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DR. YVETTE SUSI FOLSE M.D.,
NPI 1811929292
Physical Medicine & Rehabilitation - Sports Medicine in New Orleans, LA

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
1401 FOUCHER ST # &RM-1005, NEW ORLEANS, LA 70115(504) 897-8543 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Jun 7, 2022 (2 updates tracked since 2022).

About Dr. Yvette Susi Folse M.d., NPPES

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

DR. YVETTE SUSI FOLSE M.D., (NPI 1811929292) is an individual sports medicine provider in New Orleans, Louisiana, licensed in Louisiana (MD.023085) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and maintains a secondary practice location in Hattiesburg.

NPPES Registry Identity

NPI1811929292
Entity TypeIndividualFemale
Primary Taxonomy2081S0010X
Provider Legal NameDR. YVETTE SUSI FOLSECredential: M.D.,
Location Address1401 FOUCHER ST # &RM-1005New Orleans, LA 70115-3515
Mailing Address3600 Prytania St Ste 35New Orleans, LA 70115-3678 · (504) 897-8412 · Fax (504) 249-5311
Phone(504) 897-8543
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1996
Enumeration DateJuly 7, 2006
Last NPPES UpdateJune 13, 20242 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1811929292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in LA · MD.023085
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 16722 (MS)
1401 FOUCHER ST # &RM-1005, New Orleans, LA 70115
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Secondary Practice Location 1

Location 13688 Veterans Memorial Dr, Suite 200Hattiesburg, MS 39401-8246 · Phone (601) 554-7400 · Fax (601) 554-7488

Other Identifiers 1

Medicaid0122042MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and more.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. Yvette Susi Folse 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 ID1850421702
PECOS Enrollment IDI20100619000046, I20220621001885
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
295 services49 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
190 services52 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
30 services30 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.
19 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hospital At Gulfport

Acute Care Hospitals · Gulfport, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250019
Location4500 13th StreetGulfport, MS 39502 · Harrison County
Emergency services Birthing friendly

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
11%786 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
57%4,632 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
57%694 patients2/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
82%171 patients4/55-star benchmark: 100%
Osteoporosis Management in Women Who Had a Fracture
The percentage of women age 50-85 who suffered a fracture and who either had a bone mineral density test or received a prescription for a drug to treat osteoporosis in the six months after the fracture
6%48 patients1/55-star benchmark: 64%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
37%1,064 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
30%786 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
7%2,015 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 1,478 patients
Patients tobacco: 28% · 287 patients
86%1,478 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
75%1,478 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
73%1,064 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%1,064 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
93%81 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 17

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
8 suppliers24 claims24 services$43.62 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
6 suppliers34 claims34 services$51.82 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
3 suppliers22 claims22 services$8.76 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
5 suppliers50 claims52 services$49.07 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 supplier11 claims11 services$784.72 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers11 claims12 services$47.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Yvette Folse's NPI number?

The NPI number for Yvette Folse is 1811929292. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Yvette Folse located?

Yvette Folse practices at 1401 Foucher St # &rm-1005, New Orleans, LA 70115. The listed phone number is (504) 897-8543.

What is Yvette Folse's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Yvette Folse enrolled in Medicare?

Yes. Yvette Folse 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 Yvette Folse accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Yvette Folse 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 Yvette Folse affiliated with any hospitals?

According to CMS data, Yvette Folse is affiliated with University Medical Center New Orleans, Touro Infirmary and Memorial Hospital At Gulfport.

When was this NPI record last updated?

The NPPES record for Yvette Folse was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.