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DR. JAMES M. MWATIBO MD
NPI 1710975487
Family Medicine in Lafayette, LA

Active since October 07, 2005PECOS EnrolledAccepts Medicare Assignment
501 W SAINT MARY BLVD STE 320, LAFAYETTE, LA 70506(337) 470-3120(337) 470-2320 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. James M. Mwatibo Md NPPES

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

DR. JAMES M. MWATIBO MD (NPI 1710975487) is an individual family medicine provider in Lafayette, Louisiana, licensed in Louisiana (14561R) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1710975487
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES M. MWATIBOCredential: MD
Location Address501 W SAINT MARY BLVD STE 320Lafayette, LA 70506-4693
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (337) 470-3120 · Fax (225) 765-9196
Phone(337) 470-3120
Fax(337) 470-2320
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateOctober 7, 2005
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1710975487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 14561R
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
501 W SAINT MARY BLVD STE 320, Lafayette, LA 70506
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Other Identifiers 1

Medicaid1576212LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana, UnitedHealthcare.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

Dr. James M. Mwatibo 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 ID3274522388
PECOS Enrollment IDI20040512000182
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D1002666

James Mwatibo, MD · Lafayette, LA
Expired · Aug 12, 2026
CLIA Number19D1002666
Laboratory TypePhysician Office
Certificate Effective DateAugust 13, 2024
Certificate Expiration DateAugust 12, 2026
Laboratory DirectorJames M. Mwatibo
Laboratory Phone(337) 470-3080
Laboratory LocationJames Mwatibo, MD2932 Ambassador Caffery, Suite B, Lafayette, LA 70506
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 10

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.
307 services179 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
178 services178 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.
78 services71 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
64 services50 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
47 services20 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
32 services23 patients

Hospital Affiliations CMS Care Compare 4

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

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

Ochsner St Martin Hospital

Critical Access Hospitals · Breaux Bridge, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number191302
Location210 Champagne BoulevardBreaux Bridge, LA 70517 · St. Martin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70506 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers43 claims108 services$6.40 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers15 claims15 services$2.72 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers23 claims34 services$1.13 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$793.52 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers25 claims25 services$196.71 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 2

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

JENNIFER VEAZIE NAVARRE NP
Nurse Practitioner (Family)
501 W SAINT MARY BLVD STE 320
LAFAYETTE, LA 70506
Lafayette Parish (337) 470-3120
JOHN CHARLES DUGAL M.D.
Family Medicine
501 W SAINT MARY BLVD STE 320
LAFAYETTE, LA 70506
Lafayette Parish (337) 470-4801

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 James Mwatibo's NPI number?

The NPI number for James Mwatibo is 1710975487. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is James Mwatibo located?

James Mwatibo practices at 501 W Saint Mary Blvd Ste 320, Lafayette, LA 70506. The listed phone number is (337) 470-3120.

What is James Mwatibo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Mwatibo enrolled in Medicare?

Yes. James Mwatibo 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 James Mwatibo accept?

Health plans from HMO Louisiana and UnitedHealthcare list James Mwatibo 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 James Mwatibo affiliated with any hospitals?

According to CMS data, James Mwatibo is affiliated with Ochsner Lafayette General Medical Center, Iberia Medical Center, Our Lady Of Lourdes Regional Medical Center, Inc and Ochsner St Martin Hospital.

When was this NPI record last updated?

The NPPES record for James Mwatibo was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.