DOUGLAS PHILLIP CUSHNER
NPI 1407432131
Emergency Medicine in Baton Rouge, LA
About Douglas Phillip Cushner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOUGLAS PHILLIP CUSHNER (NPI 1407432131) is an individual emergency medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (336740) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Morehouse General Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Douglas Phillip Cushner 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.
Medicare Billing Reassignments
7Medicare enrollment records show Douglas Cushner reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baton Rouge, LA 70806
- Reassigned Medicare billing, Louisiana enrollment
- 112 clinicians in this Medicare group
Kaplan, LA 70548
- Reassigned Medicare billing, Louisiana enrollment
- 64 clinicians in this Medicare group
Bastrop, LA 71220
- Reassigned Medicare billing, Louisiana enrollment
- 72 clinicians in this Medicare group
Rincon, GA 31326
- Reassigned Medicare billing, Georgia enrollment
- 53 clinicians in this Medicare group
Snyder, TX 79549
- Reassigned Medicare billing, Texas enrollment
- Also billed through NPI 1578588463 (Texas)
- 57 clinicians in this Medicare group
Seminole, TX 79360
- Reassigned Medicare billing, Texas enrollment
- 63 clinicians in this Medicare group
Fort Stockton, TX 79735
- Reassigned Medicare billing, Texas enrollment
- Also billed through NPI 1386400232 (Texas)
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Morehouse General Hospital
Acute Care Hospitals · Bastrop, LARolling Plains Memorial Hospital
Acute Care Hospitals · Sweetwater, TXCogdell Memorial Hospital
Critical Access Hospitals · Snyder, TXPhysician 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.
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.
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, LA 70808
BATON ROUGE, LA 70808
BATON ROUGE, LA 70808
BATON ROUGE, LA 70808
BATON ROUGE, LA 70808
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 Douglas Cushner's NPI number?
The NPI number for Douglas Cushner is 1407432131. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Douglas Cushner located?
Douglas Cushner practices at 5246 Brittany Dr, Baton Rouge, LA 70808. The listed phone number is (225) 757-4142.
What is Douglas Cushner's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Douglas Cushner enrolled in Medicare?
Yes. Douglas Cushner 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.
Which organizations bill Medicare for Douglas Cushner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Cushner reassigns Medicare benefits to 7 organizations: Red Stick Emergency Group LLC (Baton Rouge, LA), Vermilion Emergency Group LLC (Kaplan, LA), Morehouse General Hospital (Bastrop, LA), Georgia Emergency Associates (Rincon, GA), Scurry County Hospital District (Snyder, TX) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Cushner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Cushner accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and HMO Louisiana list Douglas Cushner 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 Douglas Cushner affiliated with any hospitals?
According to CMS data, Douglas Cushner is affiliated with Morehouse General Hospital, Rolling Plains Memorial Hospital and Cogdell Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Douglas Cushner was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Douglas Phillip Cushner · NPI 1407432131
Emergency Medicine physician in Baton Rouge, Louisiana. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1407432131 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 336740 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 5246 BRITTANY DR, Baton Rouge, LA 70808-9136
- **Phone:** (225) 757-4142
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Red Stick Emergency Group LLC (NPI 1275705998, Baton Rouge, LA); Vermilion Emergency Group LLC (NPI 1215161096, Kaplan, LA); Morehouse General Hospital (NPI 1003898313, Bastrop, LA); Georgia Emergency Associates (NPI 1528098290, Rincon, GA); Scurry County Hospital District (NPI 1124139159, Snyder, TX); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1407432131) · Data from the CMS NPPES public registry.