NPPES file of Aug 9, 2026

James Mitchell Lipstate, M.D.

Rheumatology Physician · Lafayette, LA

James Mitchell Lipstate, M.D. is a rheumatology physician with a practice address in Lafayette, Louisiana, and NPI 1043260607, issued on May 12, 2006. Check the license (Louisiana 015807, 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
1043260607
Name
James Mitchell Lipstate
Credential
M.D.
Primary taxonomy
Rheumatology Physician 207RR0500X
License number
015807 LA
Self-reported in NPPES; status is on the state search
Practice location
4212 W Congress St Ste 2300A, Lafayette, LA 70506
Phone
(337) 237-7801
Enumerated
May 12, 2006
Record last updated
Jul 24, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(337) 235-1865
Medicaid IDs
1799475 LA
1358100 LA
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 4212 W Congress St Ste 2300A

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

  1. Bennett Baquet, M.D.Endocrinology, Diabetes & Metabolism Physician1073563631
  2. Madelyn Dooley, F.N.P.Family Nurse Practitioner1851783864
  3. Ginger Fontenot, FNP-CFamily Nurse Practitioner1346693785
  4. Justin Fontenot, MDEndocrinology, Diabetes & Metabolism Physician1881790632
  5. Linda Foreman, RDRegistered Dietitian1548544844
  6. Rebekah Garrard, FNPFamily Nurse Practitioner1952656027

Verify James Mitchell Lipstate 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 015807
    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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5.6 times the Medicare Part D claims of the average rheumatology physician in 2024

11,054 Medicare Part D claims for 1,041 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. 1,057 claims were for opioids.

  1. James Lipstate11,054
  2. Specialty average1,978

Most prescribed

  1. Prednisone1,421 claims
  2. Methotrexate1,169 claims
  3. Hydroxychloroquine Sulfate889 claims
  4. Tramadol Hcl869 claims
  5. Celecoxib552 claims
  6. Gabapentin508 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.

No measured MIPS final score for 2023

CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.

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

Industry payments in 2024: $2,218.73

97 payments; by number, the most common kind was food and beverage; the largest payer was Ucb, Inc. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Lipstate$2,218.73
  2. Specialty average$8,538.33

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

James Mitchell Lipstate among 89 rheumatology physician records in Louisiana

James Mitchell Lipstate, M.D. is one of 89 rheumatology physician records with a practice address in Louisiana. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 13% of them.

  • NPI issued2006 · 13% of these records are older, 53% newer
  • In a Medicare fileYes · 88% of these records are
  • In the CMS Doctors and Clinicians fileNo · 74% of these records are
  • Record last updated2020 · 65% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a Louisiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Rheumatology Physician providers in Louisiana

There are 89 rheumatology physician records in Louisiana.

The 8 rheumatology physician records with the nearest ZIP codes

  1. Jennifer Malin, MDLafayette, LA 705061316997984
  2. Sarah Kirkpatrick, FNP-CLafayette, LA 705031659002764
  3. Ladislas Lazaro, M.D.Lafayette, LA 705031336137215
  4. Pavana Lalithya SakhamuriLafayette, LA 705031548897002
  5. Marielisa Sedrish, MD, FACRSlidell, LA 704581962561191
  6. Phillip Sedrish, MD, FACRSlidell, LA 704581992864128
  7. Bernard Hojaili, M.D.New Iberia, LA 705601659456242
  8. Jonathan Schouest, MDLacombe, LA 704451972007714

Common questions

What is James Mitchell Lipstate, M.D.'s NPI number?

James Mitchell Lipstate, M.D.'s National Provider Identifier (NPI) is 1043260607, issued on May 12, 2006. An NPI identifies a provider in billing; it is not a license.

Where is James Mitchell Lipstate, M.D. located?

The NPPES record lists a practice address at 4212 W Congress St Ste 2300A, Lafayette, LA, 70506. Phone: (337) 237-7801. Providers update this record themselves, so call before visiting.

How can I verify James Mitchell Lipstate, M.D.'s license?

NPPES lists Louisiana license number 015807, 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 James Mitchell Lipstate, M.D. prescribe under Medicare Part D?

In 2024, James Mitchell Lipstate, M.D. had 11,054 Medicare Part D claims for 1,041 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.

What is James Mitchell Lipstate, M.D.'s MIPS final score?

CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.

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.