DR. PAUL JOSEPH FAILLA MD
NPI 1831110857
Internal Medicine - Pulmonary Disease in Baton Rouge, LA

Active since July 23, 2006PECOS EnrolledAccepts Medicare Assignment
87.37/100
CMS Quality Rating
5439 AIRLINE HWY, BATON ROUGE, LA 70805(225) 358-2280(225) 358-2450 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul Joseph Failla Md NPPES

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

DR. PAUL JOSEPH FAILLA MD (NPI 1831110857) is an individual pulmonary disease provider in Baton Rouge, Louisiana, licensed in Louisiana (018202) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and maintains a secondary practice location in Gonzales.

NPPES Registry Identity

NPI1831110857
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PAUL JOSEPH FAILLACredential: MD
Location Address5439 AIRLINE HWYBaton Rouge, LA 70805-1712
Mailing AddressPo Box 919237Dallas, TX 75391-9237 · (877) 988-1890 · Fax (337) 988-3059
Fax(225) 358-2450
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1985
Enumeration DateJuly 23, 2006
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
NPI 1831110857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in LA · 018202
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 018202 (LA)
5439 AIRLINE HWY, Baton Rouge, LA 70805

Secondary Practice Location 1

Location 12647 S Saint Elizabeth Blvd Ste 215Gonzales, LA 70737-5020 · Phone (225) 765-5500 · Fax (225) 644-4206

Other Identifiers 1

Medicaid1914487LA

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

Dr. Paul Joseph Failla 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 ID941388631
PECOS Enrollment IDI20080422000191
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 3

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.

Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
15 services14 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
15 services14 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number190064
Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70805 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
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.

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.

87.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.52
Promoting Interoperability100
Improvement Activities40
Cost55.04

Other Providers at the Same Location NPPES 20

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

Internal Medicine
5439 AIRLINE HWY
BATON ROUGE, LA 70805
Nurse Practitioner
5439 AIRLINE HWY
BATON ROUGE, LA 70805
Clinic/Center (Urgent Care)
5439 AIRLINE HWY
BATON ROUGE, LA 70805
Physician Assistant (Surgical)
5439 AIRLINE HWY
BATON ROUGE, LA 70805
Nurse Practitioner
5439 AIRLINE HWY
BATON ROUGE, LA 70805
Physician Assistant
5439 AIRLINE HWY
BATON ROUGE, LA 70805
Nurse Practitioner (Family)
5439 AIRLINE HWY
BATON ROUGE, LA 70805
Internal Medicine
5439 AIRLINE HWY
BATON ROUGE, LA 70805

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 Failla's NPI number?

The NPI number for Paul Failla is 1831110857. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Paul Failla located?

Paul Failla practices at 5439 Airline Hwy, Baton Rouge, LA 70805. The listed phone number is (225) 358-2280.

What is Paul Failla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Paul Failla enrolled in Medicare?

Yes. Paul Failla 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 Failla accept?

Health plans from HMO Louisiana list Paul Failla 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 Failla affiliated with any hospitals?

According to CMS data, Paul Failla is affiliated with Our Lady Of The Lake Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Failla was last updated on March 28, 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.