Julio Petilon, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

343117 Issued in LA

Practice address

105 Patriot St
Lafayette, LA 70508-6831

Phone

(337) 981-2125

Fax

(337) 981-2174

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, LA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Orthopedic Surgery

Education

Tufts University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.64 of 100Reported as group

Quality

69.91

Promoting interoperability

100

Improvement activities

40

Cost

72.23

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern Spine & Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Lafayette, LA
  • NPI 1255168175
  Medicare reassignment NPD
• Regenerative Orthopaedics and Spine Institute, LLC

  • Orthopaedic Surgery Physician
  • Stockbridge, GA
  • NPI 1568858231
  Medicare reassignment NPD
• Regenerative Orthopaedics and Spine Institute, LLC

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
  • NPI 1043070014

  Orthopaedic Surgery

  NPD
• Orthopaedic Reconstructive Sub-Specialists LLC

  • Clinic/Center
  • Opelousas, LA
  • NPI 1255596490
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1245205020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PATRIOT ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086831",
            "telephone_number": "337-981-2125",
            "fax_number": "337-981-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PATRIOT ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086831",
            "telephone_number": "337-981-2125",
            "fax_number": "337-981-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETILON",
        "first_name": "JULIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "73625",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "343117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100128410",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200995080",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan A Pete
• Peter D Vizzi MD AMC
• Peter Guidry, DDS, LLC
• Susan Peterman, PLPC, MHP, LPC
• Deavon Alisha Peterson, FNP-C
• Rhode H Petiote, EEG TECH
• Chelsea Rene' Petrolia, APRN
• Jerod Paul Petry, DDS
• Jessica Petry, M.D.
• Shelly Petry, RN

• Orthopaedic Surgery Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Orthopaedic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.