DR. THAD MICHAEL PRIMEAUX MD
NPI 1609086818
Pathology - Anatomic Pathology & Clinical Pathology in Lake Charles, LA

Active since May 23, 2007PECOS Enrolled
74.5/100
CMS Quality Rating
830 W BAYOU PINES DR, LAKE CHARLES, LA 70601(337) 436-9557(337) 312-1311 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Thad Michael Primeaux Md NPPES

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

DR. THAD MICHAEL PRIMEAUX MD (NPI 1609086818) is an individual anatomic pathology & clinical pathology provider in Lake Charles, Louisiana, licensed in Louisiana (MD.202834) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609086818
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. THAD MICHAEL PRIMEAUXCredential: MD
Location Address830 W BAYOU PINES DRLake Charles, LA 70601-7097
Mailing Address830 W Bayou Pines DrLake Charles, LA 70601-7097 · (337) 436-9557 · Fax (337) 312-1311
Fax(337) 312-1311
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateAugust 26, 2021
NPPES CertifiedAugust 26, 2021
✔ NPI 1609086818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in LA · MD.202834
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
830 W BAYOU PINES DR, Lake Charles, LA 70601

Other Identifiers 1

Medicaid1079154LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thad Michael Primeaux Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Thad Primeaux reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Medical Laboratory
830 W BAYOU PINES DR
Lake Charles, LA 70601
  • Reassigned Medicare billing, Louisiana enrollment
  • 16 clinicians in this Medicare group
Anatomic Pathology & Clinical Pathology
5339 O'DONOVAN DRIVE
Baton Rouge, LA 70808
  • Reassigned Medicare billing, Louisiana enrollment
  • 29 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 2

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
64 services31 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 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.

74.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

Pathology (Anatomic Pathology & Clinical Pathology)
830 W BAYOU PINES DR
LAKE CHARLES, LA 70601
Pathology (Anatomic Pathology & Clinical Pathology)
830 W BAYOU PINES DR
LAKE CHARLES, LA 70601
Pathology (Anatomic Pathology & Clinical Pathology)
830 W BAYOU PINES DR
LAKE CHARLES, LA 70601
Clinical Medical Laboratory
830 W BAYOU PINES DR
LAKE CHARLES, LA 70601
Pathology (Anatomic Pathology & Clinical Pathology)
830 W BAYOU PINES DR
LAKE CHARLES, LA 70601
Pathology (Anatomic Pathology & Clinical Pathology)
830 W BAYOU PINES DR
LAKE CHARLES, LA 70601
Pathology (Anatomic Pathology & Clinical Pathology)
830 W BAYOU PINES DR
LAKE CHARLES, LA 70601
Pathology (Anatomic Pathology & Clinical Pathology)
830 W BAYOU PINES DR
LAKE CHARLES, LA 70601

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 Thad Primeaux's NPI number?

The NPI number for Thad Primeaux is 1609086818. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Thad Primeaux located?

Thad Primeaux practices at 830 W Bayou Pines Dr, Lake Charles, LA 70601. The listed phone number is (337) 436-9557.

What is Thad Primeaux's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Thad Primeaux enrolled in Medicare?

Yes. Thad Primeaux is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thad Primeaux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thad Primeaux reassigns Medicare benefits to 2 organizations: The Pathology Laboratory, Inc. (Lake Charles, LA) and Pathology Group Of Louisiana, A Professional Medical Corporation (Baton Rouge, 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 Thad Primeaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thad Primeaux accept?

Health plans from HMO Louisiana list Thad Primeaux 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.

When was this NPI record last updated?

The NPPES record for Thad Primeaux was last updated on August 26, 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.