services448 patients
Liver enzyme (sgpt), level 84460
A liver enzyme (SGPT) level test is a blood test that checks the health of your liver. SGPT is an enzyme found in your liver cells. If your liver is damaged or inflamed, SGPT can leak into your bloodstream, raising the enzyme level. This test helps identify liver diseases early.
600 services380 patients
Liver enzyme (sgot), level 84450
A Liver Enzyme (SGOT) Level test is a simple blood test used to measure the amount of certain enzymes in your blood. These enzymes are normally found in liver cells. If the liver is damaged or diseased, these enzymes can leak into your bloodstream, indicating potential liver issues.
599 services379 patients
Phosphatase (enzyme) level, alkaline 84075
The Alkaline Phosphatase Level test measures the amount of alkaline phosphatase, an enzyme, in your blood. High or low levels can indicate a variety of health conditions, such as liver disease or bone disorders. It's a common test done to help diagnose and monitor these conditions.
598 services379 patients

Hospital Affiliations CMS Care Compare 5

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

Thibodaux Regional Medical Center

Acute Care Hospitals · Thibodaux, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190004
Location602 N Acadia RoadThibodaux, LA 70301 · Lafourche County
Emergency services Birthing friendly

Terrebonne General Medical Center - Parish

Acute Care Hospitals · Houma, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190008
Location8166 Main StreetHouma, LA 70360 · Terrebonne County
Emergency services Birthing friendly

Ochsner St Mary

Acute Care Hospitals · Morgan City, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190014
Location1125 Marguerite StreetMorgan City, LA 70380 · St. Mary County
Emergency services

Lady Of The Sea General Hospital

Critical Access Hospitals · Cut Off, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191325
Location200 West 134th PlaceCut Off, LA 70345 · Lafourche County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70360 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

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,366 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%8,932 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
47%238 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%5,191 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
93%2,283 patients4/55-star benchmark: 97%
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…
79%2,278 patients4/55-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% · 1,213 patients
Patients tobacco: 100% · 1,213 patients
99%178 patients5/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,283 patients5/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 9% · 1,520 patients
12%1,520 patients2/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
4%2,283 patients
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$16.62 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$35.91 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.

Internal Medicine (Interventional Cardiology)
225 DUNN ST
HOUMA, LA 70360
Pharmacy (Community/Retail Pharmacy)
225 DUNN ST
HOUMA, LA 70360
Internal Medicine (Cardiovascular Disease)
225 DUNN ST
HOUMA, LA 70360
Nurse Practitioner (Family)
225 DUNN ST
HOUMA, LA 70360
Nurse Practitioner
225 DUNN ST
HOUMA, LA 70360
Internal Medicine (Interventional Cardiology)
225 DUNN ST
HOUMA, LA 70360
Nurse Practitioner (Acute Care)
225 DUNN ST
HOUMA, LA 70360
Internal Medicine (Cardiovascular Disease)
225 DUNN ST
HOUMA, LA 70360

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 Peter Fail's NPI number?

The NPI number for Peter Fail is 1437156429. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Peter Fail located?

Peter Fail practices at 225 Dunn St, Houma, LA 70360. The listed phone number is (985) 876-0300.

What is Peter Fail's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Peter Fail enrolled in Medicare?

Yes. Peter Fail 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 Peter Fail accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Peter Fail 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 Peter Fail affiliated with any hospitals?

According to CMS data, Peter Fail is affiliated with Ochsner Lafayette General Medical Center, Thibodaux Regional Medical Center, Terrebonne General Medical Center - Parish, Ochsner St Mary and Lady Of The Sea General Hospital.

When was this NPI record last updated?

The NPPES record for Peter Fail was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.