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CRAIG MICHAEL GAUTHIER MD
NPI 1467475475
Obstetrics & Gynecology in New Iberia, LA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
520 N LEWIS ST, SUITE 102, NEW IBERIA, LA 70563(337) 367-9411(337) 256-8892 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Craig Michael Gauthier Md NPPES

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

CRAIG MICHAEL GAUTHIER MD (NPI 1467475475) is an individual obstetrics & gynecology provider in New Iberia, Louisiana, licensed in Louisiana (09814R) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Iberia Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1992).

NPPES Registry Identity

NPI1467475475
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameCRAIG MICHAEL GAUTHIERCredential: MD
Location Address520 N LEWIS ST, SUITE 102New Iberia, LA 70563-2094
Mailing Address520 N Lewis St, Suite 102New Iberia, LA 70563-2094 · (337) 367-1291 · Fax (337) 365-8421
Phone(337) 367-9411
Fax(337) 256-8892
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1992
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 19, 2013
✔ NPI 1467475475 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 · 09814R
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.
520 N LEWIS ST, New Iberia, LA 70563
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Other Identifiers 2

Medicaid1684864LA
Medicare UPING29381

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Craig Michael Gauthier 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 ID7012059330
PECOS Enrollment IDI20110225000550
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 Craig Gauthier reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gauthier Medical And Wellness
0.1 mi
Gynecology
520 N LEWIS ST, SUITE 102
New Iberia, LA 70563
  • Reassigned Medicare billing, Louisiana enrollment
NPI 1013253913 (337) 367-9411
Abbeville General Hospital
19 mi
Clinic/Center
118 N HOSPITAL DR
Abbeville, LA 70510
  • Reassigned Medicare billing, Louisiana enrollment
  • 54 clinicians in this Medicare group
NPI 1285779363 (337) 898-6516
Hospital Service District No. 1 Of The Parish Of St. Mary
21 mi
Surgery
1097 NORTHWEST BLVD
Franklin, LA 70538
  • Reassigned Medicare billing, Louisiana enrollment
  • 20 clinicians in this Medicare group
NPI 1699895953 (337) 828-5099

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 6

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.

Smear for infectious agents 87210
A smear for infectious agents is a simple test done to identify harmful microorganisms in your body. A sample is taken from your body, spread thinly onto a slide, and examined under a microscope. This helps in diagnosing various infections and diseases.
60 services57 patients
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.
51 services39 patients
Stool analysis for blood, by fecal hemoglobin determination by immunoassay 82274
A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.
40 services40 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
39 services39 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
29 services29 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

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

Our Lady Of Lourdes Regional Medical Center, Inc

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190102
Location4801 Ambassador Caffery ParkwayLafayette, LA 70508 · Lafayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70563 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.

Other Providers at the Same Location NPPES 13

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

GAUTHIER MEDICAL AND WELLNESS
Obstetrics & Gynecology (Gynecology)
520 N LEWIS ST, SUITE 102
NEW IBERIA, LA 70563
Iberia Parish (337) 367-9411
JKL HEALTHCARE SERVICES LLC
Internal Medicine
520 N LEWIS ST, SUITE 100
NEW IBERIA, LA 70563
Iberia Parish (337) 367-8220
KIMBERLY R SMITH M.D.,
Internal Medicine
520 N LEWIS ST, SUITE 100
NEW IBERIA, LA 70563
Iberia Parish (337) 367-8220
JILL G BROWN MD
Pediatrics
520 N LEWIS ST, STE 202
NEW IBERIA, LA 70563
Iberia Parish (337) 367-2001
DR. CASSANDRA MARIE PILLETTE M.D.
Family Medicine
520 N LEWIS ST, SUITE 101
NEW IBERIA, LA 70563
Iberia Parish (337) 369-6669
DR. HENRY D EIKEL MD
Pediatrics
520 N LEWIS ST, SUITE 202
NEW IBERIA, LA 70563
Iberia Parish (337) 367-2001
TOTAL WOMEN'S HEALTH, L.L.C.
Obstetrics & Gynecology
520 N LEWIS ST, SUITE 103
NEW IBERIA, LA 70563
Iberia Parish (337) 367-1291
LAHASKY FAMILY PRACTICE
Family Medicine
520 N LEWIS ST, # 203
NEW IBERIA, LA 70563
Iberia Parish (337) 364-4738

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 Craig Gauthier's NPI number?

The NPI number for Craig Gauthier is 1467475475. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Craig Gauthier located?

Craig Gauthier practices at 520 N Lewis St Suite 102, New Iberia, LA 70563. The listed phone number is (337) 367-9411.

What is Craig Gauthier's specialty?

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

Is Craig Gauthier enrolled in Medicare?

Yes. Craig Gauthier 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 Craig Gauthier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Craig Gauthier reassigns Medicare benefits to 3 organizations: Gauthier Medical And Wellness (New Iberia, LA), Abbeville General Hospital (Abbeville, LA) and Hospital Service District No. 1 Of The Parish Of St. Mary (Franklin, 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 Craig Gauthier's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Craig Gauthier 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 2 other insurers list Craig Gauthier 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 Craig Gauthier affiliated with any hospitals?

According to CMS data, Craig Gauthier is affiliated with Iberia Medical Center and Our Lady Of Lourdes Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Craig Gauthier was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.