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MR. GERARDO ARIAS M.D.
NPI 1447265178
Internal Medicine - Hematology & Oncology in Thibodaux, LA

Active since July 30, 2006PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
608 N ACADIA RD, THIBODAUX, LA 70301(985) 493-4787(985) 449-2560 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Gerardo Arias M.d. NPPES

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

MR. GERARDO ARIAS M.D. (NPI 1447265178) is an individual hematology & oncology provider in Thibodaux, Louisiana, licensed in Louisiana (MD.13251R) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Thibodaux Regional Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1991).

NPPES Registry Identity

NPI1447265178
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMR. GERARDO ARIASCredential: M.D.
Location Address608 N ACADIA RDThibodaux, LA 70301
Mailing AddressPo Box 5478Thibodaux, LA 70302-5478 · (985) 493-4787 · Fax (985) 449-2560
Phone(985) 493-4787
Fax(985) 449-2560
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1991
Enumeration DateJuly 30, 2006
Last NPPES UpdateJuly 5, 2018
✔ NPI 1447265178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in LA · MD.13251R✔ Licensed in AL · 20981
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

608 N ACADIA RD, Thibodaux, LA 70301
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Other Identifiers 5

Medicaid1579106LA
Medicaid009900935AL
Other51509138AL · Bcbs-fort Payne
Other51509139AL · Bcbs-boaz
Medicaid009981760AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Mr. Gerardo Arias 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 ID4486684255
PECOS Enrollment IDI20120718000179
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 5

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 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.
426 services178 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.
283 services57 patients
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.
50 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70301 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
$164.73 typical visit price
range $53.43 – $164.73
Typical copayment $41.18 (range $13.35 – $41.18)
Most-billed visit code 99205
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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.77
Promoting Interoperability100
Improvement Activities40
Cost59.05

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
75%205 patients4/55-star benchmark: 92%
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…
87%296 patients4/55-star benchmark: 100%
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)…
53%167 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
23%380 patients2/55-star benchmark: 85%
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.
69%3,130 patients1/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%1,061 patients5/55-star benchmark: 100%
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…
100%325 patients5/55-star benchmark: 100%
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: 92% · 517 patients
Patients tobacco: 92% · 517 patients
99%71 patients5/55-star benchmark: 98%
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+: 1% · 376 patients
5%376 patients4/55-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.

Other Providers at the Same Location NPPES 9

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

THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Surgery (Plastic and Reconstructive Surgery)
608 N ACADIA RD, STE 3B
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4490
BAYOU ONCOLOGY SPECIALISTS, LLC
Clinic/Center (Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4334
R CLAY GOULD MD INC
Radiology (Radiation Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4338
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Internal Medicine (Hematology & Oncology)
608 N ACADIA RD, FL 3
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4346
DR. NGUYEN DUC DINH DANG M.D.
Radiology (Radiation Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4338
DR. SCOTT A HEBERT M.D.
Internal Medicine (Hematology & Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4346
LAURA GROS RN
Registered Nurse (Oncology)
608 N ACADIA RD
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4008
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
Radiology (Radiation Oncology)
608 N ACADIA RD, FL 1
THIBODAUX, LA 70301
Lafourche Parish (985) 493-4346

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 Gerardo Arias's NPI number?

The NPI number for Gerardo Arias is 1447265178. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Gerardo Arias located?

Gerardo Arias practices at 608 N Acadia Rd, Thibodaux, LA 70301. The listed phone number is (985) 493-4787.

What is Gerardo Arias's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Gerardo Arias enrolled in Medicare?

Yes. Gerardo Arias 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 Gerardo Arias accept?

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

According to CMS data, Gerardo Arias is affiliated with Thibodaux Regional Medical Center and Ochsner Medical Center Acute.

When was this NPI record last updated?

The NPPES record for Gerardo Arias was last updated on July 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.