Active NPI
Gregory Lee Fautheree, MD
- Neurological Surgery Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- MD.203804
- Practice address
- 10101 Park Rowe Ave Ste 200
Baton Rouge, LA 70810 - Phone
- (225) 769-2200
- Fax
- (225) 768-2185
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | MD.203804 | LA | Primary |
| Neurological Surgery Physician | 207T00000X | TRN6823 | FL | |
| Neurological Surgery Physician | 207T00000X | ME105666 | FL |
Addresses
Primary practice location
10101 Park Rowe Ave Ste 200
Baton Rouge, LA 70810
Mailing address
PO Box 98509
Baton Rouge, LA 70884-9509
Phone (225) 769-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2112562 | Medicaid | LA | |
| 001635000 | Medicaid | FL |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Louisiana State University School of Medicine in New Orleans, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10101 Park Rowe Ave
Suite 200
Baton Rouge, LA 70810-1685
Phone 22576922002164
Hospital & facility affiliations
- Our Lady of the Lake Regional Medical Center
- The Spine Hospital of Louisiana
- West Feliciana Parish Hospital
- Fmol Health St Francis
- Ochsner Medical Center - Baton Rouge
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.99 of 100
- Quality
- 83.62
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 261 |
| Laminectomy or laminotomy (partial removal of spine bones) | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN6823 | FL | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuromedical Center | Current | Accepting new patients | |
| NMC Operating Company LLC | Current | Accepting new patients |
Locations
10101 Park Rowe Ave
Ste 200
Baton Rouge, LA 70810
Phone (225) 768-2164
5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050
3521 Highway 190
Ste Q
Eunice, LA 70535
Phone (337) 981-4001
1104 W Highway 30
Gonzales, LA 70737
Phone (225) 215-1321
5326 Oak St
St Francisvle, LA 70775
Phone (225) 635-5848
Interoperability endpoints
- gregory.fautheree.1@25776.direct.athenahealth.com
- gregory.fautheree@direct.nmchbr.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Spine Hospital of Louisiana | Hospital | 5% Or Greater Direct Ownership Interest (6.41%) Corporate Director |
Jan 31, 2022 Feb 1, 2015 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1932204427
5% Or Greater Direct Ownership Interest, Corporate Director
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.
-
- Specialist
- Baton Rouge, LA
- NPI 1740216399
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1932204427
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1053360651
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1932204427
-
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1295723229
-
- Critical Access Hospital
- Saint Francisville, LA
- NPI 1164497533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1942385703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98509",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708849509",
"telephone_number": "225-769-2200",
"fax_number": "225-768-2185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 PARK ROWE AVE STE 200",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70810",
"telephone_number": "225-769-2200",
"fax_number": "225-768-2185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUTHEREE",
"first_name": "GREGORY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "LA",
"license": "MD.203804",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "TRN6823",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME105666",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2112562",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001635000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.