DR. ROBERT DAVID RABALAIS MD
NPI 1083630040
Orthopaedic Surgery in Baton Rouge, LA

Q: What is Robert Rabalais's NPI number?

The NPI number for Robert Rabalais is 1083630040. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Robert Rabalais's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Rabalais was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment

62.1/100

CMS Quality Rating

8080 BLUEBONNET BLVD, SUITE 1000, BATON ROUGE, LA 70810(225) 924-2424(225) 408-7984 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 6, 2026, Dec 12, 2025, Nov 14, 2023 (3 updates tracked since 2023).

On this page

About Dr. Robert David Rabalais Md NPPES

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

DR. ROBERT DAVID RABALAIS MD (NPI 1083630040) is an individual orthopaedic surgery provider in Baton Rouge, Louisiana, licensed in Louisiana (24959) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lane Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083630040

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. ROBERT DAVID RABALAISCredential: MD

Location Address8080 BLUEBONNET BLVD, SUITE 1000Baton Rouge, LA 70810-7827

Mailing Address8080 Bluebonnet Blvd Ste 1000Baton Rouge, LA 70810-7827 · (225) 924-2424 · Fax (225) 408-7984

Phone(225) 924-2424

Fax(225) 408-7984

Sole ProprietorYes

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2000

Enumeration DateJuly 14, 2006

Last NPPES UpdateMay 6, 20263 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1083630040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in LA · 24959

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

8080 BLUEBONNET BLVD, Baton Rouge, LA 70810

Open in Google Maps ↗

Secondary Practice Locations 2

Location 17566 Picardy AveBaton Rouge, LA 70808-4333 · Phone (225) 765-5500 · Fax (225) 256-1400

Location 2178 Highway 24 ECentreville, MS 39631-4171 · Phone (601) 890-0500 · Fax (601) 645-5873

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Dr. Robert David Rabalais 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 ID6800816489

PECOS Enrollment IDI20060828000079, I20080730000378

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.

Medicare Billing Reassignments

Medicare enrollment records show Robert Rabalais reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baton Rouge Orthopaedic Clinic, LLC

Same address

Orthopaedic Surgery

8080 BLUEBONNET BLVD, SUITE 1000
Baton Rouge, LA 70810

Reassigned Medicare billing, Louisiana enrollment
119 clinicians in this Medicare group

NPI 1770503690 (225) 924-2424

Our Lady Of The Lake Physician Group LLC

2.0 mi

Internal Medicine

7777 HENNESSY BLVD, STE 6002
Baton Rouge, LA 70808

Reassigned Medicare billing, Louisiana enrollment
873 clinicians in this Medicare group

NPI 1033494943 (225) 765-7727

Field Memorial Community Hospital

51 mi

Surgery

178 HIGHWAY 24 E
Centreville, MS 39631

Reassigned Medicare billing, Mississippi enrollment
14 clinicians in this Medicare group

NPI 1629465224 (601) 645-5221

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 18

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

299 services169 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

291 services137 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

237 services139 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.

188 services142 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

111 services60 patients

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.

95 services90 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

92 services64 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

90 services70 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

75 services54 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

23 services23 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

19 services18 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

16 services13 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

15 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

14 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

12 services12 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

11 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lane Regional Medical Center

Acute Care Hospitals · Zachary, LA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190020

Location6300 Main StreetZachary, LA 70791 · E. Baton Rouge County

Emergency services Birthing friendly

West Feliciana Parish Hospital

Critical Access Hospitals · Saint Francisville, LA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number191306

Location5266 Commerce Street, Building BSaint Francisville, LA 70775 · West Feliciana County

Emergency services

Pointe Coupee General Hospital

Critical Access Hospitals · New Roads, LA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number191316

Location2202 False River DriveNew Roads, LA 70760 · Pointe Coupee County

Emergency services

Merit Health Natchez

Acute Care Hospitals · Natchez, MS

2/5 CMS rating

OwnershipProprietary

CMS Certification Number250084

Location52 Sergeant Prentiss DriveNatchez, MS 39120 · Adams County

Emergency services Birthing friendly

Field Health System

Critical Access Hospitals · Centreville, MS

OwnershipGovernment - Local

CMS Certification Number251309

Location178 Highway 24Centreville, MS 39631 · Wilkinson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70810 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

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

Most-billed visit code 99213

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.

62.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Improvement Activities

Cost

24.2

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.04%

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

1 supplier16 claims16 services$88.92 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 20

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

DR. WAME NICHOLAS WAGGENSPACK JR. M.D.

Orthopaedic Surgery

8080 BLUEBONNET BLVD, SUITE 1000
BATON ROUGE, LA 70810

East Baton Rouge Parish (225) 924-2424

ROBERT STEWART TAYLOR M.D.

Urology

8080 BLUEBONNET BLVD, STE 3000
BATON ROUGE, LA 70810

East Baton Rouge Parish (225) 766-8100

JENNIFER DUPUY PONTTI RNFA

Registered Nurse (Registered Nurse First Assistant)

8080 BLUEBONNET BLVD, SUITE 1000
BATON ROUGE, LA 70810

East Baton Rouge Parish (225) 924-2424

WILLIAM CLEMENT MOSS JR. P.A.

Physician Assistant

8080 BLUEBONNET BLVD, SUITE 1000
BATON ROUGE, LA 70810

East Baton Rouge Parish (225) 924-2424

STANLEY E. PETERS M.D.

Otolaryngology (Plastic Surgery within the Head & Neck)

8080 BLUEBONNET BLVD, STE. 2121
BATON ROUGE, LA 70810

East Baton Rouge Parish (225) 767-7200

JAMES GARRETT LEBLANC PA-C

Physician Assistant

8080 BLUEBONNET BLVD, SUITE 1000
BATON ROUGE, LA 70810

East Baton Rouge Parish (225) 924-2424

DR. KENNETH MCIVER BLUE JR. MD

Urology

8080 BLUEBONNET BLVD, STE 3000
BATON ROUGE, LA 70810

East Baton Rouge Parish (225) 766-8100

DR. MICHAEL R ROBICHAUX JR. MD

Orthopaedic Surgery

8080 BLUEBONNET BLVD, SUITE 1000
BATON ROUGE, LA 70810

East Baton Rouge Parish (225) 924-2424

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 Robert Rabalais's NPI number?

The NPI number for Robert Rabalais is 1083630040. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Robert Rabalais located?

Robert Rabalais practices at 8080 Bluebonnet Blvd Suite 1000, Baton Rouge, LA 70810. The listed phone number is (225) 924-2424.

What is Robert Rabalais's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Robert Rabalais enrolled in Medicare?

Yes. Robert Rabalais 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 Robert Rabalais's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Rabalais reassigns Medicare benefits to 3 organizations: Baton Rouge Orthopaedic Clinic, LLC (Baton Rouge, LA), Our Lady Of The Lake Physician Group LLC (Baton Rouge, LA) and Field Memorial Community Hospital (Centreville, MS). 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 Robert Rabalais's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Rabalais accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Alabama and 4 other insurers list Robert Rabalais 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 Robert Rabalais affiliated with any hospitals?

According to CMS data, Robert Rabalais is affiliated with Lane Regional Medical Center, West Feliciana Parish Hospital, Pointe Coupee General Hospital, Merit Health Natchez and Field Health System.

When was this NPI record last updated?

The NPPES record for Robert Rabalais was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.