JAMES VERMAELEN III M.D.
NPI 1467693440
Internal Medicine - Critical Care Medicine in Baton Rouge, LA

Active since March 20, 2009PECOS EnrolledAccepts Medicare Assignment
7777 HENNESSY BLVD STE 701, BATON ROUGE, LA 70808(225) 765-5864(225) 765-2013 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2021, Nov 11, 2019 (2 updates tracked since 2019).

About James Vermaelen Iii M.d. NPPES

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

JAMES VERMAELEN III M.D. (NPI 1467693440) is an individual critical care medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (MD.204472) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467693440
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameJAMES VERMAELEN IIICredential: M.D.
Location Address7777 HENNESSY BLVD STE 701Baton Rouge, LA 70808
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 765-5864 · Fax (225) 765-9196
Fax(225) 765-2013
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2009
Enumeration DateMarch 20, 2009
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1467693440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in LA · MD.204472
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD.204472 (LA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD.204472 (LA)
Also ListedHospitalistTaxonomy 208M00000X · License 204472 (LA)
7777 HENNESSY BLVD STE 701, Baton Rouge, LA 70808

Secondary Practice Locations 2

Location 110727 Ridgely RdBaton Rouge, LA 70809-3231 · Phone (225) 293-5535
Location 2309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4541 · Fax (318) 966-4543

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

James Vermaelen Iii 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 ID3476792888
PECOS Enrollment IDI20130615000032
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 7

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.

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.
74 services30 patients
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.
55 services32 patients
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.
54 services36 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.
43 services31 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.
21 services21 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
16 services14 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 6

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
4 suppliers50 claims50 services$15.60 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
5 suppliers39 claims42 services$751.14 avg. paid by Medicare
Cough stimulating device, alternating positive and negative airway pressure E0482
DME-Other DME · category DE000N
2 suppliers22 claims22 services$230.71 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
2 suppliers22 claims22 services$20.76 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
5 suppliers83 claims84 services$65.07 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers18 claims20 services$33.44 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.

Physician Assistant (Medical)
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808
Physician Assistant
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808
Internal Medicine (Pulmonary Disease)
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808
Nurse Practitioner (Family)
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808
Internal Medicine (Pulmonary Disease)
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808
Physician Assistant
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808
Internal Medicine
7777 HENNESSY BLVD STE 701
BATON ROUGE, LA 70808
Nurse Practitioner
7777 HENNESSY BLVD STE 701
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 James Vermaelen's NPI number?

The NPI number for James Vermaelen is 1467693440. It was assigned to this individual provider in the NPPES registry on March 20, 2009.

Where is James Vermaelen located?

James Vermaelen practices at 7777 Hennessy Blvd Ste 701, Baton Rouge, LA 70808. The listed phone number is (225) 765-5864.

What is James Vermaelen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is James Vermaelen enrolled in Medicare?

Yes. James Vermaelen 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 James Vermaelen accept?

Health plans from HMO Louisiana list James Vermaelen 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 James Vermaelen affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for James Vermaelen was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.