JOHN P GAVIN M.D.
NPI 1720167893
Emergency Medicine in Baton Rouge, LA

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
55.44/100
CMS Quality Rating
13702 COURSEY BLVD, BUILDING 10 SUITE B, BATON ROUGE, LA 70817(225) 755-1400(225) 755-1555 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John P Gavin M.d. NPPES

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

JOHN P GAVIN M.D. (NPI 1720167893) is an individual emergency medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (MD.014641) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1978).

NPPES Registry Identity

NPI1720167893
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJOHN P GAVINCredential: M.D.
Location Address13702 COURSEY BLVD, BUILDING 10 SUITE BBaton Rouge, LA 70817-1370
Mailing Address79563 Albert Thompson RdFolsom, LA 70437-7539 · (225) 755-1400 · Fax (225) 755-1555
Fax(225) 755-1555
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1978
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720167893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in LA · MD.014641
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
13702 COURSEY BLVD, Baton Rouge, LA 70817

Other Identifiers 2

Medicare ID-Type Unspecified5R215LA
Medicare UPINB74911LA

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 P Gavin 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 ID2961483052
PECOS Enrollment IDI20040525001498
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

6

Medicare enrollment records show John Gavin reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
5207 ESSEN LN, SUITE 2
Baton Rouge, LA 70809
  • Reassigned Medicare billing, Louisiana enrollment
  • 209 clinicians in this Medicare group
Critical Access
16874 HIGHWAY 43
Greensburg, LA 70441
  • Reassigned Medicare billing, Louisiana enrollment
  • Also billed through NPI 1588614036 (Louisiana)
  • 39 clinicians in this Medicare group
Emergency Medicine
229 SAINT JOHN LN
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 133 clinicians in this Medicare group
Emergency Medical Services
2450 SEVERN AVE STE 205
Metairie, LA 70001
  • Reassigned Medicare billing, Louisiana enrollment
  • 176 clinicians in this Medicare group
Emergency Medicine
433 PLAZA ST
Bogalusa, LA 70427
  • Reassigned Medicare billing, Louisiana enrollment
  • 91 clinicians in this Medicare group
Emergency Medicine
501 KEYSER AVE
Natchitoches, LA 71457
  • Reassigned Medicare billing, Louisiana enrollment
  • 68 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.

Areas of Expertise CMS Part B claims 3

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.

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.
23 services23 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
14 services14 patients
Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique 87634
This test identifies the presence of the Respiratory Syncytial Virus (RSV) in your body. It uses a technique called the amplified probe, which increases the amount of viral genetic material, making it easier to detect. This helps in diagnosing RSV infections accurately.
11 services11 patients

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.

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.

55.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality49.55
Improvement Activities40
Cost43.96

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner
13702 COURSEY BLVD, SUITE 1B
BATON ROUGE, LA 70817
Community/Behavioral Health
13702 COURSEY BLVD, BLDG 6, SUITE A1
BATON ROUGE, LA 70817
Day Training, Developmentally Disabled Services
13702 COURSEY BLVD, BUILDING 4 SUITE B
BATON ROUGE, LA 70817
Counselor (Mental Health)
13702 COURSEY BLVD
BATON ROUGE, LA 70817
Day Training, Developmentally Disabled Services
13702 COURSEY BLVD, BLDG 4 SUITE B
BATON ROUGE, LA 70817
Day Training, Developmentally Disabled Services
13702 COURSEY BLVD, BUILDING 4, SUITE B
BATON ROUGE, LA 70817
Dentist (General Practice)
13702 COURSEY BLVD, BUILDING 10, SUITE C
BATON ROUGE, LA 70817
Hospice Care, Community Based
13702 COURSEY BLVD, BLDG. 7
BATON ROUGE, LA 70817

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 Gavin's NPI number?

The NPI number for John Gavin is 1720167893. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is John Gavin located?

John Gavin practices at 13702 Coursey Blvd Building 10 Suite B, Baton Rouge, LA 70817. The listed phone number is (225) 755-1400.

What is John Gavin's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is John Gavin enrolled in Medicare?

Yes. John Gavin 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 John Gavin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Gavin reassigns Medicare benefits to 6 organizations: Rapid Urgent Care, Inc. (Baton Rouge, LA), St Helena Parish Hospital (Greensburg, LA), Correct Care, Inc. (Covington, LA), C & M Medical Services, Inc. (Metairie, LA), Washington Parish Emergency Physicians Group LLC (Bogalusa, LA) and 1 more organization, listed in the Medicare section above. 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 John Gavin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Gavin accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list John Gavin 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 Gavin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.