JYOTI S PHAM MD
NPI 1093704181
Physical Medicine & Rehabilitation - Pain Medicine in Baton Rouge, LA

Active since October 20, 2005PECOS EnrolledAccepts Medicare Assignment
88.93/100
CMS Quality Rating
10101 PARK ROWE AVE, SUITE 200, BATON ROUGE, LA 70810(225) 769-2200(225) 768-2185 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jyoti S Pham Md NPPES

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

JYOTI S PHAM MD (NPI 1093704181) is an individual pain medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (200029) and active in the NPI registry since October 2005. She 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 (2001).

NPPES Registry Identity

NPI1093704181
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameJYOTI S PHAMCredential: MD
Location Address10101 PARK ROWE AVE, SUITE 200Baton Rouge, LA 70810-1686
Mailing AddressPo Box 98509Baton Rouge, LA 70884-9509 · (225) 769-2200 · Fax (225) 768-2185
Fax(225) 768-2185
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2001
Enumeration DateOctober 20, 2005
Last NPPES UpdateMarch 28, 2008
NPI 1093704181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License Licensed in LA · 200029
Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

10101 PARK ROWE AVE, Baton Rouge, LA 70810

Other Identifiers 3

Medicare UPINI31123LA
Medicare PIN4J6387545LA
Medicaid1621803LA

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

Jyoti S Pham 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 ID5698710408
PECOS Enrollment IDI20050622000969
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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
460 services122 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.
351 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
207 services77 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.
153 services20 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.
104 services54 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.
65 services64 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

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.

88.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.94
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
76%518 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
53%175 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
91%2,655 patients4/55-star benchmark: 100%
e-Prescribing
94%734 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
78%309 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
30%617 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
91%531 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 549 patients
Patients screened: 97% · 549 patients
38%21 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 77% · 476 patients
75%476 patients
Provide Patients Electronic Access to Their Health Information
84%551 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
63%203 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%130 patients4/55-star benchmark: 91%
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 9

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers13 claims13 services$37.59 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
2 suppliers30 claims30 services$9.04 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier23 claims23 services$42.09 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers12 claims12 services$57.59 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$13.77 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims22 services$14.07 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.

Neurological Surgery
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physical Therapist
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Psychiatry & Neurology (Clinical Neurophysiology)
10101 PARK ROWE AVE
BATON ROUGE, LA 70810
Neurological Surgery
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physical Medicine & Rehabilitation
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physical Medicine & Rehabilitation
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physician Assistant
10101 PARK ROWE AVE
BATON ROUGE, LA 70810
Occupational Therapist
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810

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 Jyoti Pham's NPI number?

The NPI number for Jyoti Pham is 1093704181. It was assigned to this individual provider in the NPPES registry on October 20, 2005.

Where is Jyoti Pham located?

Jyoti Pham practices at 10101 Park Rowe Ave Suite 200, Baton Rouge, LA 70810. The listed phone number is (225) 769-2200.

What is Jyoti Pham's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Jyoti Pham enrolled in Medicare?

Yes. Jyoti Pham 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 Jyoti Pham 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 Jyoti Pham 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 Jyoti Pham affiliated with any hospitals?

According to CMS data, Jyoti Pham is affiliated with Baton Rouge General Medical Center.

When was this NPI record last updated?

The NPPES record for Jyoti Pham was last updated on March 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.