NPIMap

Individual provider Active NPI

Herbert R Plauche, MD

  • Orthopaedic Surgery Physician
  • Covington, LA
National Provider Identifier
1275599557
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
022170 Issued in LA
Practice address
19343 Sunshine Ave
Covington, LA 70433-8834
Phone
(985) 892-5117
Fax
(985) 892-5128
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 022170 LA Primary

Addresses

Primary practice location

19343 Sunshine Ave
Covington, LA 70433-8834

Mailing address

19343 Sunshine Ave
Covington, LA 70433-8834
Phone (985) 892-5117

Other identifiers 1

IdentifierTypeStateIssuer
1492647MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331001568 LA Practitioner - Orthopedic Surgery 8527050442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LMG LLCGroup PAC ID 7719109628, 6 clinicians

Practice addresses (Care Compare)

19343 Sunshine Ave
Covington, LA 70433-8834
Phone (985) 892-5117

4633 Wichers Dr
Marrero, LA 70072-3096
Phone (504) 347-5421

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.54 of 100Reported as individual
Quality
55.89
Promoting interoperability
71
Improvement activities
20

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)24
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
022170LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
LMG LLC Orthopaedic Surgery CurrentSince Apr 1, 2017 Accepting new patients
LMG, LLC Orthopaedic Surgery CurrentSince Apr 1, 2017 Accepting new patients

Locations

19343 Sunshine Ave
Covington, LA 70433
Phone (985) 867-8001

4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421

Interoperability endpoints

  • Direct secure messaging: h.reiss.plauche.1@2046.direct.athenahealth.com
  • Direct secure messaging: h.reiss.plauche.1@1179.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1275599557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19343 SUNSHINE AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338834",
            "telephone_number": "985-892-5117",
            "fax_number": "985-892-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19343 SUNSHINE AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338834",
            "telephone_number": "985-892-5117",
            "fax_number": "985-892-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAUCHE",
        "first_name": "HERBERT",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "022170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1492647",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.