NPIMap

Individual provider Active NPI

Martin Joseph Degravelle Jr., M.D.

  • Orthopaedic Hand Surgery Physician
  • Monroe, LA
National Provider Identifier
1457520801
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
MD.20092 Issued in LA
Practice address
1501 Louisville Ave
Monroe, LA 71201-6025
Phone
(318) 323-8451
Fax
(318) 361-2613
NPI assigned
Feb 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X MD.20092 LA Primary

Addresses

Primary practice location

1501 Louisville Ave
Monroe, LA 71201-6025

Mailing address

1501 Louisville Ave
Monroe, LA 71201-6025
Phone (318) 323-8451

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
I20120725000382 LA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 1759547474 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Clinic of MonroeGroup PAC ID 0840252698, 35 clinicians
Franklin Parish Hospital Service Dist 1Group PAC ID 7810893302, 80 clinicians
Hospital Service District No. 1 of Caldwell ParishGroup PAC ID 4587552450, 37 clinicians

Practice addresses (Care Compare)

1501 Louisville Ave
Monroe, LA 71201-6025
Phone 31832384514310

2106 Loop Rd
Winnsboro, LA 71295-1300

2106 Loop Rd
Winnsboro, LA 71295-3344
Phone (318) 412-5265

484 Collins Rd
Columbia, LA 71418-3388
Phone (318) 649-5300

PO Box
Suite 1300
Winnsboro, LA 71295

Hospital & facility affiliations

  • Elara Caring Home health agency, Monroe, LA, CCN 197276
  • Elara Caring Home health agency, Ruston, LA, CCN 197222
  • Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245
  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Citizens Medical Center Hospital, Columbia, LA, CCN 190184
  • Richland Parish Hospital-Delhi Hospital, Delhi, LA, CCN 191323

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)31
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200923LAMDRegistered Nurse
MD.20092LAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Clinic of Monroe Orthopaedic Surgery CurrentSince Aug 1, 2012 Accepting new patients
Hospital Service District No. 1 Caldwell Parish Orthopaedic Surgery CurrentSince Jun 10, 2024 Accepting new patients
Hospital Service District No. 1 of Caldwell Parish CurrentSince Jun 10, 2024 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Jan 1, 2026 Accepting new patients
Hospital Service District No. 1 of Caldwell Parish CurrentSince Jan 12, 2025 Accepting new patients
Morehouse Parish Hospital Service District 1 CurrentSince Sep 30, 2020 Accepting new patients
Orthopaedic Clinic of Monroe Orthopaedic Surgery CurrentSince Aug 1, 2012 Accepting new patients
Dr James Michael Smith Apmc Current Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Jan 1, 2026 Accepting new patients

Locations

532 S Washington St
Bastrop, LA 71220
Phone (318) 281-5600

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

484 Collins Rd
Columbia, LA 71418
Phone (314) 649-5300

554 Collins Rd
Columbia, LA 71418
Phone (318) 649-5300

1501 Louisville Ave
Monroe, LA 71201
Phone 31832384514310

707 S Vienna St
Ruston, LA 71270
Phone (318) 224-3044

1500 Commerce St
Ruston, LA 71270
Phone (318) 957-5044

309 McMillan Rd
West Monroe, LA 71291
Phone (318) 362-4396

2104 Loop Rd
Ste C
Winnsboro, LA 71295
Phone (318) 435-4571

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

Organizations & group practices 16

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.

View all 16

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1457520801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LOUISVILLE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016025",
            "telephone_number": "318-323-8451",
            "fax_number": "318-361-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LOUISVILLE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016025",
            "telephone_number": "318-323-8451",
            "fax_number": "318-361-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAVELLE",
        "first_name": "MARTIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-29",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "LA",
            "license": "MD.20092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.