DR. GERALD E. LAROCHELLE M.D.
NPI 1821091489
Internal Medicine - Rheumatology in Myrtle Beach, SC

NPI Status: Active since May 27, 2005

Contact Information

945 82ND PKWY
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 497-5929
Fax: (843) 839-6376

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Medicare Participation & PECOS Status
Areas of Expertise
Durable Medical Equipment
Physician Visit Costs
Quality Reporting
Hospital Affiliations - Privileges
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Years of Experience 42
Internal Medicine
Rheumatology
Accepts Insurance
Accepts Medicare Approved Payment
PECOS Enrolled
Medicare Quality Reporting

About GERALD LAROCHELLE

This page provides the complete NPI Profile along with additional information for Gerald Larochelle, an internist established in Myrtle Beach, South Carolina with a medical specialization in Internal Medicine, focusing in rheumatology and more than 42 years of experience. The healthcare provider is registered in the NPI registry with number 1821091489 assigned on May 2005. The practitioner's primary taxonomy code is 207RR0500X with license number 38797 (SC). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI: 1821091489
Provider Name: DR. GERALD E. LAROCHELLE M.D.
Gender: Male
Entity Type: Individual
Location Address: 945 82ND PKWY MYRTLE BEACH, SC 29572
Location Phone: (843) 497-5929
Location Fax: (843) 839-6376
Mailing Address: PO BOX 3439 NORTH MYRTLE BEACH, SC 29582
Mailing Phone: (843) 839-4447
Medical School Name: OTHER
Graduation Year: 1984
Is Sole Proprietor?: No
Enumeration Date: 05-27-2005
Last Update Date: 01-20-2025
Code Navigator

An internist like Gerald Larochelle is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Internal Medicine Rheumatology
Taxonomy Code: 207RR0500X
Type: Allopathic & Osteopathic Physicians
License No.: 38797
License State: SC
Taxonomy Description: An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine	38797 (SC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

BlueCross BlueShield of South Carolina

Blue Direction Silver 1 - POS
Blue Direction Silver 1 + Adult Vision - POS
Blue Direction Silver 2 - POS
Blue Direction Standard Gold - POS
Blue Direction Standard Silver - POS
Blue Pee Dee Bronze 1 - HMO
Blue Pee Dee Bronze 2 - HMO
Blue Pee Dee Gold 1 - HMO
Blue Pee Dee Silver 1 - HMO
Blue Pee Dee Silver 2 - HMO
Blue Pee Dee Silver 2 + Adult Vision - HMO
Blue Pee Dee Standard Expanded Bronze - HMO
Blue Pee Dee Standard Gold - HMO
Blue Pee Dee Standard Silver - HMO
Blue VirtuConnect Bronze 1 - EPO
Blue VirtuConnect Gold 1 - EPO
Blue VirtuConnect Silver 1 - EPO
BlueEssentials Bronze 4 - EPO
BlueEssentials Bronze 6 - EPO
BlueEssentials Catastrophic 1 - EPO

Molina Healthcare

Gold 1 - HMO
Gold 1 with Adult Vision Services - HMO
Gold 8 - HMO
Silver 1 - HMO
Silver 1 with Adult Vision Services - HMO
Silver 12 - HMO
Silver 8 - HMO

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
UHC Bronze Standard - HMO
UHC Bronze Value - HMO
UHC Gold Advantage - HMO
UHC Gold Advantage+ (Dental + Vision) - HMO
UHC Gold Copay Focus $0 Indiv Med Ded - HMO
UHC Gold Standard - HMO
UHC Silver Advantage - HMO
UHC Silver Copay Focus $0 Indiv Med Ded - HMO
UHC Silver Standard - HMO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
387977	MEDICAID (05)	SC

Medicare Participation & PECOS Enrollment Status

Gerald Larochelle is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Gerald Larochelle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
PECOS PAC ID: 8921163338
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.
PECOS Enrollment ID: I20151020000357
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.
Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

DME-Other DME (DE000N)
Nebulizer, with compressor (HCPCS:E0570)
1 DME suppliers used 11 Medicare Claims 11 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of chemotherapy into vein, 1 hour or less
Administration of chemotherapy into vein, each additional hour
Administration of influenza virus vaccine
Aspiration and/or injection of fluid from large joint
Aspiration and/or injection of fluid from medium joint
Aspiration and/or injection of fluid from small joint
Blood creatinine level
Blood test, basic group of blood chemicals (calcium, total)
Blood test, comprehensive group of blood chemicals
Blood test, thyroid stimulating hormone (tsh)
Calcium level, total
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
Complete ultrasound scan of joint
Creatinine level to test for kidney function or muscle injury
Detection test by immunoassay technique for hepatitis b surface antigen
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Hemoglobin a1c level
Hepatitis b core antibody (igm) measurement
Hepatitis b surface antibody measurement
Hepatitis c antibody measurement
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
Injection into tendon or ligament
Injection of drug or substance into vein
Injection of drug or substance under skin or into muscle
Injection of trigger points, 1-2 muscles
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
Injection, golimumab, 1 mg, for intravenous use
Injection, infliximab, excludes biosimilar, 10 mg
Injection, methylprednisolone sodium succinate, up to 125 mg
Injection, tocilizumab, 1 mg
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
Injection, zoledronic acid, 1 mg
Insertion of needle into vein for collection of blood sample
Liver enzyme (sgot), level
Liver enzyme (sgpt), level
Liver function blood test panel
Manual urinalysis test with examination using microscope, automated
Measurement c-reactive protein for detection of infection or inflammation
New patient office or other outpatient visit, 45-59 minutes
Phosphate level
Red blood cell sedimentation rate, to detect inflammation, automated
Thyroxine (thyroid chemical), free
Total protein level, urine
Tuberculosis test, gamma interferon
Uric acid level, blood
Vitamin d-3 level

