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DR. DEREK B BAUMBOUREE M.D.
NPI 1265430995
Pediatrics in Lafayette, LA

Active since July 07, 2005PECOS EnrolledCLIA 19D2129012 · Waiver
324 E FARREL RD, LAFAYETTE, LA 70508(337) 470-6590(337) 470-6595 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 10, 2025, Jan 11, 2021 (2 updates tracked since 2021).

About Dr. Derek B Baumbouree M.d. NPPES

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

DR. DEREK B BAUMBOUREE M.D. (NPI 1265430995) is an individual pediatrics provider in Lafayette, Louisiana, licensed in Louisiana (022823) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and holds a CLIA Waiver certificate valid through April 10, 2027.

NPPES Registry Identity

NPI1265430995
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DEREK B BAUMBOUREECredential: M.D.
Location Address324 E FARREL RDLafayette, LA 70508-6928
Mailing Address4809 Ambassador Caffery Pkwy, Suite 200Lafayette, LA 70508-6917 · (337) 984-2444 · Fax (337) 988-8885
Phone(337) 470-6590
Fax(337) 470-6595
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateJanuary 10, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1265430995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · 022823
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
324 E FARREL RD, Lafayette, LA 70508
Open in Google Maps ↗

Other Identifiers 1

Medicaid1493708LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derek B Baumbouree M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2129012

Derek Baumbouree, MD, Apmc · Lafayette, LA
Active · expires Apr 10, 2027
CLIA Number19D2129012
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorDerek B. Baumbouree
Laboratory Phone(337) 984-2444
Laboratory LocationDerek Baumbouree, MD, Apmc324 E Farrel Rd, Lafayette, LA 70508
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70508 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.

Other Providers at the Same Location NPPES 2

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

DEREK BAUMBOUREE, MD, APMC
Pediatrics
324 E FARREL RD
LAFAYETTE, LA 70508
Lafayette Parish (337) 984-2444
NATALIE DEROUEN MD
Pediatrics
324 E FARREL RD
LAFAYETTE, LA 70508
Lafayette Parish (337) 984-2444

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 Derek Baumbouree's NPI number?

The NPI number for Derek Baumbouree is 1265430995. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Derek Baumbouree located?

Derek Baumbouree practices at 324 E Farrel Rd, Lafayette, LA 70508. The listed phone number is (337) 470-6590.

What is Derek Baumbouree's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Derek Baumbouree enrolled in Medicare?

Yes. Derek Baumbouree is registered in the Medicare PECOS enrollment system.

Does Derek Baumbouree hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2129012) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Derek Baumbouree accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Derek Baumbouree 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.

When was this NPI record last updated?

The NPPES record for Derek Baumbouree was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.