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DOUGLAS PHILLIP CUSHNER
NPI 1407432131
Emergency Medicine in Baton Rouge, LA

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment
78.66/100
CMS Quality Rating
5246 BRITTANY DR, BATON ROUGE, LA 70808(225) 757-4142 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2024, Oct 24, 2023, Mar 23, 2021 (3 updates tracked since 2021).

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 East Georgia Regional Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1407432131
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDOUGLAS PHILLIP CUSHNER
Location Address5246 BRITTANY DRBaton Rouge, LA 70808-9136
Mailing Address5246 Brittany DrBaton Rouge, LA 70808-9136 · (225) 757-4142
Phone(225) 757-4142
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 23, 2021
Last NPPES UpdateApril 22, 20243 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1407432131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in LA · 336740
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5246 BRITTANY DR, Baton Rouge, LA 70808
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan, HMO Louisiana.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

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.

PECOS PAC ID3971905092
PECOS Enrollment IDI20231107000604
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
155 services149 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
64 services61 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services36 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services32 patients

Hospital Affiliations CMS Care Compare 4

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

East Georgia Regional Medical Center

Acute Care Hospitals · Statesboro, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110075
Location1499 Fair RoadStatesboro, GA 30458 · Bulloch County
Emergency services

Morehouse General Hospital

Acute Care Hospitals · Bastrop, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190116
Location323 W WalnutBastrop, LA 71220 · Morehouse County
Emergency services

Rolling Plains Memorial Hospital

Acute Care Hospitals · Sweetwater, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450055
Location200 E ArizonaSweetwater, TX 79556 · Nolan County
Emergency services Birthing friendly

Cogdell Memorial Hospital

Critical Access Hospitals · Snyder, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451384
Location1700 Cogdell BlvdSnyder, TX 79549 · Scurry 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
$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
$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.

78.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.62
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.

BENJAMIN NGUYEN
Emergency Medicine
5246 BRITTANY DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 757-4142
MERCY YANG MD
Student in an Organized Health Care Education/Training Program
5246 BRITTANY DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 757-4080
MARCIE LEANNE SORREL
Student in an Organized Health Care Education/Training Program
5246 BRITTANY DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 757-4080
WILLIAM SCOTT SMITH MD
Student in an Organized Health Care Education/Training Program
5246 BRITTANY DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 757-4080
VICTORIA FONTENOT DO
Student in an Organized Health Care Education/Training Program
5246 BRITTANY DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 757-4142
DR. JOHN ROYCE CAMPBELL JR. MD
Student in an Organized Health Care Education/Training Program
5246 BRITTANY DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 757-4142
ALYSSA VICTORIA GONZALES
Emergency Medicine
5246 BRITTANY DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 757-4142
LEIGH HICKHAM MD
Student in an Organized Health Care Education/Training Program
5246 BRITTANY DR
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 757-4080

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.

What insurance does Douglas Cushner accept?

Health plans from 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 East Georgia Regional Medical Center, 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.