Physician Visit Costs

The typical physician office visit costs for Medicare beneficiaries in this area are: $31.01 for a new patient copayment and $23.78 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 29572 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

Average New Patient Price $124.04
Minimum New Patient Price $53.57
Maximum New Patient Price $163.84

Average New Patient Copayment $31.01
Minimum New Patient Copayment $13.39
Maximum New Patient Copayment $40.96

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $95.12
Minimum Established Patient Price $16.96
Maximum Established Patient Price $133.52

Average Established Patient Copayment $23.78
Minimum Established Patient Copayment $4.24
Maximum Established Patient Copayment $33.38

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure	Performance	Number of Patients
Breast Cancer Screening	67%	602
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
Chronic Care and Preventative Care Management for Empaneled Patients	Yes	N/A
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation.
Colorectal Cancer Screening	69%	859
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Diabetes: Eye Exam	62%	138
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
e-Prescribing	98%	9319
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Falls: Screening for Future Fall Risk	85%	630
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
Health Information Exchange	76%	174
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Immunization Registry Reporting	Yes	N/A
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.
Implementation of medication management practice improvements	Yes	N/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel Level	Yes	N/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Medication Reconciliation	97%	519
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.
Patient-Specific Education	92%	1435
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.
Pneumococcal Vaccination Status for Older Adults	75%	630
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	85%	1314
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 twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Influenza Immunization	39%	854
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Preventive Care and Screening: Screening for Depression and Follow-Up Plan	71%	873
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	92%	1049
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
Provide Patient Access	95%	1435
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 certain information.
Secure Messaging	72%	1435
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 message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk Analysis	Yes	N/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Specialized Registry Reporting	Yes	N/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.
Use of decision support and standardized treatment protocols	Yes	N/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Gerald Larochelle is affiliated with the following medical facilities:

Hospital Name	Address	Phone	Hospital Type	Overall Rating
GRAND STRAND REGIONAL MEDICAL CENTER	809 82ND PARKWAY MYRTLE BEACH, SC 29572	(843) 692-1000	Acute Care Hospitals
MCLEOD LORIS HOSPITAL	3655 MITCHELL STREET LORIS, SC 29569	(843) 716-7000	Acute Care Hospitals

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	8	2	1	0	9	1	4	8	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	4	1	0	9	2	4	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 0 + 9 + 2 + 4 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1821091489 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

JOEL R THOMPSON MD

Internal Medicine

(Gastroenterology)

945 82ND PKWY
STE 3
MYRTLE BEACH, SC
ZIP 29572

About GERALD LAROCHELLE

Location Map

Specialty - Primary Taxonomy

Internal Medicine Rheumatology

Secondary Taxonomies

Internal Medicine

Insurance Plans Accepted

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

PECOS PAC ID: 8921163338

PECOS Enrollment ID: I20151020000357

Accepts Medicare Assignment? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

Durable Medical Equipment

Areas of Expertise

Administration of chemotherapy into vein, 1 hour or less

Administration of chemotherapy into vein, each additional hour

Administration of influenza virus vaccine

Aspiration and/or injection of fluid from large joint

Aspiration and/or injection of fluid from medium joint

Aspiration and/or injection of fluid from small joint

Blood creatinine level

Blood test, basic group of blood chemicals (calcium, total)

Blood test, comprehensive group of blood chemicals

Blood test, thyroid stimulating hormone (tsh)

Calcium level, total

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count

Complete ultrasound scan of joint

Creatinine level to test for kidney function or muscle injury

Detection test by immunoassay technique for hepatitis b surface antigen

Established patient office or other outpatient visit, 20-29 minutes

Established patient office or other outpatient visit, 30-39 minutes

Hemoglobin a1c level

Hepatitis b core antibody (igm) measurement

Hepatitis b surface antibody measurement

Hepatitis c antibody measurement

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less

Injection into tendon or ligament

Injection of drug or substance into vein

Injection of drug or substance under skin or into muscle

Injection of trigger points, 1-2 muscles

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg

Injection, golimumab, 1 mg, for intravenous use

Injection, infliximab, excludes biosimilar, 10 mg

Injection, methylprednisolone sodium succinate, up to 125 mg

Injection, tocilizumab, 1 mg

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Injection, zoledronic acid, 1 mg

Insertion of needle into vein for collection of blood sample

Liver enzyme (sgot), level

Liver enzyme (sgpt), level

Liver function blood test panel

Manual urinalysis test with examination using microscope, automated

Measurement c-reactive protein for detection of infection or inflammation

New patient office or other outpatient visit, 45-59 minutes

Phosphate level

Red blood cell sedimentation rate, to detect inflammation, automated

Thyroxine (thyroid chemical), free

Total protein level, urine

Tuberculosis test, gamma interferon

Uric acid level, blood

Vitamin d-3 level