KELLY EATON BOUSSERT M.D.
NPI 1679717136
Pain Medicine - Interventional Pain Medicine in Baton Rouge, LA

Active since April 28, 2009PECOS EnrolledAccepts Medicare Assignment
30.8/100
CMS Quality Rating
8080 BLUEBONNET BLVD STE 1000, BATON ROUGE, LA 70810(225) 924-2424(225) 408-7980 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Eaton Boussert M.d. NPPES

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

KELLY EATON BOUSSERT M.D. (NPI 1679717136) is an individual interventional pain medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (MD.207144) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1679717136
Entity TypeIndividualFemale
Primary Taxonomy208VP0014X
Provider Legal NameKELLY EATON BOUSSERTCredential: M.D.
Location Address8080 BLUEBONNET BLVD STE 1000Baton Rouge, LA 70810-7827
Mailing Address8080 Bluebonnet Blvd Ste 1000Baton Rouge, LA 70810-7827 · (225) 924-2424 · Fax (225) 408-7980
Fax(225) 408-7980
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 28, 2009
Last NPPES UpdateJune 15, 2021
NPPES CertifiedJune 15, 2021
NPI 1679717136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in LA · MD.207144
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License MD.207144 (LA)
8080 BLUEBONNET BLVD STE 1000, Baton Rouge, LA 70810

Other Identifiers 1

Medicaid1883450LA

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

Kelly Eaton Boussert 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 ID1658590583
PECOS Enrollment IDI20140908002288
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 26

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 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.
734 services321 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.
395 services251 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
283 services226 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
124 services99 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
120 services77 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
115 services75 patients

Hospital Affiliations CMS Care Compare 3

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

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 70810 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.

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.

30.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability86
Improvement Activities0

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.

Orthopaedic Surgery
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810
Occupational Therapist
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810
Physical Therapist
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810
Specialist/Technologist, Other (Orthopedic Assistant)
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810
Occupational Therapist
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810
Nurse Practitioner
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810
Orthopaedic Surgery
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810
Specialist/Technologist, Other (Surgical Technologist)
8080 BLUEBONNET BLVD STE 1000
BATON ROUGE, LA 70810

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 Kelly Boussert's NPI number?

The NPI number for Kelly Boussert is 1679717136. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Where is Kelly Boussert located?

Kelly Boussert practices at 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810. The listed phone number is (225) 924-2424.

What is Kelly Boussert's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Kelly Boussert enrolled in Medicare?

Yes. Kelly Boussert 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 Kelly Boussert accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Kelly Boussert 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 Kelly Boussert affiliated with any hospitals?

According to CMS data, Kelly Boussert is affiliated with Our Lady Of The Lake Regional Medical Center, Baton Rouge General Medical Center and Womans Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Boussert was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.