Dimitri Pagoulato, PAC
NPI 1194988915 · Physician Assistant · Baker, LA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dimitri Pagoulato, PAC is a Physician Assistant provider in Baker, LA (NPI 1194988915).
Provider details
- NPI number
- 1194988915
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- 200193 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
201 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 79 | $101 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 34 | $133 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 31 | $41 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 30 | $16 |
| Automated Urinalysis Test81003 | 27 | $2 |
Typical Medicare-allowed amounts for these services range $2–$133 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cefdinir | 46 | 46 |
| Methylprednisolone | 36 | 36 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 31 | 27 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 30 | 26 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 23 | 23 |
| Prednisone | 18 | 18 |
| Doxycycline Monohydrate |
Practice location
Mailing address
Additional practice locations (1)
- 12525 Perkins RdSte. BBaton Rouge, LA 70810-1907Phone: (225) 819-8857Fax: (225) 767-6822
Registry dates
- Enumerated
- 2008-07-02
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Frequently asked questions
- What is Dimitri Pagoulato's NPI number?
- Dimitri Pagoulato's National Provider Identifier (NPI) is 1194988915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dimitri Pagoulato's specialty?
- Dimitri Pagoulato is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Dimitri Pagoulato located?
- Dimitri Pagoulato's practice location on file with NPPES is 6516 E Myrtle Ave, Baker, LA 70714-4348.
- What is Dimitri Pagoulato's phone number?
- The practice phone number listed in the NPPES registry for Dimitri Pagoulato is (225) 774-7320.
- Does Dimitri Pagoulato accept Medicare?
- Dimitri Pagoulato is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dimitri Pagoulato's NPI active?
- Yes — Dimitri Pagoulato's NPI (1194988915) is active in the NPPES registry as of the last update on 2025-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.