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BREANNA RAE CAMPBELL MD
NPI 1295112597
Internal Medicine - Infectious Disease in Baton Rouge, LA

Active since May 06, 2015PECOS EnrolledAccepts Medicare Assignment
81.09/100
CMS Quality Rating
8585 PICARDY AVE, BATON ROUGE, LA 70809(225) 763-4764(225) 763-4549 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2021, Jun 15, 2018 (2 updates tracked since 2018).

About Breanna Rae Campbell Md NPPES

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

BREANNA RAE CAMPBELL MD (NPI 1295112597) is an individual infectious disease provider in Baton Rouge, Louisiana, licensed in Louisiana (327568) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Lane Regional Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1295112597
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameBREANNA RAE CAMPBELLCredential: MD
Location Address8585 PICARDY AVEBaton Rouge, LA 70809-3748
Mailing Address7373 Perkins RdBaton Rouge, LA 70808-4373 · (225) 246-9790 · Fax (225) 246-9160
Phone(225) 763-4764
Fax(225) 763-4549
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2015
Enumeration DateMay 6, 2015
Last NPPES UpdateJune 24, 20212 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
✔ NPI 1295112597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in LA · 327568
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
8585 PICARDY AVE, Baton Rouge, LA 70809
Open in Google Maps ↗

Other Names 1

Former Name (1)Breanna Goodwin

Secondary Practice Location 1

Location 11220 Lee St Ste 2401Charlottesville, VA 22908 · Phone (434) 243-6297 · Fax (434) 244-9438

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 Magnolia Health and more.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

Breanna Rae Campbell 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 ID5496007163
PECOS Enrollment IDI20210629001919
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
269 services109 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
201 services77 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
153 services119 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
45 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services18 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

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

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
$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.

81.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.87
Promoting Interoperability81
Improvement Activities40

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.

SHIVA CHARAN ANAJI MBBS
Internal Medicine
8585 PICARDY AVE
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 763-4764
DR. TOMMIE GABRIELLE ESPY MD
Emergency Medicine
8585 PICARDY AVE
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 387-7000
BATON ROUGE GENERAL MEDICAL CENTER
Durable Medical Equipment & Medical Supplies
8585 PICARDY AVE
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 237-1818
SARAH CLAIRE SMITH FNP-C
Nurse Practitioner (Family)
8585 PICARDY AVE
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 763-4764
DR. HALLI REBECCA SMALL MD
Emergency Medicine
8585 PICARDY AVE
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 636-1900
NEOKIDS LLC
Pediatrics (Neonatal-Perinatal Medicine)
8585 PICARDY AVE
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 433-2830
DR. TAYLOR SCOTT GWIN MD, MPH
Surgery (Vascular Surgery)
8585 PICARDY AVE, SUITE 310
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 767-5479
DR. LORENE BROOKE WILEY MD
Obstetrics & Gynecology
8585 PICARDY AVE
BATON ROUGE, LA 70809
East Baton Rouge Parish (225) 763-4000

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 Breanna Campbell's NPI number?

The NPI number for Breanna Campbell is 1295112597. It was assigned to this individual provider in the NPPES registry on May 6, 2015. The provider is also known as Breanna Goodwin.

Where is Breanna Campbell located?

Breanna Campbell practices at 8585 Picardy Ave, Baton Rouge, LA 70809. The listed phone number is (225) 763-4764.

What is Breanna Campbell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Breanna Campbell enrolled in Medicare?

Yes. Breanna Campbell 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 Breanna Campbell accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Breanna Campbell 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 Breanna Campbell affiliated with any hospitals?

According to CMS data, Breanna Campbell is affiliated with Lane Regional Medical Center and Baton Rouge General Medical Center.

When was this NPI record last updated?

The NPPES record for Breanna Campbell was last updated on June 24, 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.