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DR. MARK GREGORY GARBUTT M.D.
NPI 1861488793
Internal Medicine in Baton Rouge, LA

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
79.57/100
CMS Quality Rating
18971 SANTA MARIA DR, BATON ROUGE, LA 70809(225) 329-7545 Get Directions Write a Review

NPPES record last updated: January 21, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 21, 2019, Feb 27, 2017 (2 updates tracked since 2017).

About Dr. Mark Gregory Garbutt M.d. NPPES

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

DR. MARK GREGORY GARBUTT M.D. (NPI 1861488793) is an individual internal medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (15728R) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1861488793
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARK GREGORY GARBUTTCredential: M.D.
Location Address18971 SANTA MARIA DRBaton Rouge, LA 70809
Mailing Address18971 Santa Maria DrBaton Rouge, LA 70809-6765 · (225) 329-7545
Phone(225) 329-7545
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2001
Enumeration DateSeptember 26, 2005
Last NPPES UpdateJanuary 21, 20192 updates tracked since enumeration
✔ NPI 1861488793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 15728R
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
18971 SANTA MARIA DR, Baton Rouge, LA 70809
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Secondary Practice Location 1

Location 17777 Hennessy Blvd, Suite 701Baton Rouge, LA 70808-4300 · Phone (225) 765-5864 · Fax (225) 765-2013

Other Identifiers 3

OtherP00330846LA · Rail Road Medicare
Medicaid1475491LA
Other1861488793LA · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan, HMO Louisiana.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. Mark Gregory Garbutt 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 ID2961456777
PECOS Enrollment IDI20050304000130
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.

Hospital Affiliations CMS Care Compare

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70809 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
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.

79.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.35
Improvement Activities40
Cost63.93

Referred Medical Equipment & Supplies CMS DME claims 8

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$6.14 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,730 services$0.70 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier12 claims12 services$67.34 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
1 supplier11 claims11 services$54.24 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$9.06 avg. paid by Medicare
Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mark Garbutt's NPI number?

The NPI number for Mark Garbutt is 1861488793. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Mark Garbutt located?

Mark Garbutt practices at 18971 Santa Maria Dr, Baton Rouge, LA 70809. The listed phone number is (225) 329-7545.

What is Mark Garbutt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Garbutt enrolled in Medicare?

Yes. Mark Garbutt 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 Mark Garbutt accept?

Health plans from CHRISTUS Health Plan and HMO Louisiana list Mark Garbutt 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 Mark Garbutt affiliated with any hospitals?

According to CMS data, Mark Garbutt is affiliated with Ochsner Lafayette General Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Garbutt was last updated on January 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.