Dr James Robert Upp Jr, MD - Medicare Surgery in Baton Rouge, LA

Dr James Robert Upp Jr, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Baton Rouge, Louisiana. His current practice location is 8200 Constantin Blvd Ste 220, Baton Rouge, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 769-2295.

Dr James Robert Upp Jr is licensed to practice in Louisiana (license number 017200) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154387314.

Contact Information

Dr James Robert Upp Jr, MD
8200 Constantin Blvd Ste 220,
Baton Rouge, LA 70809-3481
(225) 769-2295
(225) 769-2297

Map and Direction




Physician's Profile

Full NameDr James Robert Upp Jr
GenderMale
SpecialitySurgery - Pediatric Surgery
Location8200 Constantin Blvd Ste 220, Baton Rouge, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154387314
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 06/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0941278295
  • Enrollment ID: I20041014000043

Medical Identifiers

Medical identifiers for Dr James Robert Upp Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154387314NPI-NPPES
1925128MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery 017200 (Louisiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James Robert Upp Jr allows following entities to bill medicare on his behalf.
Entity NameOchsner Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538151428
PECOS PAC ID: 8224933619
Enrollment ID: O20031126000513

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James Robert Upp Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James Robert Upp Jr, MD
7777 Hennessy Blvd, Suite 212,
Baton Rouge, LA 70808-4300

Ph: (225) 769-2295
Dr James Robert Upp Jr, MD
8200 Constantin Blvd Ste 220,
Baton Rouge, LA 70809-3481

Ph: (225) 769-2295

Reviews and Comments


Surgery Doctors in Baton Rouge, LA

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Mrs. Megan Mcintosh Breaux, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 7777 Hennessy Blvd Ste 406, Baton Rouge, LA 70808
Phone: 225-765-2048    Fax: 225-765-1958

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.