MARCELLE MARIE ROUSSEAU M.D.
NPI 1619168317
Internal Medicine in New Orleans, LA

Active since August 07, 2007PECOS EnrolledAccepts Medicare Assignment
88.05/100
CMS Quality Rating
2021 PERDIDO ST, MEDICAL HOME CLINIC, NEW ORLEANS, LA 70112(504) 903-3000(504) 903-5157 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marcelle Marie Rousseau M.d. NPPES

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

MARCELLE MARIE ROUSSEAU M.D. (NPI 1619168317) is an individual internal medicine provider in New Orleans, Louisiana, licensed in Louisiana (200431) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2004).

NPPES Registry Identity

NPI1619168317
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARCELLE MARIE ROUSSEAUCredential: M.D.
Location Address2021 PERDIDO ST, MEDICAL HOME CLINICNew Orleans, LA 70112-1352
Mailing Address2021 Perdido St, Medical Home ClinicNew Orleans, LA 70112-1352 · (504) 903-3000 · Fax (504) 903-5157
Fax(504) 903-5157
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2004
Enumeration DateAugust 7, 2007
Last NPPES UpdateFebruary 18, 2013
NPI 1619168317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in LA · 200431
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 200431 (LA)
2021 PERDIDO ST, New Orleans, LA 70112

Other Identifiers 1

Medicaid1-07388-1LA

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

Marcelle Marie Rousseau 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 ID4789738832
PECOS Enrollment IDI20090825000028
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

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.
38 services18 patients

Hospital Affiliations CMS Care Compare 2

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70112 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

88.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.6
Promoting Interoperability100
Improvement Activities40
Cost58.23

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$56.94 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$30.52 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
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Anesthesiology
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Nurse Anesthetist, Certified Registered
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Nurse Anesthetist, Certified Registered
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Nurse Anesthetist, Certified Registered
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
2021 PERDIDO ST
NEW ORLEANS, LA 70112
Nurse Practitioner (Family)
2021 PERDIDO ST
NEW ORLEANS, LA 70112

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 Marcelle Rousseau's NPI number?

The NPI number for Marcelle Rousseau is 1619168317. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Marcelle Rousseau located?

Marcelle Rousseau practices at 2021 Perdido St Medical Home Clinic, New Orleans, LA 70112. The listed phone number is (504) 903-3000.

What is Marcelle Rousseau's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marcelle Rousseau enrolled in Medicare?

Yes. Marcelle Rousseau 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 Marcelle Rousseau accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Marcelle Rousseau 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 Marcelle Rousseau affiliated with any hospitals?

According to CMS data, Marcelle Rousseau is affiliated with University Medical Center New Orleans and Touro Infirmary.

When was this NPI record last updated?

The NPPES record for Marcelle Rousseau was last updated on February 18, 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.