Individual provider Active NPI

Gregory Lee Fautheree, MD

  • Neurological Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1942385703
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD.203804 Issued in LA
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

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2112562MedicaidLA
001635000MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100907001038 LA Practitioner - Neurosurgery 3577607837 Reassigns benefits to 1 organization

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
Neuromedical CenterGroup PAC ID 6103716477, 114 clinicians

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 Hospital, Baton Rouge, LA, CCN 190064
  • The Spine Hospital of Louisiana Hospital, Baton Rouge, LA, CCN 190266
  • West Feliciana Parish Hospital Hospital, Saint Francisville, LA, CCN 191306
  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Ochsner Medical Center - Baton Rouge Hospital, Baton Rouge, LA, CCN 190202

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as individual
Quality
83.62
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion261
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN6823FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuromedical Center CurrentSince Sep 1, 2010 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

  • Direct secure messaging: gregory.fautheree.1@25776.direct.athenahealth.com
  • Direct secure messaging: 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.

FacilityTypeRoleSince
The Spine Hospital of LouisianaBaton Rouge, LA, CCN 190266 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.

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 5

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": "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

Verify at the official NPI Registry.