NPPES file of Aug 9, 2026

Charles Anthony Cefalu, MD, MBA

Orthopaedic Hand Surgery Physician · Baton Rouge, LA

Charles Anthony Cefalu, MD, MBA is an orthopaedic hand surgery physician with a practice address in Baton Rouge, Louisiana, and NPI 1497102008, issued on May 24, 2016. Check the license (Louisiana 329722, as entered in NPPES) on the Louisiana State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1497102008
Name
Charles Anthony Cefalu
Credential
MD, MBA
Primary taxonomy
Orthopaedic Hand Surgery Physician 207XS0106X
License number
329722 LA
Self-reported in NPPES; status is on the state search
Practice location
7301 Hennessy Blvd Ste 200, Baton Rouge, LA 70808
Phone
(225) 766-0050
Enumerated
May 24, 2016
Record last updated
Jul 6, 2022
Medicare enrollment
Enrolled (PECOS I20220615000089); accepts Medicare assignment
Medical or professional school
Louisiana State University School Of Medicine In New Orleans, 2016
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 7301 Hennessy Blvd Ste 200

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Katherine Braud, FNP-CFamily Nurse Practitioner1326931858
  2. Matthew Choice, MS, LAT, ATC, OTCAthletic Trainer1588129324
  3. Madison Corley, PAPhysician Assistant1083067235
  4. Kristopher Guedry, FNP-CFamily Nurse Practitioner1861251746
  5. Jerrica Kitto, PA-CPhysician Assistant1912487000
  6. Jennifer Madden, PA-CSurgical Physician Assistant1528846227

Verify Charles Anthony Cefalu in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersLouisiana State Board of Medical Examiners
    Search for license 329722
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Louisiana license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.6 times the Medicare Part D claims of the average orthopaedic hand surgery physician in 2024

486 Medicare Part D claims for 173 beneficiaries, against an average of 186 among the 2,203 providers of this specialty who prescribed in Part D. 207 claims were for opioids.

  1. Charles Cefalu486
  2. Specialty average186

Most prescribed

  1. Oxycodone Hcl93 claims
  2. Hydrocodone-Acetaminophen82 claims
  3. Ondansetron Hcl67 claims
  4. Ketorolac Tromethamine52 claims
  5. Cephalexin28 claims
  6. Omeprazole26 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 54.4 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score39.7
  2. Costout of 100 · 30%45.9
  3. Promoting interoperabilityout of 100 · 25%85.0
  4. Improvement activities20 of 40 points · 15%50.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $216.35

3 payments; by number, the most common kind was food and beverage; the largest payer was Alon Medical Technology. The 1,819 providers of this specialty with any payment received $5,529.86 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Charles Cefalu$216.35
  2. Specialty average$5,529.86

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Ochsner Clinic LLCBaton Rouge, LA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Charles Anthony Cefalu among 32 orthopaedic hand surgery physician records in Louisiana

Charles Anthony Cefalu, MD, MBA is one of 32 orthopaedic hand surgery physician records with a practice address in Louisiana. 91% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 94% of them.

  • NPI issued2016 · 94% of these records are older, 0% newer
  • In a Medicare fileYes · 91% of these records are
  • In the CMS Doctors and Clinicians fileYes · 91% of these records are
  • Graduated2016 · median 2006 among the 29 with a school on file
  • Record last updated2022 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0106X and a Louisiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Hand Surgery Physician providers in Louisiana

There are 32 orthopaedic hand surgery physician records in Louisiana.

The 8 orthopaedic hand surgery physician records with the nearest ZIP codes

  1. Gordon Blanchard, MDBaton Rouge, LA 708101902854292
  2. Ryan Bliss, MDBaton Rouge, LA 708101518258276
  3. Timothy Bowlin, MDBaton Rouge, LA 708101063631398
  4. Ronnie Mathews, MDZachary, LA 707911801852421
  5. John Wilkinson, M.D.Zachary, LA 707911376886663
  6. Gary Porubsky, MDOpelousas, LA 705701841221553
  7. Ellis Cooper, MDShreveport, LA 711011619036951
  8. Karl Bilderback, MDShreveport, LA 711051942245345

Common questions

What is Charles Anthony Cefalu, MD, MBA's NPI number?

Charles Anthony Cefalu, MD, MBA's National Provider Identifier (NPI) is 1497102008, issued on May 24, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Charles Anthony Cefalu, MD, MBA located?

The NPPES record lists a practice address at 7301 Hennessy Blvd Ste 200, Baton Rouge, LA, 70808. Phone: (225) 766-0050. Providers update this record themselves, so call before visiting.

How can I verify Charles Anthony Cefalu, MD, MBA's license?

NPPES lists Louisiana license number 329722, as entered by the provider. Search the Louisiana State Board of Medical Examiners at https://www.lsbme.la.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Charles Anthony Cefalu, MD, MBA prescribe under Medicare Part D?

In 2024, Charles Anthony Cefalu, MD, MBA had 486 Medicare Part D claims for 173 beneficiaries; the average among orthopaedic hand surgery physician prescribers was 186. Part D covers Medicare prescriptions only.

What is Charles Anthony Cefalu, MD, MBA's MIPS final score?

The 2023 MIPS final score is 54.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.