MICHAEL EDWARD HYMBAUGH M.D.
NPI 1053529727
Internal Medicine in Baton Rouge, LA

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
4560 NORTH BLVD, STE 101, BATON ROUGE, LA 70806(225) 341-5901(225) 341-5903 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2016, Feb 5, 2016 (2 updates tracked since 2016).

About Michael Edward Hymbaugh M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL EDWARD HYMBAUGH M.D. (NPI 1053529727) is an individual internal medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (MD.13268R) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Baton Rouge General Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1996).

NPPES Registry Identity

NPI1053529727
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL EDWARD HYMBAUGHCredential: M.D.
Location Address4560 NORTH BLVD, STE 101Baton Rouge, LA 70806-4043
Mailing Address4550 North Blvd, Ste 250Baton Rouge, LA 70806-4013 · (318) 487-0138 · Fax (318) 487-0134
Fax(225) 341-5903
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1996
Enumeration DateMay 18, 2007
Last NPPES UpdateMarch 30, 20162 updates tracked since enumeration
NPI 1053529727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in LA · MD.13268R
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License MD.13268R (LA)
4560 NORTH BLVD, Baton Rouge, LA 70806

Other Identifiers 3

Medicare UPINH43975LA
Medicaid1577278LA
Medicare PIN4A503LA

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

Michael Edward Hymbaugh 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 ID6608953765
PECOS Enrollment IDI20080414000556
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.

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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
45%570 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
39%302 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
76%2,331 patients4/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
4560 NORTH BLVD, SUITE 102
BATON ROUGE, LA 70806
Technician/Technologist (Optician)
4560 NORTH BLVD
BATON ROUGE, LA 70806
Pharmacist
4560 NORTH BLVD, STE 102
BATON ROUGE, LA 70806
Nurse Practitioner (Pediatrics)
4560 NORTH BLVD, SUITE 108
BATON ROUGE, LA 70806
Specialist
4560 NORTH BLVD, SUITE 108
BATON ROUGE, LA 70806
Social Worker (Clinical)
4560 NORTH BLVD, SUITE 104
BATON ROUGE, LA 70806
Pediatrics (Adolescent Medicine)
4560 NORTH BLVD, SUITE 114
BATON ROUGE, LA 70806
Nurse Practitioner (Family)
4560 NORTH BLVD, STE 101
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 Michael Hymbaugh's NPI number?

The NPI number for Michael Hymbaugh is 1053529727. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Michael Hymbaugh located?

Michael Hymbaugh practices at 4560 North Blvd Ste 101, Baton Rouge, LA 70806. The listed phone number is (225) 341-5901.

What is Michael Hymbaugh's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Hymbaugh enrolled in Medicare?

Yes. Michael Hymbaugh 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 Michael Hymbaugh accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 2 other insurers list Michael Hymbaugh 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 Michael Hymbaugh affiliated with any hospitals?

According to CMS data, Michael Hymbaugh is affiliated with Baton Rouge General Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Hymbaugh was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.