GUNJAN RAINA MD
NPI 1437325206
Family Medicine in Baton Rouge, LA

Active since May 01, 2008PECOS EnrolledAccepts Medicare Assignment
8595 PICARDY AVE, SUITE 100, BATON ROUGE, LA 70809(225) 763-4900(225) 763-4938 Get Directions Write a Review

NPPES record last updated: September 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gunjan Raina Md NPPES

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

GUNJAN RAINA MD (NPI 1437325206) is an individual family medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (MD204202) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Baton Rouge General Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1437325206
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGUNJAN RAINACredential: MD
Location Address8595 PICARDY AVE, SUITE 100Baton Rouge, LA 70809-3670
Mailing Address8490 Picardy Ave, Bldg 200Baton Rouge, LA 70809-3731 · (225) 237-1754 · Fax (225) 237-1722
Fax(225) 763-4938
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 1, 2008
Last NPPES UpdateSeptember 23, 2014
NPI 1437325206 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 · MD204202
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.
8595 PICARDY AVE, Baton Rouge, LA 70809

Other Names 1

Professional Name (2)Dr. Gunjan Raina M.d.

Other Identifiers 2

Medicaid2127659LA
Medicare PIN4P601B116LA

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

Gunjan Raina 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 ID9335335397
PECOS Enrollment IDI20101202000422
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 5

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.
47 services32 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.
44 services33 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
36 services18 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.
20 services15 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70809 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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
85%636 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
64%922 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
2%50 patients1/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
50%269 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%62 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
56%62 patients3/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
69%32 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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$16.19 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
2 suppliers11 claims11 services$62.12 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.

Obstetrics & Gynecology
8595 PICARDY AVE, SUITE 230
BATON ROUGE, LA 70809
Family Medicine
8595 PICARDY AVE, STE 100
BATON ROUGE, LA 70809
Internal Medicine
8595 PICARDY AVE, STE 100
BATON ROUGE, LA 70809
Internal Medicine (Medical Oncology)
8595 PICARDY AVE, SUITE 400
BATON ROUGE, LA 70809
Obstetrics & Gynecology
8595 PICARDY AVE, SUITE 320
BATON ROUGE, LA 70809
Family Medicine
8595 PICARDY AVE, STE 100
BATON ROUGE, LA 70809
Advanced Practice Midwife
8595 PICARDY AVE, SUITE 430
BATON ROUGE, LA 70809
Obstetrics & Gynecology
8595 PICARDY AVE, SUITE 230
BATON ROUGE, LA 70809

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 Gunjan Raina's NPI number?

The NPI number for Gunjan Raina is 1437325206. It was assigned to this individual provider in the NPPES registry on May 1, 2008. The provider is also known as Dr. Gunjan Raina M.D..

Where is Gunjan Raina located?

Gunjan Raina practices at 8595 Picardy Ave Suite 100, Baton Rouge, LA 70809. The listed phone number is (225) 763-4900.

What is Gunjan Raina's specialty?

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

Is Gunjan Raina enrolled in Medicare?

Yes. Gunjan Raina 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 Gunjan Raina accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Gunjan Raina 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 Gunjan Raina affiliated with any hospitals?

According to CMS data, Gunjan Raina is affiliated with Baton Rouge General Medical Center.

When was this NPI record last updated?

The NPPES record for Gunjan Raina was last updated on September 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.