DARRIN MARK BREAUX MD
NPI 1902807167
Internal Medicine - Interventional Cardiology in Baton Rouge, LA

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
8888 SUMMA AVE, BATON ROUGE, LA 70809(225) 769-0933(225) 769-6255 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2026, Apr 27, 2022, Dec 27, 2021 (3 updates tracked since 2021).

About Darrin Mark Breaux Md NPPES

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

DARRIN MARK BREAUX MD (NPI 1902807167) is an individual interventional cardiology provider in Baton Rouge, Louisiana, licensed in Louisiana (022557) and active in the NPI registry since August 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

NPI1902807167
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDARRIN MARK BREAUXCredential: MD
Location Address8888 SUMMA AVEBaton Rouge, LA 70809-3772
Mailing Address5231 Brittany DrBaton Rouge, LA 70808-9143 · (225) 769-0933 · Fax (225) 769-6255
Fax(225) 769-6255
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1995
Enumeration DateAugust 9, 2005
Last NPPES UpdateMarch 31, 20263 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
NPI 1902807167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in LA · 022557
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
8888 SUMMA AVE, Baton Rouge, LA 70809

Secondary Practice Location 1

Location 15231 Brittany DrBaton Rouge, LA 70808-9143 · Phone (225) 769-0933 · Fax (225) 769-6255

Other Identifiers 1

Medicaid1483281LA

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

Darrin Mark Breaux Md 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 ID5193856797
PECOS Enrollment IDI20100625000522
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 32

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,168 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,960 services1,641 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
770 services515 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
588 services147 patients
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.
536 services444 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
226 services220 patients

Hospital Affiliations CMS Care Compare 5

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

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

Womans Hospital

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190128
Location100 Woman's WayBaton Rouge, LA 70817 · E. Baton Rouge County
Emergency services Birthing friendly

Surgical Specialty Center Of Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
OwnershipPhysician
CMS Certification Number190251
Location8080 Bluebonnet BlvdBaton Rouge, LA 70810 · E. Baton Rouge County

The Spine Hospital Of Louisiana

Acute Care Hospitals · Baton Rouge, LA
OwnershipPhysician
CMS Certification Number190266
Location10105 Park Row Circle, Suite 250Baton Rouge, LA 70810 · E. Baton Rouge County

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Other Providers at the Same Location NPPES 17

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

Physiological Laboratory
8888 SUMMA AVE, CARDIOLOGY TOWER 3RD FL STE B
BATON ROUGE, LA 70809
Surgery (Vascular Surgery)
8888 SUMMA AVE, CARDIOLOGY TOWER 3RD FLOOR
BATON ROUGE, LA 70809
Nurse Anesthetist, Certified Registered
8888 SUMMA AVE
BATON ROUGE, LA 70809
Nurse Practitioner (Family)
8888 SUMMA AVE
BATON ROUGE, LA 70809
Nurse Practitioner (Family)
8888 SUMMA AVE
BATON ROUGE, LA 70809
Internal Medicine (Cardiovascular Disease)
8888 SUMMA AVE
BATON ROUGE, LA 70809
Nurse Practitioner
8888 SUMMA AVE
BATON ROUGE, LA 70809
Nurse Practitioner
8888 SUMMA AVE
BATON ROUGE, LA 70809

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 Darrin Breaux's NPI number?

The NPI number for Darrin Breaux is 1902807167. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Darrin Breaux located?

Darrin Breaux practices at 8888 Summa Ave, Baton Rouge, LA 70809. The listed phone number is (225) 769-0933.

What is Darrin Breaux's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Darrin Breaux enrolled in Medicare?

Yes. Darrin 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.

What insurance does Darrin Breaux accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 3 other insurers list Darrin 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 Darrin Breaux affiliated with any hospitals?

According to CMS data, Darrin Breaux is affiliated with Our Lady Of The Lake Regional Medical Center, Baton Rouge General Medical Center, Womans Hospital, Surgical Specialty Center Of Baton Rouge and The Spine Hospital Of Louisiana.

When was this NPI record last updated?

The NPPES record for Darrin Breaux was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.