LAUTREC WILSON RADCLIFF MD - NPI 1801801493 - Internal Medicine in Opelika, AL

Q: What is Lautrec Radcliff's NPI number?

The NPI number for Lautrec Radcliff is 1801801493. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Q: What is Lautrec Radcliff's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Lautrec Radcliff was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

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About Lautrec Wilson Radcliff Md NPPES

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

LAUTREC WILSON RADCLIFF MD (NPI 1801801493) is an individual nephrology provider in Opelika, Alabama, licensed in Alabama (14179) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801801493

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameLAUTREC WILSON RADCLIFFCredential: MD

Location Address2609 VILLAGE PROFESSIONAL DR, SUITE 3Opelika, AL 36801-5442

Mailing Address2609 Village Professional Dr, Suite 3Opelika, AL 36801-5442 · (334) 749-6523 · Fax (334) 742-0242

Phone(334) 749-6523

Fax(334) 742-0242

Sole ProprietorNo

Enumeration DateJuly 30, 2006

Last NPPES UpdateSeptember 13, 2011

✔ NPI 1801801493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in AL · 14179

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 14179 (AL)

2609 VILLAGE PROFESSIONAL DR, Opelika, AL 36801

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Other Identifiers 15

Medicare ID-Type Unspecified000038111Lafayette

Medicare ID-Type Unspecified000079130Langdale

Medicare ID-Type Unspecified000020919Auburn

Other51079131AL · Bcbs Opelika

Medicare ID-Type Unspecified00079131Opelika

Other51079130AL · Bcbs Langdale

Other51038111AL · Bcbs Lafayette

Other51520919AL · Bcbs Auburn

Other1801801493AL · Npi

Other51079203AL · Bcbs Tuskegee

OtherCC1726AL · Rrmc

Other51079111AL · Bcbs Dadeville

Medicare UPINC73937

Medicare ID-Type Unspecified000079111Dadeville

Medicaid528701590AL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lautrec Wilson Radcliff 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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 2

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

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims2,160 services$0.20 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

2 suppliers14 claims14 services$19.01 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 5

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

CHARLES J DISKIN MD

Internal Medicine (Nephrology)