LISA CRAWFORD GAUTREAU (MD) – Obstetrics & Gynecology Physician, NPI 1083614101

LISA CRAWFORD GAUTREAU (MD) is a healthcare provider. based in Baton rouge, Louisiana. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 14908R (LA). The NPI Number for LISA CRAWFORD GAUTREAU (MD) is 1083614101

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
LISA CRAWFORD GAUTREAU (MD)
NPI
1083614101
Phone
(225) 927-5480
Address
500 RUE DE LA VIE ST STE 305
Enumeration Date
29 July 2005
Last Update Date
20 July 2012

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
2252012000
Graduation Year
1999 (27 years ago)
PAC ID
5890882898
Group Practice PAC ID
4587629365
Professional Enrollment ID
I20101210000521
Address ID
LA708175127BA500XXSTXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

671 OBSTETRICS/GYNECOLOGY in LA

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Provider Addresses for LISA CRAWFORD GAUTREAU (MD)

  • 500 RUE DE LA VIE ST STE 305

    BATON ROUGE, LA 708175126

    Phone: (225) 927-5480

    Fax: (225) 925-0896

    Type: Mailing

  • Baton Rouge Police Department, 9000, Airline Highway, Parkland Terrace, Baton Rouge, East Baton Rouge Parish, Louisiana, 70815, United States

    SUITE 620

    BATON ROUGE, LA 708154114

    Phone: (225) 927-5480

    Fax: (225) 925-0896

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $373.

Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Astellas Pharma US Inc ($94).

Total Amount

$373

General + Research + Ownership

Payments

20

Total payment records

General Amount

$373

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101210000521IObstetrics/GynecologyLATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77063Screening 3d breast mammography7373$0
77067Screening mammography7373$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination6868$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory5757$0
77080Dxa bone density measurement of hip, pelvis, spine3333$0
View full utilization report →

Insurance plans in this area (ZIP 70817)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587629365View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YLA
O B S T E T R I C S/ G Y N E C O L O G YLA
O B S T E T R I C S/ G Y N E C O L O G YLA
O B S T E T R I C S/ G Y N E C O L O G YLA
Nurse PractitionerLA
O B S T E T R I C S/ G Y N E C O L O G YLA
O B S T E T R I C S/ G Y N E C O L O G YLA
-LA
-LA
O B S T E T R I C S/ G Y N E C O L O G YLA

Reviews

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Frequently asked questions

Where can patients find LISA CRAWFORD GAUTREAU (MD)'s NPI?
You can confirm LISA CRAWFORD GAUTREAU (MD) with NPI 1083614101; it appears in the national provider directory.
Does this profile mean LISA CRAWFORD GAUTREAU (MD) is currently active?
Yes — LISA CRAWFORD GAUTREAU (MD) appears active in the national provider directory.
Does LISA CRAWFORD GAUTREAU (MD) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for LISA CRAWFORD GAUTREAU (MD). Clinical services aligned with this taxonomy classification.
Where is LISA CRAWFORD GAUTREAU (MD)'s primary listing?
We display Baton Rouge, Louisiana because that is what the record indicates for LISA CRAWFORD GAUTREAU (MD).
How can I contact LISA CRAWFORD GAUTREAU (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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