DR. VICKI ZEMINA MUNSON-WHETSTONE M.D.
NPI 1417126277
Family Medicine in Zachary, LA

Q: What is Vicki Munson-whetstone's NPI number?

The NPI number for Vicki Munson-whetstone is 1417126277. It was assigned to this individual provider in the NPPES registry on February 26, 2008. The provider is also known as Dr. Vicki Zemina Munson M.D..

Q: What is Vicki Munson-whetstone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since February 26, 2008PECOS EnrolledAccepts Medicare Assignment

79.13/100

CMS Quality Rating

4242 HIGHWAY 19, SUITE C, ZACHARY, LA 70791(225) 286-8100(225) 286-8110 Get Directions Write a Review

NPPES record last updated: October 21, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Vicki Zemina Munson-whetstone M.d. NPPES

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

DR. VICKI ZEMINA MUNSON-WHETSTONE M.D. (NPI 1417126277) is an individual family medicine provider in Zachary, Louisiana, licensed in Louisiana (202267) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Lane Regional Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2006).

NPPES Registry Identity

NPI1417126277

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. VICKI ZEMINA MUNSON-WHETSTONECredential: M.D.

Location Address4242 HIGHWAY 19, SUITE CZachary, LA 70791-3981

Mailing Address4242 Highway 19, Suite CZachary, LA 70791-3981 · (225) 286-8100 · Fax (225) 286-8110

Phone(225) 286-8100

Fax(225) 286-8110

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2006

Enumeration DateFebruary 26, 2008

Last NPPES UpdateOctober 21, 2013

✔ NPI 1417126277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · 202267

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4242 HIGHWAY 19, Zachary, LA 70791

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Other Names 1

Former Name (1)Dr. Vicki Zemina Munson M.d.

Other Identifiers 1

Medicaid1077933LA

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 Superior HealthPlan and more.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

Dr. Vicki Zemina Munson-whetstone M.d. 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 ID9335295799

PECOS Enrollment IDI20090926000062

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.

Medicare Billing Reassignment

Medicare enrollment records show Vicki Munson-whetstone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baton Rouge General Medical Center

14 mi

Family Medicine

610 N JEFFERSON AVE
Port Allen, LA 70767

Reassigned Medicare billing, Louisiana enrollment
Medicare enrollment name: Baton Rouge General Physicians Inc
31 clinicians in this Medicare group

NPI 1407284540 (225) 267-6626

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 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

367 services127 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

119 services85 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

64 services22 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

50 services50 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

38 services38 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

37 services25 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

36 services21 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

35 services35 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

21 services21 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

19 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services16 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Womans Hospital

Acute Care Hospitals · Baton Rouge, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190128

Location100 Woman's WayBaton Rouge, LA 70817 · E. Baton Rouge County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70791 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.

79.13/100

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

Scored as part of a group practice

Quality

72.43

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

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

7 suppliers13 claims28 services$6.89 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers11 claims11 services$16.10 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers24 claims24 services$59.36 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$23.72 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier13 claims13 services$8.02 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 suppliers29 claims29 services$185.29 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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCY SCOTT

Counselor (Mental Health)

4242 HIGHWAY 19, 3B
ZACHARY, LA 70791

East Baton Rouge Parish (225) 757-5699

AMERICAN ONCOLOGY PARTNERS, P.A.

Internal Medicine (Hematology & Oncology)

4242 HIGHWAY 19, BUILDING 3, SUITE B
ZACHARY, LA 70791

East Baton Rouge Parish (225) 306-7260

DELAYSHIA THOMPSON

Counselor (Mental Health)

4242 HIGHWAY 19, SUITE 3B
ZACHARY, LA 70791

East Baton Rouge Parish (225) 757-5699

PARAMOUNT CARDIOVASCULAR CONSULTANTS, L.L.C.

Clinic/Center (Radiology)

4242 HIGHWAY 19, BUILDING 3, SUITE C
ZACHARY, LA 70791

East Baton Rouge Parish (337) 680-4877

PARAMOUNT MEDICAL SERVICES OF LOUISIANA, L.L.C.

Internal Medicine (Interventional Cardiology)

4242 HIGHWAY 19, SUITE A
ZACHARY, LA 70791

East Baton Rouge Parish (914) 494-3803

TATYANA ORDOGNE

Social Worker

4242 HIGHWAY 19, SUITE 3B
ZACHARY, LA 70791

East Baton Rouge Parish (225) 757-5699

ERICA LESA COURTNEY

Case Manager/Care Coordinator

4242 HIGHWAY 19, SUITE 3-B
ZACHARY, LA 70791

East Baton Rouge Parish (225) 757-5699

TAIRA LYNN WOODROFFE M.D.

Pediatrics

4242 HIGHWAY 19, BUILDING 3 SUITE A
ZACHARY, LA 70791

East Baton Rouge Parish (225) 658-7860

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 Vicki Munson-whetstone's NPI number?

The NPI number for Vicki Munson-whetstone is 1417126277. It was assigned to this individual provider in the NPPES registry on February 26, 2008. The provider is also known as Dr. Vicki Zemina Munson M.D..

Where is Vicki Munson-whetstone located?

Vicki Munson-whetstone practices at 4242 Highway 19 Suite C, Zachary, LA 70791. The listed phone number is (225) 286-8100.

What is Vicki Munson-whetstone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Vicki Munson-whetstone enrolled in Medicare?

Yes. Vicki Munson-whetstone 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 organization bills Medicare for Vicki Munson-whetstone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vicki Munson-whetstone reassigns Medicare benefits to Baton Rouge General Medical Center (Port Allen, LA). The 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 Vicki Munson-whetstone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vicki Munson-whetstone accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Vicki Munson-whetstone 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 Vicki Munson-whetstone affiliated with any hospitals?

According to CMS data, Vicki Munson-whetstone is affiliated with Lane Regional Medical Center, Baton Rouge General Medical Center and Womans Hospital.

When was this NPI record last updated?

The NPPES record for Vicki Munson-whetstone was last updated on October 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.