Stephen Ward Etheredge, M.D.

Key facts

NPI

1629212972

Entity type

Individual (NPI type 1)

Primary specialty

Sports Medicine (Family Medicine) Physician 207QS0010X

License

MD.205635 (LA)

Practice address

8080 Bluebonnet Blvd Ste 1000
Baton Rouge, LA 70810-7827

Phone

(225) 924-2424

Fax

(225) 408-7980

NPI assigned

Apr 29, 2009

Sex

Male

Sole proprietor

Yes

Organizations & group practices 11

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.

• Baton Rouge Orthopaedic Clinic, LLC Orthopaedic Surgery Physician · Baton Rouge, LA · NPI 1770503690
  Medicare reassignment Care Compare group NPD LA · SPORTS MEDICINE
• Baton Rouge Clinic, a Medical Corporation Internal Medicine Physician · Baton Rouge, LA · NPI 1871546911
  Medicare reassignment NPD LA
• Emergency Group of St Landry LLC Emergency Medicine Physician · Ville Platte, LA · NPI 1164491320
  Medicare reassignment NPD LA
• Eunice Emergency Group LLC Emergency Medicine Physician · Eunice, LA · NPI 1104895689
  Medicare reassignment NPD LA
• Our Lady of the Lake Physician Group LLC Internal Medicine Physician · Baton Rouge, LA · NPI 1033494943
  Medicare reassignment NPD FAMILY MEDICINE · LA
• Professional Emergency Physician Associates, LLC Emergency Medicine Physician · Baton Rouge, LA · NPI 1992758247
  Medicare reassignment NPD LA
• St Mary Emergency Group LLC Emergency Medicine Physician · Morgan City, LA · NPI 1235108499
  Medicare reassignment NPD LA
• Baton Rouge Clinic, a Medical Corporation Ophthalmology Physician · Baton Rouge, LA · NPI 1528941655
  NPD
• Baton Rouge Orthopaedic Clinic Durable Medical Equipment & Medical Supplies · Zachary, LA · NPI 1215102033
  NPD
• Our Lady of the Lake Physician Group LLC Comprehensive Outpatient Rehabilitation Facility (CORF) · Baton Rouge, LA · NPI 1235912502
  NPD
• Our Lady of the Lake Physician Group LLC Hematology & Oncology Physician · Baton Rouge, LA · NPI 1184671455
  NPD (past)

Hospital & facility affiliations 1

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

• Surgical Specialty Center of Baton Rouge, LLC General Acute Care Hospital · Baton Rouge, LA · NPI 1588631311
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Sports Medicine
Also: Family Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baton Rouge Orthopaedic Clinic LLC (142 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Surgical Specialty Center of Baton Rouge Hospital · Baton Rouge, LA · CCN 190251

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100 (group)

Merit-based Incentive Payment System (MIPS)

Final score

91.08 of 100 (group)

Quality

84.35

Improvement activities

40

Cost

72.56

Medicare participation

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: setheredge21976@womanshospital.direct-ci.com
• Direct secure messaging: setheredge7928@direct.casso.us.com

Specialties & licenses

Addresses

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• Eternal Crisis Outreach
• Ethos Coordinated Care Services,LLC
• Ethos Human Performance & Physical Therapy LLC
• Anishia N Etienne, MMT PRACTIONER
• Pravallika Reddy Etikala
• Ets

All providers in Baton Rouge, LA · Sports Medicine (Family Medicine) Physician in Louisiana