DR. JOHNATHAN C BAINES MD
NPI 1679769889
Family Medicine in Ruston, LA

Q: What is Johnathan Baines's NPI number?

The NPI number for Johnathan Baines is 1679769889. It was assigned to this individual provider in the NPPES registry on September 20, 2007.

Q: What is Johnathan Baines's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Johnathan Baines was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 20, 2007PECOS Enrolled

78.33/100

CMS Quality Rating

310 W MISSISSIPPI AVE, RUSTON, LA 71270(318) 399-7130(318) 399-7139 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Johnathan C Baines Md NPPES

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

DR. JOHNATHAN C BAINES MD (NPI 1679769889) is an individual family medicine provider in Ruston, Louisiana, licensed in Louisiana (MD.203777) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Northern Louisiana Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2007).

NPPES Registry Identity

NPI1679769889

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JOHNATHAN C BAINESCredential: MD

Location Address310 W MISSISSIPPI AVERuston, LA 71270-4202

Mailing AddressPo Box 829Ruston, LA 71273-0829 · (318) 399-7130 · Fax (318) 399-7139

Phone(318) 399-7130

Fax(318) 399-7139

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2007

Enumeration DateSeptember 20, 2007

Last NPPES UpdateMay 29, 2026

NPPES CertifiedMay 29, 2026

✔ NPI 1679769889 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 · MD.203777

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.

310 W MISSISSIPPI AVE, Ruston, LA 71270

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Other Identifiers 1

OtherBP10028371TX · Basic Permit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Johnathan C Baines Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193856755

PECOS Enrollment IDI20100625000112

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

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

Clhg-Ruston LLC

0.9 mi

Family Medicine

1200 S FARMERVILLE ST STE A
Ruston, LA 71270

Reassigned Medicare billing, Louisiana enrollment
40 clinicians in this Medicare group

NPI 1942181276 (318) 255-3690

Wk Primary Care Ruston

1.7 mi

Family Medicine

1809 NORTHPOINTE LN STE 102
Ruston, LA 71270

Reassigned Medicare billing, Louisiana enrollment
4 clinicians in this Medicare group

NPI 1245177245 (318) 399-7130

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

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.

303 services178 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.

271 services153 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

192 services142 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.

169 services169 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

75 services41 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

71 services71 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

60 services14 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

38 services21 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

34 services13 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

28 services28 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

28 services13 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

23 services21 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

20 services15 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

18 services15 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

15 services11 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

15 services15 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Northern Louisiana Medical Center

Acute Care Hospitals · Ruston, LA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number190086

Location401 East Vaughn AvenueRuston, LA 71270 · Lincoln County

Emergency services Birthing friendly

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190111

Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

Glenwood Regional Medical Center

Acute Care Hospitals · West Monroe, LA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number190160

Location503 Mcmillan RoadWest Monroe, LA 71291 · Ouachita County

Emergency services

Jackson Parish Hospital

Critical Access Hospitals · Jonesboro, LA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number191317

Location165 Beech Springs RoadJonesboro, LA 71251 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71270 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.

78.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

54.65

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers24 claims44 services$5.99 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

2 suppliers16 claims16 services$55.73 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers17 claims17 services$21.91 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers19 claims19 services$19.08 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

2 suppliers17 claims32 services$3.03 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers17 claims17 services$59.02 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MARK DOUGLAS GANEY PA-C

Physician Assistant

310 W MISSISSIPPI AVE
RUSTON, LA 71270

Lincoln Parish (318) 513-1212

DR. KENNETH PAUL METOYER MD

Family Medicine

310 W MISSISSIPPI AVE
RUSTON, LA 71270

Lincoln Parish (318) 399-7130

MRS. KALI ALYSS HODGES FNP

Nurse Practitioner (Family)

310 W MISSISSIPPI AVE
RUSTON, LA 71270

Lincoln Parish (318) 513-1212

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 Johnathan Baines's NPI number?

The NPI number for Johnathan Baines is 1679769889. It was assigned to this individual provider in the NPPES registry on September 20, 2007.

Where is Johnathan Baines located?

Johnathan Baines practices at 310 W Mississippi Ave, Ruston, LA 71270. The listed phone number is (318) 399-7130.

What is Johnathan Baines's specialty?

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

Is Johnathan Baines enrolled in Medicare?

Yes. Johnathan Baines is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Johnathan Baines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnathan Baines reassigns Medicare benefits to 2 organizations: Clhg-Ruston LLC (Ruston, LA) and Wk Primary Care Ruston (Ruston, LA). 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 Johnathan Baines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Johnathan Baines accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Johnathan Baines 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 Johnathan Baines affiliated with any hospitals?

According to CMS data, Johnathan Baines is affiliated with Northern Louisiana Medical Center, Willis Knighton Medical Center, Glenwood Regional Medical Center and Jackson Parish Hospital.

When was this NPI record last updated?

The NPPES record for Johnathan Baines was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.