1. Home
  2. Directory
  3. Louisiana
  4. Port Allen
  5. Family Medicine
  6. NPI Profile

DR. PHILIP G PADGETT MD
NPI 1063516151
Family Medicine in Port Allen, LA

Active since September 11, 2006PECOS EnrolledAccepts Medicare Assignment
79.13/100
CMS Quality Rating
610 N JEFFERSON AVE, PORT ALLEN, LA 70767(225) 267-6626(225) 267-5993 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Philip G Padgett Md NPPES

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

DR. PHILIP G PADGETT MD (NPI 1063516151) is an individual family medicine provider in Port Allen, Louisiana, licensed in Louisiana (019597) and active in the NPI registry since September 2006. 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 (1987).

NPPES Registry Identity

NPI1063516151
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PHILIP G PADGETTCredential: MD
Location Address610 N JEFFERSON AVEPort Allen, LA 70767
Mailing Address8490 Picardy Ave, Bldg 200Baton Rouge, LA 70809-3731 · (225) 237-1754 · Fax (225) 237-1722
Phone(225) 267-6626
Fax(225) 267-5993
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1987
Enumeration DateSeptember 11, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1063516151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 019597
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.
610 N JEFFERSON AVE, Port Allen, LA 70767
Open in Google Maps ↗

Other Identifiers 3

Medicaid1378437LA
Other19D1000495LA · Clia#
Other930071021LA · Rrr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Dr. Philip G Padgett Md 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 ID6305946021
PECOS Enrollment IDI20101020001365
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 10

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.
651 services188 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
138 services79 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
120 services96 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
108 services79 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
89 services81 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
86 services80 patients

Hospital Affiliations CMS Care Compare 2

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

Womans Hospital

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190128
Location100 Woman's WayBaton Rouge, LA 70817 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70767 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.

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.

79.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability81
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers43 claims101 services$6.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers25 claims34 services$1.18 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers28 claims28 services$11.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

TIFFANY LEA WHITE JONES
Nurse Practitioner (Family)
610 N JEFFERSON AVE
PORT ALLEN, LA 70767
West Baton Rouge Parish (225) 267-6626
BATON ROUGE GENERAL MEDICAL CENTER
Family Medicine
610 N JEFFERSON AVE
PORT ALLEN, LA 70767
West Baton Rouge Parish (225) 267-6626
PHILIP G. PADGETT, AMPC
Family Medicine
610 N JEFFERSON AVE
PORT ALLEN, LA 70767
West Baton Rouge Parish (225) 267-6626
KAYLA MOUCH RICHOUX
Nurse Practitioner (Family)
610 N JEFFERSON AVE
PORT ALLEN, LA 70767
West Baton Rouge Parish (225) 267-6626

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 Philip Padgett's NPI number?

The NPI number for Philip Padgett is 1063516151. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Philip Padgett located?

Philip Padgett practices at 610 N Jefferson Ave, Port Allen, LA 70767. The listed phone number is (225) 267-6626.

What is Philip Padgett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Philip Padgett enrolled in Medicare?

Yes. Philip Padgett 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 Philip Padgett accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Philip Padgett 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 Philip Padgett affiliated with any hospitals?

According to CMS data, Philip Padgett is affiliated with Baton Rouge General Medical Center and Womans Hospital.

When was this NPI record last updated?

The NPPES record for Philip Padgett was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.