DR. JAMES ROGER WADDILL M.D.
NPI 1720013816
Family Medicine in Baton Rouge, LA

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
81.09/100
CMS Quality Rating
3401 NORTH BLVD, BATON ROUGE, LA 70806(225) 336-3100(225) 336-3111 Get Directions Write a Review

NPPES record last updated: December 7, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James Roger Waddill M.d. NPPES

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

DR. JAMES ROGER WADDILL M.D. (NPI 1720013816) is an individual family medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (17202) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baton Rouge General Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1983).

NPPES Registry Identity

NPI1720013816
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES ROGER WADDILLCredential: M.D.
Location Address3401 NORTH BLVDBaton Rouge, LA 70806-3743
Mailing Address9001 Summa AveBaton Rouge, LA 70809-3726 · (225) 761-5200
Fax(225) 336-3111
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1983
Enumeration DateJuly 11, 2006
Last NPPES UpdateDecember 7, 2007
NPI 1720013816 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 · 17202
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.

3401 NORTH BLVD, Baton Rouge, LA 70806

Other Identifiers 3

Medicaid1356476LA
Medicare ID-Type Unspecified53988
Medicare UPINB64991

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

Dr. James Roger Waddill 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 ID1456430636
PECOS Enrollment IDI20080430000360
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 2

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, 30-39 minutes 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.
59 services44 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
57 services44 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70806 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.

81.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.87
Promoting Interoperability81
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%145 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine
3401 NORTH BLVD, SUITE 200
BATON ROUGE, LA 70806
Family Medicine
3401 NORTH BLVD, STE 360
BATON ROUGE, LA 70806
Family Medicine
3401 NORTH BLVD, SUITE 360
BATON ROUGE, LA 70806
Family Medicine
3401 NORTH BLVD, SUITE 200
BATON ROUGE, LA 70806
Internal Medicine
3401 NORTH BLVD, SUITE 200
BATON ROUGE, LA 70806
Family Medicine
3401 NORTH BLVD, SUITE 200
BATON ROUGE, LA 70806
Urology
3401 NORTH BLVD, SUITE 340
BATON ROUGE, LA 70806
Internal Medicine
3401 NORTH BLVD, SUITE 320
BATON ROUGE, LA 70806

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 James Waddill's NPI number?

The NPI number for James Waddill is 1720013816. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is James Waddill located?

James Waddill practices at 3401 North Blvd, Baton Rouge, LA 70806. The listed phone number is (225) 336-3100.

What is James Waddill's specialty?

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

Is James Waddill enrolled in Medicare?

Yes. James Waddill 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 James Waddill 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 James Waddill 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 James Waddill affiliated with any hospitals?

According to CMS data, James Waddill is affiliated with Baton Rouge General Medical Center.

When was this NPI record last updated?

The NPPES record for James Waddill was last updated on December 7, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.