1. Home
  2. Directory
  3. Louisiana
  4. Washington
  5. Family Medicine
  6. NPI Profile

DR. PATRICK S GILLESPIE MD
NPI 1902850084
Family Medicine in Washington, LA

Active since May 21, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 19D0961684 · Microscopy
86.53/100
CMS Quality Rating
414 N MAIN, WASHINGTON, LA 70589(337) 826-8044(337) 826-8048 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2024, Mar 16, 2020 (2 updates tracked since 2020).

About Dr. Patrick S Gillespie Md NPPES

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

DR. PATRICK S GILLESPIE MD (NPI 1902850084) is an individual family medicine provider in Washington, Louisiana, licensed in Louisiana (MD.021192) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through June 13, 2027, and is affiliated with Opelousas General Health System.

NPPES Registry Identity

NPI1902850084
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PATRICK S GILLESPIECredential: MD
Location Address414 N MAINWashington, LA 70589-0698
Mailing AddressPo Box 698Washington, LA 70589-0698 · (337) 826-8044 · Fax (337) 826-8048
Phone(337) 826-8044
Fax(337) 826-8048
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1990
Enumeration DateMay 21, 2006
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1902850084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · MD.021192
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 021192 (LA)
414 N MAIN, Washington, LA 70589
Open in Google Maps ↗

Other Identifiers 1

Medicaid1913677LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Patrick S Gillespie 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 ID7012964331
PECOS Enrollment IDI20050407000946
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Patrick Gillespie reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dr Patrick S Gillespie A Professional Medical Corporation
0.3 mi
Legal Medicine
414 N MAIN ST
Washington, LA 70589
  • Reassigned Medicare billing, Louisiana enrollment
NPI 1730406992 (337) 826-8044
Opelousas General Health System
4.9 mi
Surgery
703 E PRUDHOMME ST, SUITE 1
Opelousas, LA 70570
  • Reassigned Medicare billing, Louisiana enrollment
  • Medicare enrollment name: Opelousas General Health System Physician Practices
  • 82 clinicians in this Medicare group
NPI 1053317016 (337) 942-7192
Acadian Hospitalist Group LLC
4.9 mi
Internal Medicine
539 E PRUDHOMME ST
Opelousas, LA 70570
  • Reassigned Medicare billing, Louisiana enrollment
  • 5 clinicians in this Medicare group
NPI 1487428082 (337) 948-3011
Opelousas Emergency Group LLC
4.9 mi
Emergency Medicine
539 E PRUDHOMME ST
Opelousas, LA 70570
  • Reassigned Medicare billing, Louisiana enrollment
  • 55 clinicians in this Medicare group
NPI 1477522704 (318) 948-3011
Riverside Emergency Physician Partners LLC
32 mi
Emergency Medicine
5000 AMBASSADOR CAFFERY PKWY BLDG 15
Lafayette, LA 70508
  • Reassigned Medicare billing, Louisiana enrollment
  • 114 clinicians in this Medicare group
NPI 1083107080 (866) 783-6374

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D0961684

Patrick Gillespie, MD Apmc · Washington, LA
Active · expires Jun 13, 2027
CLIA Number19D0961684
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorPatrick S. Gillespie MD
Laboratory Phone(337) 407-8044
Laboratory LocationPatrick Gillespie, MD Apmc414 North Main Street PO Box 698, Washington, LA 70589
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 16

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
502 services176 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.
268 services127 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.
134 services123 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
101 services85 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
93 services90 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
91 services86 patients

Hospital Affiliations CMS Care Compare

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

Opelousas General Health System

Acute Care Hospitals · Opelousas, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number190017
Location539 East Prudhomme StreetOpelousas, LA 70570 · St. Landry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70589 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
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.

86.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.49
Improvement Activities40

Reported Quality Measures

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.
21%11,057 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
8%969 patients1/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
100%969 patients5/55-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 certified EHR technology to the patient (or the patient-authorized representative), or in…
50%969 patients3/55-star benchmark: 99%
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 11

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

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers11 claims11 services$19.29 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims383 services$7.53 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims6,611 services$0.46 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
1 supplier18 claims18 services$64.81 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 suppliers65 claims65 services$798.70 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.10 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 Patrick Gillespie's NPI number?

The NPI number for Patrick Gillespie is 1902850084. It was assigned to this individual provider in the NPPES registry on May 21, 2006.

Where is Patrick Gillespie located?

Patrick Gillespie practices at 414 N Main, Washington, LA 70589. The listed phone number is (337) 826-8044.

What is Patrick Gillespie's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Patrick Gillespie enrolled in Medicare?

Yes. Patrick Gillespie 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.

Which organizations bill Medicare for Patrick Gillespie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Gillespie reassigns Medicare benefits to 5 organizations: Dr Patrick S Gillespie A Professional Medical Corporation (Washington, LA), Opelousas General Health System (Opelousas, LA), Acadian Hospitalist Group LLC (Opelousas, LA), Opelousas Emergency Group LLC (Opelousas, LA) and Riverside Emergency Physician Partners LLC (Lafayette, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Gillespie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Patrick Gillespie hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D0961684) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Patrick Gillespie accept?

Health plans from CHRISTUS Health Plan and HMO Louisiana list Patrick Gillespie 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 Patrick Gillespie affiliated with any hospitals?

According to CMS data, Patrick Gillespie is affiliated with Opelousas General Health System.

When was this NPI record last updated?

The NPPES record for Patrick Gillespie was last updated on July 16, 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.