Individual provider Active NPI

Lauren D Gibson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lafayette, LA
National Provider Identifier
1881263085
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
327549 Issued in LA
Practice address
601 W Saint Mary Blvd Ste 106
Lafayette, LA 70506-3560
Phone
(337) 232-3576
Fax
(337) 233-2816
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 327549 LA
Foot & Ankle Surgery Podiatrist 213ES0103X 327549 LA Primary

Addresses

Primary practice location

601 W Saint Mary Blvd Ste 106
Lafayette, LA 70506-3560

Mailing address

601 W Saint Mary Blvd Ste 106
Lafayette, LA 70506-3560
Phone (372) 323-5763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210803001543 LA Practitioner - Podiatry 1557765278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ben a. Vierra, ApmcGroup PAC ID 0749326411, 2 clinicians

Practice addresses (Care Compare)

901 Wilson St
Suite C2
Lafayette, LA 70503-2439
Phone (337) 232-3576

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.52 of 100Reported as individual
Quality
29.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue43
Removal of skin lesions20
Removal of nail tissue66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
327549LAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ben a. Vierra, Apmc Podiatrist CurrentSince Aug 1, 2021 Accepting new patients

Locations

601 W Saint Mary Blvd
Ste 106
Lafayette, LA 70506
Phone (337) 232-3576

601 W Saint Mary Blvd
Lafayette, LA 70506
Phone (337) 232-3576

901 Wilson St
Ste C2
Lafayette, LA 70503
Phone (337) 232-3576

Organizations & group practices 1

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 1

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1881263085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W SAINT MARY BLVD STE 106",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063560",
            "telephone_number": "372-323-5763",
            "fax_number": "337-233-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W SAINT MARY BLVD STE 106",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063560",
            "telephone_number": "337-232-3576",
            "fax_number": "337-233-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LAUREN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "327549",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "327549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.