DR. ROY JOSEPH CULOTTA MD
NPI 1851331458
Internal Medicine - Pulmonary Disease in Baton Rouge, LA

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
85.51/100
CMS Quality Rating
8585 PICARDY AVE, SUITE 313, BATON ROUGE, LA 70809(225) 381-2755(225) 381-2755 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Roy Joseph Culotta Md NPPES

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

DR. ROY JOSEPH CULOTTA MD (NPI 1851331458) is an individual pulmonary disease provider in Baton Rouge, Louisiana, licensed in Louisiana (MD.14171R) and active in the NPI registry since June 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 Baton Rouge.

NPPES Registry Identity

NPI1851331458
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ROY JOSEPH CULOTTACredential: MD
Location Address8585 PICARDY AVE, SUITE 313Baton Rouge, LA 70809
Mailing AddressPo Box 919237Dallas, TX 75391-9237 · (225) 381-2755 · Fax (225) 381-2759
Fax(225) 381-2755
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1998
Enumeration DateJune 8, 2006
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
NPI 1851331458 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 · MD.14171R
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 MD.14171R (LA)
8585 PICARDY AVE, Baton Rouge, LA 70809

Secondary Practice Location 1

Location 17777 Hennessy Blvd Ste 409Baton Rouge, LA 70808-4365 · Phone (225) 765-5864 · Fax (225) 765-2013

Other Identifiers 1

Medicaid1105724LA

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. Roy Joseph Culotta 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 ID3971576257
PECOS Enrollment IDI20040816000398
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
97 services57 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
85 services52 patients
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.
74 services35 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.
32 services32 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.
31 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Baton Rouge General Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190065
Location8585 Picardy AveBaton Rouge, LA 70809 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70809 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.

85.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.66
Promoting Interoperability100
Improvement Activities40
Cost61.74

Referred Medical Equipment & Supplies CMS DME claims 7

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
4 suppliers28 claims30 services$15.68 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
3 suppliers39 claims39 services$796.28 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier19 claims24 services$2.60 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
5 suppliers43 claims44 services$59.37 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$33.04 avg. paid by Medicare
Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg J7686
DME-Drugs Administered Through DME · category DG004N
1 supplier13 claims364 services$549.66 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 20

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

Internal Medicine
8585 PICARDY AVE
BATON ROUGE, LA 70809
Emergency Medicine
8585 PICARDY AVE
BATON ROUGE, LA 70809
Durable Medical Equipment & Medical Supplies
8585 PICARDY AVE
BATON ROUGE, LA 70809
Nurse Practitioner (Family)
8585 PICARDY AVE
BATON ROUGE, LA 70809
Emergency Medicine
8585 PICARDY AVE
BATON ROUGE, LA 70809
Pediatrics (Neonatal-Perinatal Medicine)
8585 PICARDY AVE
BATON ROUGE, LA 70809
Surgery (Vascular Surgery)
8585 PICARDY AVE, SUITE 310
BATON ROUGE, LA 70809
Obstetrics & Gynecology
8585 PICARDY AVE
BATON ROUGE, LA 70809

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 Roy Culotta's NPI number?

The NPI number for Roy Culotta is 1851331458. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Roy Culotta located?

Roy Culotta practices at 8585 Picardy Ave Suite 313, Baton Rouge, LA 70809. The listed phone number is (225) 381-2755.

What is Roy Culotta's specialty?

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

Is Roy Culotta enrolled in Medicare?

Yes. Roy Culotta 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 Roy Culotta accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 2 other insurers list Roy Culotta 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 Roy Culotta affiliated with any hospitals?

According to CMS data, Roy Culotta is affiliated with Our Lady Of The Lake Regional Medical Center and Baton Rouge General Medical Center.

When was this NPI record last updated?

The NPPES record for Roy Culotta was last updated on March 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.