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DR. MONTE ALTON THAMES JR. M.D.
NPI 1619160819
Emergency Medicine in Baton Rouge, LA

Active since August 21, 2007PECOS EnrolledAccepts Medicare Assignment
78.66/100
CMS Quality Rating
5285 AIRLINE HWY, BATON ROUGE, LA 70805(225) 358-3940 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Monte Alton Thames Jr. M.d. NPPES

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

DR. MONTE ALTON THAMES JR. M.D. (NPI 1619160819) is an individual emergency medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (MD.202214) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Baton Rouge General Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1619160819
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MONTE ALTON THAMES JR.Credential: M.D.
Location Address5285 AIRLINE HWYBaton Rouge, LA 70805
Mailing Address7215 Winthrop AveBaton Rouge, LA 70806-4617
Phone(225) 358-3940
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 21, 2007
Last NPPES UpdateMarch 13, 2020
NPPES CertifiedMarch 13, 2020
✔ NPI 1619160819 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 · MD.202214
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.
5285 AIRLINE HWY, Baton Rouge, LA 70805
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Other Identifiers 2

OtherP00810363LA · Rrmcare Thru Pepa
Medicaid1500500LA

Accepted Insurance

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

Dr. Monte Alton Thames Jr. 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 ID5597821272
PECOS Enrollment IDI20090304000546
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.
242 services238 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.
229 services217 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.
90 services88 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.
67 services66 patients

Hospital Affiliations CMS Care Compare 2

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

The General

Acute Care Hospitals · Baton Rouge, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number190316
Location3600 Florida Blvd, Suite 2020Baton Rouge, LA 70806 · E. Baton Rouge County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70805 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

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 Monte Thames's NPI number?

The NPI number for Monte Thames is 1619160819. It was assigned to this individual provider in the NPPES registry on August 21, 2007.

Where is Monte Thames located?

Monte Thames practices at 5285 Airline Hwy, Baton Rouge, LA 70805. The listed phone number is (225) 358-3940.

What is Monte Thames's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Monte Thames enrolled in Medicare?

Yes. Monte Thames 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 Monte Thames accept?

Health plans from CHRISTUS Health Plan list Monte Thames 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 Monte Thames affiliated with any hospitals?

According to CMS data, Monte Thames is affiliated with Baton Rouge General Medical Center and The General.

When was this NPI record last updated?

The NPPES record for Monte Thames was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.