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DR. JACK L. BREAUX JR. M.D.
NPI 1720081193
Otolaryngology - Plastic Surgery within the Head & Neck in Baton Rouge, LA

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
8080 BLUEBONNET BLVD, STE 2222, BATON ROUGE, LA 70810(225) 769-2222(225) 757-8061 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 2, 2024, Mar 5, 2024 (2 updates tracked since 2024).

About Dr. Jack L. Breaux Jr. M.d. NPPES

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

DR. JACK L. BREAUX JR. M.D. (NPI 1720081193) is an individual plastic surgery within the head & neck provider in Baton Rouge, Louisiana, licensed in Louisiana (013762) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1720081193
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameDR. JACK L. BREAUX JR.Credential: M.D.
Location Address8080 BLUEBONNET BLVD, STE 2222Baton Rouge, LA 70810-7828
Mailing Address604 N Acadia Rd Ste 101Thibodaux, LA 70301-4897 · (985) 446-5079 · Fax (985) 447-2497
Phone(225) 769-2222
Fax(225) 757-8061
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1976
Enumeration DateMay 31, 2005
Last NPPES UpdateJune 25, 20262 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1720081193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in LA · 013762
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 013762 (LA)
8080 BLUEBONNET BLVD, Baton Rouge, LA 70810
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Secondary Practice Location 1

Location 19032 Perkins RdBaton Rouge, LA 70810-1507 · Phone (225) 768-5700 · Fax (225) 768-5862

Other Identifiers 1

Medicaid1185761LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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

Dr. Jack L. Breaux 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 ID1456342757
PECOS Enrollment IDI20100924000109
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

3

Medicare enrollment records show Jack Breaux reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Louisiana Ear, Nose, Throat & Sinus, LLC
Same address
Otolaryngology
8080 BLUEBONNET BLVD STE 2121
Baton Rouge, LA 70810
  • Reassigned Medicare billing, Louisiana enrollment
  • 25 clinicians in this Medicare group
NPI 1114483872 (225) 408-6900
Lsuhn Billing LLC
2.0 mi
Oral and Maxillofacial Surgery
7777 HENNESSY BLVD STE 306
Baton Rouge, LA 70808
  • Reassigned Medicare billing, Louisiana enrollment
  • 548 clinicians in this Medicare group
NPI 1306247556 (225) 763-3939
Our Lady Of The Lake Physician Group LLC
2.0 mi
Internal Medicine
7777 HENNESSY BLVD, STE 6002
Baton Rouge, LA 70808
  • Reassigned Medicare billing, Louisiana enrollment
  • 873 clinicians in this Medicare group
NPI 1033494943 (225) 765-7727

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

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 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.
35 services29 patients

Hospital Affiliations CMS Care Compare

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

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.

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
55%20 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
76%46 patients4/55-star benchmark: 100%
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
94%64 patients1/55-star benchmark: 100%
Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
14%58 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,787 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%3,573 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
43%139 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%471 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
10%1,553 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 91% · 1,149 patients
Patients tobacco: 9% · 22 patients
85%506 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
68%1,553 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%1,553 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
19%1,553 patients
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.

DR. WAME NICHOLAS WAGGENSPACK JR. M.D.
Orthopaedic Surgery
8080 BLUEBONNET BLVD, SUITE 1000
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 924-2424
ROBERT STEWART TAYLOR M.D.
Urology
8080 BLUEBONNET BLVD, STE 3000
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 766-8100
JENNIFER DUPUY PONTTI RNFA
Registered Nurse (Registered Nurse First Assistant)
8080 BLUEBONNET BLVD, SUITE 1000
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 924-2424
WILLIAM CLEMENT MOSS JR. P.A.
Physician Assistant
8080 BLUEBONNET BLVD, SUITE 1000
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 924-2424
STANLEY E. PETERS M.D.
Otolaryngology (Plastic Surgery within the Head & Neck)
8080 BLUEBONNET BLVD, STE. 2121
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 767-7200
JAMES GARRETT LEBLANC PA-C
Physician Assistant
8080 BLUEBONNET BLVD, SUITE 1000
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 924-2424
DR. KENNETH MCIVER BLUE JR. MD
Urology
8080 BLUEBONNET BLVD, STE 3000
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 766-8100
DR. MICHAEL R ROBICHAUX JR. MD
Orthopaedic Surgery
8080 BLUEBONNET BLVD, SUITE 1000
BATON ROUGE, LA 70810
East Baton Rouge Parish (225) 924-2424

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 Jack Breaux's NPI number?

The NPI number for Jack Breaux is 1720081193. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Jack Breaux located?

Jack Breaux practices at 8080 Bluebonnet Blvd Ste 2222, Baton Rouge, LA 70810. The listed phone number is (225) 769-2222.

What is Jack Breaux's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Jack Breaux enrolled in Medicare?

Yes. Jack Breaux 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 organizations bill Medicare for Jack Breaux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Breaux reassigns Medicare benefits to 3 organizations: Louisiana Ear, Nose, Throat & Sinus, LLC (Baton Rouge, LA), Lsuhn Billing LLC (Baton Rouge, LA) and Our Lady Of The Lake Physician Group LLC (Baton Rouge, 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 Jack Breaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Breaux accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Jack Breaux 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 Jack Breaux affiliated with any hospitals?

According to CMS data, Jack Breaux is affiliated with Our Lady Of The Lake Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jack Breaux was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.