JOHN BARBARA IV
NPI 1699395558
Pediatrics in Baton Rouge, LA

Active since April 21, 2020PECOS EnrolledAccepts Medicare Assignment
100 WOMANS WAY STE SSB 3, BATON ROUGE, LA 70817(225) 927-1300 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2023, Apr 21, 2020 (2 updates tracked since 2020).

About John Barbara Iv NPPES

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

JOHN BARBARA IV (NPI 1699395558) is an individual pediatrics provider in Baton Rouge, Louisiana, licensed in Louisiana (337768) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Baton Rouge, and is a graduate of William Carey University College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1699395558
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOHN BARBARA IV
Location Address100 WOMANS WAY STE SSB 3Baton Rouge, LA 70817-5100
Mailing Address801 Jewel StNew Orleans, LA 70124-3631
Sole ProprietorYes
Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2020
Enumeration DateApril 21, 2020
Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration
NPPES CertifiedJuly 27, 2023
✔ NPI 1699395558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · 337768
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
100 WOMANS WAY STE SSB 3, Baton Rouge, LA 70817

Secondary Practice Location 1

Location 18300 Constantin BlvdBaton Rouge, LA 70809-3489 · Phone (225) 374-1316

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

John Barbara Iv 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 ID8527405695
PECOS Enrollment IDI20240325002750
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 Reassignment

Medicare enrollment records show John Barbara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
298 HENRY CLAY AVE
New Orleans, LA 70118
  • Reassigned Medicare billing, Louisiana enrollment
  • 297 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70817 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.

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 John Barbara's NPI number?

The NPI number for John Barbara is 1699395558. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Where is John Barbara located?

John Barbara practices at 100 Womans Way Ste Ssb 3, Baton Rouge, LA 70817. The listed phone number is (225) 927-1300.

What is John Barbara's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is John Barbara enrolled in Medicare?

Yes. John Barbara 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 organization bills Medicare for John Barbara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Barbara reassigns Medicare benefits to Childrens Hospital Medical Practice Corporation (New Orleans, LA). The 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 John Barbara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Barbara 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 John Barbara 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.

When was this NPI record last updated?

The NPPES record for John Barbara was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.