MATTHEW BUMGARDNER M.D.
NPI 1043637119
Family Medicine - Sports Medicine in Baton Rouge, LA
About Matthew Bumgardner M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW BUMGARDNER M.D. (NPI 1043637119) is an individual sports medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (301182) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Baton Rouge General Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew Bumgardner M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show Matthew Bumgardner reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baton Rouge, LA 70806
- Reassigned Medicare billing, Louisiana enrollment
- 120 clinicians in this Medicare group
Baton Rouge, LA 70808
- Reassigned Medicare billing, Louisiana enrollment
- 873 clinicians in this Medicare group
Baton Rouge, LA 70809
- Reassigned Medicare billing, Louisiana enrollment
- 4,559 clinicians in this Medicare group
Baton Rouge, LA 70808
- Reassigned Medicare billing, Louisiana enrollment
- 163 clinicians in this Medicare group
Baton Rouge, LA 70808
- Reassigned Medicare billing, Louisiana enrollment
- 24 clinicians in this Medicare group
Baton Rouge, LA 70809
- Reassigned Medicare billing, Louisiana enrollment
- 34 clinicians in this Medicare group
Prairieville, LA 70769
- Reassigned Medicare billing, Louisiana enrollment
- 93 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baton Rouge General Medical Center
Acute Care Hospitals · Baton Rouge, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Matthew Bumgardner's NPI number?
The NPI number for Matthew Bumgardner is 1043637119. It was assigned to this individual provider in the NPPES registry on March 26, 2014.
Where is Matthew Bumgardner located?
Matthew Bumgardner practices at 3801 North Blvd, Baton Rouge, LA 70806. The listed phone number is (225) 381-6546.
What is Matthew Bumgardner's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.
Is Matthew Bumgardner enrolled in Medicare?
Yes. Matthew Bumgardner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Matthew Bumgardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Bumgardner reassigns Medicare benefits to 7 organizations: Baton Rouge General Medical Center (Baton Rouge, LA), Our Lady Of The Lake Physician Group LLC (Baton Rouge, LA), Ochsner Clinic LLC (Baton Rouge, LA), Convenient Care LLC (Baton Rouge, LA), Louisiana Internal Medicine Associates, LLC (Baton Rouge, LA) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Bumgardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Bumgardner accept?
Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Matthew Bumgardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Matthew Bumgardner affiliated with any hospitals?
According to CMS data, Matthew Bumgardner is affiliated with Baton Rouge General Medical Center.
When was this NPI record last updated?
The NPPES record for Matthew Bumgardner was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Matthew Bumgardner, M.D. · NPI 1043637119
Sports Medicine physician in Baton Rouge, Louisiana. Individual provider, active in the CMS NPPES registry since March 26, 2014.
## Identity
- **NPI:** 1043637119 (Entity type: Individual)
- **Enumerated:** March 26, 2014
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **State license:** 301182 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3801 NORTH BLVD, Baton Rouge, LA 70806-3825
- **Phone:** (225) 381-6546 · **Fax:** (225) 381-2579
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Baton Rouge General Medical Center (NPI 1215199724, Baton Rouge, LA); Our Lady Of The Lake Physician Group LLC (NPI 1235912502, Baton Rouge, LA); Ochsner Clinic LLC (NPI 1558560581, Baton Rouge, LA); Convenient Care LLC (NPI 1295986438, Baton Rouge, LA); Louisiana Internal Medicine Associates, LLC (NPI 1023479102, Baton Rouge, LA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In Shreveport, class of 2014
## Record status
- **NPPES last updated:** October 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043637119) · Data from the CMS NPPES public registry.