BRENT BALHOFF M.D.
NPI 1942695119
Emergency Medicine in Baton Rouge, LA

Active since April 03, 2015PECOS EnrolledAccepts Medicare Assignment
7777 HENNESSY BLVD STE 2003B, BATON ROUGE, LA 70808(337) 534-0952 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 20, 2023, Jun 13, 2018 (2 updates tracked since 2018).

About Brent Balhoff M.d. NPPES

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

BRENT BALHOFF M.D. (NPI 1942695119) is an individual emergency medicine provider in Baton Rouge, Louisiana, licensed in Louisiana (309074) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1942695119
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRENT BALHOFFCredential: M.D.
Location Address7777 HENNESSY BLVD STE 2003BBaton Rouge, LA 70808-4300
Mailing Address7777 Hennessy Blvd Ste 2003bBaton Rouge, LA 70808-4300
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 3, 2015
Last NPPES UpdateFebruary 20, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2023
✔ NPI 1942695119 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 · 309074
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.
7777 HENNESSY BLVD STE 2003B, Baton Rouge, LA 70808

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

Brent Balhoff 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 ID3476866971
PECOS Enrollment IDI20180712001785
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

2

Medicare enrollment records show Brent Balhoff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
5000 HENNESSY BLVD
Baton Rouge, LA 70808
  • Reassigned Medicare billing, Louisiana enrollment
  • 147 clinicians in this Medicare group
Obstetrics & Gynecology
9050 AIRLINE HWY
Baton Rouge, LA 70815
  • Reassigned Medicare billing, Louisiana enrollment
  • 48 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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
239 services230 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.
123 services115 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services48 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services32 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70808 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.

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.

Physician Assistant
7777 HENNESSY BLVD STE 2003B
BATON ROUGE, LA 70808
Emergency Medicine
7777 HENNESSY BLVD STE 2003B
BATON ROUGE, LA 70808
Physician Assistant
7777 HENNESSY BLVD STE 2003B
BATON ROUGE, LA 70808
Emergency Medicine
7777 HENNESSY BLVD STE 2003B
BATON ROUGE, LA 70808
Physician Assistant
7777 HENNESSY BLVD STE 2003B
BATON ROUGE, LA 70808
Physician Assistant
7777 HENNESSY BLVD STE 2003B
BATON ROUGE, LA 70808
Nurse Practitioner (Family)
7777 HENNESSY BLVD STE 2003B
BATON ROUGE, LA 70808
Physician Assistant
7777 HENNESSY BLVD STE 2003B
BATON ROUGE, LA 70808

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 Brent Balhoff's NPI number?

The NPI number for Brent Balhoff is 1942695119. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is Brent Balhoff located?

Brent Balhoff practices at 7777 Hennessy Blvd Ste 2003B, Baton Rouge, LA 70808. The listed phone number is (337) 534-0952.

What is Brent Balhoff's specialty?

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

Is Brent Balhoff enrolled in Medicare?

Yes. Brent Balhoff 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 Brent Balhoff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brent Balhoff reassigns Medicare benefits to 2 organizations: Professional Emergency Physician Associates, LLC (Baton Rouge, LA) and Woman's Assessment Center Physicians (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 Brent Balhoff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brent Balhoff accept?

Health plans from HMO Louisiana list Brent Balhoff 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 Brent Balhoff affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Brent Balhoff was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.