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DR. DAVID J ST GERMAIN M.D.
NPI 1124086459
Internal Medicine in Metairie, LA

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
4224 HOUMA BLVD, STE 600, METAIRIE, LA 70006(504) 503-6025(504) 503-5201 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2019, Jan 24, 2019, Feb 20, 2017 (3 updates tracked since 2017).

About Dr. David J St Germain M.d. NPPES

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

DR. DAVID J ST GERMAIN M.D. (NPI 1124086459) is an individual internal medicine provider in Metairie, Louisiana, licensed in Louisiana (014799) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1978).

NPPES Registry Identity

NPI1124086459
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAVID J ST GERMAINCredential: M.D.
Location Address4224 HOUMA BLVD, STE 600Metairie, LA 70006-2939
Mailing Address4300 Houma Blvd, Ste 202Metairie, LA 70006-2924 · (504) 503-6791 · Fax (504) 503-6710
Phone(504) 503-6025
Fax(504) 503-5201
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1978
Enumeration DateMay 3, 2006
Last NPPES UpdateJune 20, 20193 updates tracked since enumeration
✔ NPI 1124086459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 014799
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.
4224 HOUMA BLVD, Metairie, LA 70006
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Other Identifiers 1

Medicaid1311847LA

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. David J St Germain 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 ID2567420805
PECOS Enrollment IDI20050103000632
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 Reassignment

Medicare enrollment records show David St Germain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Jefferson Physicians Group Urgent Care
4.7 mi
Urgent Care
708 W ESPLANADE AVE
Kenner, LA 70065
  • Reassigned Medicare billing, Louisiana enrollment
  • Medicare enrollment name: East Jefferson Physicians Group LLC
  • 313 clinicians in this Medicare group
NPI 1053859082 (504) 503-5100

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 5

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.
162 services110 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.
93 services64 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
29 services28 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
22 services22 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
6 suppliers11 claims24 services$6.05 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers21 claims21 services$37.31 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.

EUGENE J HOFFMAN III MD
Obstetrics & Gynecology
4224 HOUMA BLVD, SUITE 140
METAIRIE, LA 70006
Jefferson Parish (504) 454-7721
RONALD P RABIN MD
Urology
4224 HOUMA BLVD, SUITE 600
METAIRIE, LA 70006
Jefferson Parish (504) 454-0755
UROLOGY-MEDICAL & SURGICAL A MEDICAL CORPORATION
Specialist
4224 HOUMA BLVD, STE 620
METAIRIE, LA 70006
Jefferson Parish (504) 456-1746
DR. DAVID W. AIKEN M.D.
Orthopaedic Surgery
4224 HOUMA BLVD, SUITE 650
METAIRIE, LA 70006
Jefferson Parish (504) 456-5152
DR. ZHEN JIAO MD
Internal Medicine (Clinical Cardiac Electrophysiology)
4224 HOUMA BLVD, STE 300
METAIRIE, LA 70006
Jefferson Parish (500) 503-6618
DR. ROBERT DANIEL NORMAND MD
Surgery
4224 HOUMA BLVD, NUMBER 425
METAIRIE, LA 70006
Jefferson Parish (504) 454-1100
DRS NUTIK AND STEINER APMC
Specialist
4224 HOUMA BLVD, SUITE 270
METAIRIE, LA 70006
Jefferson Parish (504) 456-8013
CARDIOVASCULAR SPECILAISTS, INC.
Specialist
4224 HOUMA BLVD, SUITE 500
METAIRIE, LA 70006
Jefferson Parish (504) 455-0842

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 David St Germain's NPI number?

The NPI number for David St Germain is 1124086459. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is David St Germain located?

David St Germain practices at 4224 Houma Blvd Ste 600, Metairie, LA 70006. The listed phone number is (504) 503-6025.

What is David St Germain's specialty?

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

Is David St Germain enrolled in Medicare?

Yes. David St Germain 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 organization bills Medicare for David St Germain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David St Germain reassigns Medicare benefits to East Jefferson Physicians Group Urgent Care (Kenner, LA). The 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 David St Germain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David St Germain accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list David St Germain 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 David St Germain affiliated with any hospitals?

According to CMS data, David St Germain is affiliated with East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for David St Germain was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.