BENJAMIN DOMINIC BREAZILE MD
NPI 1407389034
Hospitalist in Baton Rouge, LA

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment
5000 HENNESSY BLVD, BATON ROUGE, LA 70808(225) 765-4050(225) 765-4046 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2023, Jul 7, 2020, Apr 10, 2017 (3 updates tracked since 2017).

About Benjamin Dominic Breazile Md NPPES

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

BENJAMIN DOMINIC BREAZILE MD (NPI 1407389034) is an individual hospitalist provider in Baton Rouge, Louisiana, licensed in Louisiana (338121) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1407389034
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBENJAMIN DOMINIC BREAZILECredential: MD
Location Address5000 HENNESSY BLVDBaton Rouge, LA 70808-4375
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 765-4050 · Fax (225) 765-9196
Fax(225) 765-4046
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2017
Enumeration DateApril 10, 2017
Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
NPI 1407389034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in LA · 338121
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 41085 (AL)
5000 HENNESSY BLVD, Baton Rouge, LA 70808

Secondary Practice Location 1

Location 1832 Princeton Ave SWBirmingham, AL 35211-1320 · Phone (205) 780-7053

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

Benjamin Dominic Breazile 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 ID9638427594
PECOS Enrollment IDI20230810002265
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 4

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 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.
186 services79 patients
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.
158 services75 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
77 services76 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.
75 services73 patients

Hospital Affiliations CMS Care Compare

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

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number190064
Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70808 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims35 services$5.68 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers19 claims19 services$188.64 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.

Nurse Practitioner
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
Physician Assistant
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
Psychologist (Clinical)
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
Student in an Organized Health Care Education/Training Program
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
Physical Medicine & Rehabilitation
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
Hospitalist
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
Internal Medicine
5000 HENNESSY BLVD
BATON ROUGE, LA 70808
Internal Medicine
5000 HENNESSY BLVD
BATON ROUGE, LA 70808

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 Benjamin Breazile's NPI number?

The NPI number for Benjamin Breazile is 1407389034. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Where is Benjamin Breazile located?

Benjamin Breazile practices at 5000 Hennessy Blvd, Baton Rouge, LA 70808. The listed phone number is (225) 765-4050.

What is Benjamin Breazile's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Benjamin Breazile enrolled in Medicare?

Yes. Benjamin Breazile 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 Benjamin Breazile accept?

Health plans from HMO Louisiana and Oscar Insurance Company list Benjamin Breazile 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 Benjamin Breazile affiliated with any hospitals?

According to CMS data, Benjamin Breazile is affiliated with Our Lady Of The Lake Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Breazile was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.