Our Lady of the Lake Physician Group LLC

A Medicare group practice based in Baton Rouge, LA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 4587849781), with 985 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4587849781The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Intensive Cardiac Rehabilitation
Enrolled in
LA, MS
Enrollments
4
Group size
637 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
117In 24 places

Enrollment records 4

Enrollment IDStateProvider typeNPI
O20161220000447 LA Part A Provider - Rural Health Clinic 1134152630
O20120529000377 LA Part B Supplier - Clinic/Group Practice 1033494943
O20180312000567 MS Part B Supplier - Clinic/Group Practice 1033494943
O20230716000129 LA Part B Supplier - Intensive Cardiac Rehabilitation 1033494943

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
88.35 of 100Reported as group, on the record of 60 clinicians in this group
Quality
80.15
Promoting interoperability
100
Improvement activities
40
Cost
76.19

Clinicians 985

Page 1 of 10

Clinicians who reassign their Medicare benefits to this group (980) or whom Care Compare lists as members (637).

Sources for this page