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KEITH BRIAN ELBOURNE M.D.
NPI 1194742122
Obstetrics & Gynecology in Zachary, LA

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment
6550 MAIN ST., SUITE 2000, ZACHARY, LA 70791(225) 658-1303(225) 658-1304 Get Directions Write a Review

NPPES record last updated: January 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keith Brian Elbourne M.d. NPPES

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

KEITH BRIAN ELBOURNE M.D. (NPI 1194742122) is an individual obstetrics & gynecology provider in Zachary, Louisiana, licensed in Louisiana (MD.026232) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lane Regional Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2002).

NPPES Registry Identity

NPI1194742122
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameKEITH BRIAN ELBOURNECredential: M.D.
Location Address6550 MAIN ST., SUITE 2000Zachary, LA 70791-4033
Mailing Address2335 Church St Ste EZachary, LA 70791-2700 · (225) 570-2489 · Fax (225) 570-2986
Phone(225) 658-1303
Fax(225) 658-1304
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2002
Enumeration DateJuly 16, 2006
Last NPPES UpdateJanuary 23, 2020
✔ NPI 1194742122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in LA · MD.026232
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6550 MAIN ST., Zachary, LA 70791
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Other Identifiers 1

Medicaid1053074LA

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

Keith Brian Elbourne 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 ID1456350669
PECOS Enrollment IDI20061218000295
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 Keith Elbourne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospital Service District 1 Of East Baton Rouge Parish
Same address
Obstetrics & Gynecology
6550 MAIN ST STE 2000
Zachary, LA 70791
  • Reassigned Medicare billing, Louisiana enrollment
  • 73 clinicians in this Medicare group
NPI 1689041824 (225) 658-1303

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 2

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 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.
24 services17 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.
24 services16 patients

Hospital Affiliations CMS Care Compare 3

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

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70791 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
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.

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 Keith Elbourne's NPI number?

The NPI number for Keith Elbourne is 1194742122. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Keith Elbourne located?

Keith Elbourne practices at 6550 Main St. Suite 2000, Zachary, LA 70791. The listed phone number is (225) 658-1303.

What is Keith Elbourne's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Keith Elbourne enrolled in Medicare?

Yes. Keith Elbourne 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 Keith Elbourne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Elbourne reassigns Medicare benefits to Hospital Service District 1 Of East Baton Rouge Parish (Zachary, 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 Keith Elbourne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keith Elbourne accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and HMO Louisiana and 1 other insurer list Keith Elbourne 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 Keith Elbourne affiliated with any hospitals?

According to CMS data, Keith Elbourne is affiliated with Lane Regional Medical Center, Womans Hospital and West Feliciana Parish Hospital.

When was this NPI record last updated?

The NPPES record for Keith Elbourne was last updated on January 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.