MATTHEW BUMGARDNER M.D.
NPI 1043637119
Family Medicine in Baton Rouge, LA

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
3801 NORTH BLVD, BATON ROUGE, LA 70806(225) 381-6546(225) 381-2579 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2022, Dec 14, 2016 (2 updates tracked since 2016).

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 family 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 a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1043637119
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW BUMGARDNERCredential: M.D.
Location Address3801 NORTH BLVDBaton Rouge, LA 70806-3825
Mailing Address3801 North BlvdBaton Rouge, LA 70806-3825 · (225) 381-6546 · Fax (225) 381-2579
Fax(225) 381-2579
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2014
Enumeration DateMarch 26, 2014
Last NPPES UpdateJuly 20, 20222 updates tracked since enumeration
NPPES CertifiedJuly 20, 2022
NPI 1043637119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in LA · 301182
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 301182 (LA)
3801 NORTH BLVD, Baton Rouge, LA 70806

Secondary Practice Location 1

Location 11 North Stadium Dr Tiger StadiumBaton Rouge, LA 70803-3825 · Phone (225) 765-5500 · Fax (225) 490-8890

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID8022303379
PECOS Enrollment IDI20170208000980
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services11 patients

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, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190065
Location8585 Picardy AveBaton Rouge, LA 70809 · E. Baton Rouge County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Family Medicine
3801 NORTH BLVD
BATON ROUGE, LA 70806
Social Worker (Clinical)
3801 NORTH BLVD
BATON ROUGE, LA 70806
Emergency Medicine
3801 NORTH BLVD
BATON ROUGE, LA 70806
Social Worker (Clinical)
3801 NORTH BLVD
BATON ROUGE, LA 70806
Family Medicine
3801 NORTH BLVD
BATON ROUGE, LA 70806
Family Medicine
3801 NORTH BLVD
BATON ROUGE, LA 70806
Counselor (Professional)
3801 NORTH BLVD
BATON ROUGE, LA 70806
Family Medicine
3801 NORTH BLVD
BATON ROUGE, LA 70806

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 with taxonomy code 207Q00000X.

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.

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 July 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.