DR. NATHAN SUGARMAN MD
NPI 1124580535
Family Medicine in Baton Rouge, LA

Active since April 03, 2019PECOS EnrolledAccepts Medicare Assignment
79.13/100
CMS Quality Rating
8595 PICARDY AVE STE 100, BATON ROUGE, LA 70809(225) 763-4900 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nathan Sugarman Md NPPES

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

DR. NATHAN SUGARMAN MD (NPI 1124580535) is an individual family medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (331648) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Baton Rouge General Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1124580535
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NATHAN SUGARMANCredential: MD
Location Address8595 PICARDY AVE STE 100Baton Rouge, LA 70809-3674
Mailing Address8595 Picardy Ave Ste 100Baton Rouge, LA 70809-3674 · (225) 763-4900
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 3, 2019
Last NPPES UpdateJuly 1, 2022
NPPES CertifiedJuly 1, 2022
NPI 1124580535 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 · 331648
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.
8595 PICARDY AVE STE 100, Baton Rouge, LA 70809

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Dr. Nathan Sugarman 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 ID7012243751
PECOS Enrollment IDI20230425001438
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 17

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.
125 services67 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
76 services54 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
63 services51 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
57 services34 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
53 services46 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.
50 services41 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 70809 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

Other Providers at the Same Location NPPES 7

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

Registered Nurse (Ambulatory Care)
8595 PICARDY AVE STE 100
BATON ROUGE, LA 70809
Nurse Practitioner (Family)
8595 PICARDY AVE STE 100
BATON ROUGE, LA 70809
Family Medicine
8595 PICARDY AVE STE 100
BATON ROUGE, LA 70809
Nurse Practitioner (Family)
8595 PICARDY AVE STE 100
BATON ROUGE, LA 70809
Nurse Practitioner (Family)
8595 PICARDY AVE STE 100
BATON ROUGE, LA 70809
Nurse Practitioner (Primary Care)
8595 PICARDY AVE STE 100
BATON ROUGE, LA 70809
Nurse Practitioner (Family)
8595 PICARDY AVE STE 100
BATON ROUGE, LA 70809

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 Nathan Sugarman's NPI number?

The NPI number for Nathan Sugarman is 1124580535. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Nathan Sugarman located?

Nathan Sugarman practices at 8595 Picardy Ave Ste 100, Baton Rouge, LA 70809. The listed phone number is (225) 763-4900.

What is Nathan Sugarman's specialty?

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

Is Nathan Sugarman enrolled in Medicare?

Yes. Nathan Sugarman 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 Nathan Sugarman accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Nathan Sugarman 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 Nathan Sugarman affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Nathan Sugarman was last updated on July 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.