DR. AMY GAUDET RABALAIS MD
NPI 1275723942
Otolaryngology in Baton Rouge, LA

Active since July 30, 2007PECOS EnrolledAccepts Medicare Assignment
9001 SUMMA AVENUE, BATON ROUGE, LA 70809(225) 761-5402 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Amy Gaudet Rabalais Md NPPES

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

DR. AMY GAUDET RABALAIS MD (NPI 1275723942) is an individual otolaryngology provider in Baton Rouge, Louisiana, licensed in Louisiana (MD.200941) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center - Baton Rouge, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2005).

NPPES Registry Identity

NPI1275723942
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. AMY GAUDET RABALAISCredential: MD
Location Address9001 SUMMA AVENUEBaton Rouge, LA 70809-3726
Mailing Address1514 Jefferson HighwayNew Orleans, LA 70121-2429 · (504) 842-4000
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2005
Enumeration DateJuly 30, 2007
Last NPPES UpdateJuly 29, 2021
NPPES CertifiedJuly 29, 2021
NPI 1275723942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in LA · MD.200941
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD.200941 (LA)
9001 SUMMA AVENUE, Baton Rouge, LA 70809

Other Identifiers 2

Medicaid1237736LA
Medicaid03332256MS

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. Amy Gaudet Rabalais 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 ID4385776566
PECOS Enrollment IDI20100723000455
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 6

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.
30 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
16 services16 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.
14 services11 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190202
Location17000 Medical Center DrBaton Rouge, LA 70816 · 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
$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.

Other Providers at the Same Location NPPES 18

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

Dermatology
9001 SUMMA AVENUE
BATON ROUGE, LA 70809
Pediatrics
9001 SUMMA AVENUE
BATON ROUGE, LA 70809
Physical Medicine & Rehabilitation
9001 SUMMA AVENUE
BATON ROUGE, LA 70809
Surgery
9001 SUMMA AVENUE
BATON ROUGE, LA 70809
Internal Medicine (Interventional Cardiology)
9001 SUMMA AVENUE
BATON ROUGE, LA 70809
Urology
9001 SUMMA AVENUE
BATON ROUGE, LA 70809
Family Medicine
9001 SUMMA AVENUE
BATON ROUGE, LA 70809
Radiology (Diagnostic Radiology)
9001 SUMMA AVENUE
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 Amy Rabalais's NPI number?

The NPI number for Amy Rabalais is 1275723942. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Amy Rabalais located?

Amy Rabalais practices at 9001 Summa Avenue, Baton Rouge, LA 70809. The listed phone number is (225) 761-5402.

What is Amy Rabalais's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Amy Rabalais enrolled in Medicare?

Yes. Amy Rabalais 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 Amy Rabalais accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Amy Rabalais 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 Amy Rabalais affiliated with any hospitals?

According to CMS data, Amy Rabalais is affiliated with Ochsner Medical Center - Baton Rouge.

When was this NPI record last updated?

The NPPES record for Amy Rabalais was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.