ROY F BRABHAM JR. M.D.
NPI 1316283286
Plastic Surgery in Baton Rouge, LA

Q: What is Roy Brabham's NPI number?

The NPI number for Roy Brabham is 1316283286. It was assigned to this individual provider in the NPPES registry on December 21, 2012.

Q: What is Roy Brabham's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Roy Brabham was last updated on January 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since December 21, 2012PECOS Enrolled

75.15/100

CMS Quality Rating

3600 FLORIDA BLVD, BATON ROUGE, LA 70806(225) 281-2669(985) 892-7070 Get Directions Write a Review

NPPES record last updated: January 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Roy F Brabham Jr. M.d. NPPES

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

ROY F BRABHAM JR. M.D. (NPI 1316283286) is an individual plastic surgery provider in Baton Rouge, Louisiana, licensed in Louisiana (MD.013301) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316283286

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameROY F BRABHAM JR.Credential: M.D.

Location Address3600 FLORIDA BLVDBaton Rouge, LA 70806-3842

Mailing AddressPo Box 1089Hammond, LA 70404-1089 · (985) 892-7070 · Fax (985) 892-7017

Phone(225) 281-2669

Fax(985) 892-7070

Sole ProprietorYes

Enumeration DateDecember 21, 2012

Last NPPES UpdateJanuary 29, 2018

✔ NPI 1316283286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in LA · MD.013301

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSpecialistTaxonomy 174400000X · License MD.013301 (LA)

Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License MD.013301 (LA)

3600 FLORIDA BLVD, Baton Rouge, LA 70806

Open in Google Maps ↗

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

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 (PECOS)

Roy F Brabham Jr. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70806 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

$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.

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.

75.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

52.99

Promoting Interoperability

Improvement Activities

Cost

36.69

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

2 suppliers14 claims800 services$0.33 avg. paid by Medicare

Collagen dressing, sterile, size 16 sq. in. or less, each A6021

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims315 services$20.32 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing A6197

DME-Medical/Surgical Supplies · category DA023N

1 supplier12 claims435 services$15.91 avg. paid by Medicare

Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252

DME-Medical/Surgical Supplies · category DA023N

2 suppliers14 claims540 services$3.07 avg. paid by Medicare

Powered pressure-reducing air mattress E0277

DME-Hospital Beds · category DB000N

2 suppliers13 claims13 services$135.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BATON ROUGE GENERAL MEDICAL CENTER

Pharmacy (Community/Retail Pharmacy)

3600 FLORIDA BLVD
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 387-7627

TERRY F KUNG DO

Internal Medicine

3600 FLORIDA BLVD
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 387-7070

DANIELLE K. BENNETT NP

Nurse Practitioner (Adult Health)

3600 FLORIDA BLVD
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 381-2650

STANLEY LAWRENCE BONIS MD

Internal Medicine (Cardiovascular Disease)

3600 FLORIDA BLVD, BOX 2511
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 381-6978

DR. TIMOTHY A GIRARD M.D.

Emergency Medicine

3600 FLORIDA BLVD
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 387-7053

PAMELA PAYMENT M.D.

Emergency Medicine

3600 FLORIDA BLVD
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 387-7053

BATON ROUGE GENERAL MEDICAL CENTER

Skilled Nursing Facility

3600 FLORIDA BLVD
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 387-7000

WILLIAM KEITH KELLUM II

Internal Medicine

3600 FLORIDA BLVD
BATON ROUGE, LA 70806

East Baton Rouge Parish (225) 387-7070

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 Roy Brabham's NPI number?

The NPI number for Roy Brabham is 1316283286. It was assigned to this individual provider in the NPPES registry on December 21, 2012.

Where is Roy Brabham located?

Roy Brabham practices at 3600 Florida Blvd, Baton Rouge, LA 70806. The listed phone number is (225) 281-2669.

What is Roy Brabham's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Roy Brabham enrolled in Medicare?

Yes. Roy Brabham is registered in the Medicare PECOS enrollment system.

What insurance does Roy Brabham accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Roy Brabham 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 Roy Brabham was last updated on January 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.