CARTER BAUGHMAN MD
NPI 1477120871
Internal Medicine in Metairie, LA

Active since June 06, 2021PECOS EnrolledAccepts Medicare Assignment
4200 HOUMA BLVD, METAIRIE, LA 70006(504) 503-4000 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 31, 2026, May 20, 2025, Nov 4, 2024 and 1 more (4 updates tracked since 2021).

About Carter Baughman Md NPPES

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

CARTER BAUGHMAN MD (NPI 1477120871) is an individual internal medicine provider in Metairie, Louisiana, licensed in Louisiana (345288) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1477120871
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCARTER BAUGHMANCredential: MD
Location Address4200 HOUMA BLVDMetairie, LA 70006-2970
Mailing Address4200 Houma BlvdMetairie, LA 70006-2970 · (504) 503-4000
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2021
Enumeration DateJune 6, 2021
Last NPPES UpdateJuly 31, 20264 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1477120871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in LA · 345288✔ Licensed in MA · 1018190✔ Licensed in KY · 61683
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 288905 (MA)
4200 HOUMA BLVD, Metairie, LA 70006

Secondary Practice Locations 3

Location 11400 Vfw PkwyWest Roxbury, MA 02132-4927 · Phone (617) 323-7700
Location 2830 S Limestone, Ste 304Lexington, KY 40536-0582 · Phone (859) 323-0303
Location 3330 Brookline AveBoston, MA 02215-5400 · Phone (617) 667-7000

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

Carter Baughman 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 ID9739583816
PECOS Enrollment IDI20250603003369
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 Reassignments

2

Medicare enrollment records show Carter Baughman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anatomic Pathology & Clinical Pathology
2000 CANAL ST
New Orleans, LA 70112
  • Reassigned Medicare billing, Louisiana enrollment
  • Medicare enrollment name: Administrators Of The Tulane Educational Fund
  • 851 clinicians in this Medicare group
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 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.

Hospital Affiliations CMS Care Compare

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

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.

Radiology (Diagnostic Radiology)
4200 HOUMA BLVD
METAIRIE, LA 70006
Pathology (Anatomic Pathology)
4200 HOUMA BLVD
METAIRIE, LA 70006
Ambulance
4200 HOUMA BLVD
METAIRIE, LA 70006
Nurse Practitioner (Family)
4200 HOUMA BLVD
METAIRIE, LA 70006
Student in an Organized Health Care Education/Training Program
4200 HOUMA BLVD
METAIRIE, LA 70006
Nurse Anesthetist, Certified Registered
4200 HOUMA BLVD
METAIRIE, LA 70006
Emergency Medicine
4200 HOUMA BLVD
METAIRIE, LA 70006
Nurse Practitioner (Family)
4200 HOUMA BLVD
METAIRIE, LA 70006

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 Carter Baughman's NPI number?

The NPI number for Carter Baughman is 1477120871. It was assigned to this individual provider in the NPPES registry on June 6, 2021.

Where is Carter Baughman located?

Carter Baughman practices at 4200 Houma Blvd, Metairie, LA 70006. The listed phone number is (504) 503-4000.

What is Carter Baughman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carter Baughman enrolled in Medicare?

Yes. Carter Baughman 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 Carter Baughman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carter Baughman reassigns Medicare benefits to 2 organizations: Administrators Of The Tulane Education Fund (New Orleans, LA) and Kentucky Medical Services Foundation, Inc (Lexington, KY). 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 Carter Baughman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carter Baughman accept?

Health plans from HMO Louisiana list Carter Baughman 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 Carter Baughman affiliated with any hospitals?

According to CMS data, Carter Baughman is affiliated with University Medical Center New Orleans.

When was this NPI record last updated?

The NPPES record for Carter Baughman was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.