PAUL A LELORIER MD
NPI 1720065519
Internal Medicine - Clinical Cardiac Electrophysiology in New Orleans, LA

Active since December 22, 2005PECOS EnrolledAccepts Medicare Assignment
88.05/100
CMS Quality Rating
533 BOLIVAR ST, BOX CSRB 3-42, NEW ORLEANS, LA 70112(504) 568-3546(504) 568-2127 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 14, 2025, Jan 6, 2017 (2 updates tracked since 2017).

About Paul A Lelorier Md NPPES

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

PAUL A LELORIER MD (NPI 1720065519) is an individual clinical cardiac electrophysiology provider in New Orleans, Louisiana, licensed in Louisiana (MD.203461) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1720065519
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NamePAUL A LELORIERCredential: MD
Location Address533 BOLIVAR ST, BOX CSRB 3-42New Orleans, LA 70112-1349
Mailing Address533 Bolivar St, Box Csrb 3-42New Orleans, LA 70112-1349 · (504) 568-3546 · Fax (504) 568-2127
Fax(504) 568-2127
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateDecember 22, 2005
Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
NPI 1720065519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in LA · MD.203461
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
533 BOLIVAR ST, New Orleans, LA 70112

Other Identifiers 1

Medicaid2114921LA

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

Paul A Lelorier 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 ID8628040748
PECOS Enrollment IDI20100812000847
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 12

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
859 services469 patients
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.
53 services31 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
37 services34 patients
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.
22 services18 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.
20 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

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

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Lallie Kemp Medical Center

Critical Access Hospitals · Independence, LA
OwnershipGovernment - State
CMS Certification Number191321
Location52579 Highway 51 SouthIndependence, LA 70443 · Tangipahoa County
Emergency services

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.90 avg. paid by Medicare
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 supplier11 claims11 services$62.24 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 16

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

Ophthalmology
533 BOLIVAR ST
NEW ORLEANS, LA 70112
Emergency Medicine
533 BOLIVAR ST, RM 508
NEW ORLEANS, LA 70112
Internal Medicine (Infectious Disease)
533 BOLIVAR ST
NEW ORLEANS, LA 70112
Internal Medicine (Infectious Disease)
533 BOLIVAR ST, LSU-HSC, CSRB ROOM 307
NEW ORLEANS, LA 70112
Otolaryngology
533 BOLIVAR ST, STE 566
NEW ORLEANS, LA 70112
Obstetrics & Gynecology
533 BOLIVAR ST, RM 639
NEW ORLEANS, LA 70112
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
533 BOLIVAR ST, SUITE 566
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
533 BOLIVAR ST, SUITE 639
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 Paul Lelorier's NPI number?

The NPI number for Paul Lelorier is 1720065519. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Paul Lelorier located?

Paul Lelorier practices at 533 Bolivar St Box Csrb 3-42, New Orleans, LA 70112. The listed phone number is (504) 568-3546.

What is Paul Lelorier's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Paul Lelorier enrolled in Medicare?

Yes. Paul Lelorier 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 Paul Lelorier 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 Paul Lelorier 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 Paul Lelorier affiliated with any hospitals?

According to CMS data, Paul Lelorier is affiliated with University Medical Center New Orleans, Ochsner Medical Center Acute, West Jefferson Medical Center, East Jefferson General Hospital and Lallie Kemp Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Lelorier was last updated on March 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.