Active NPI 1316283286 Individual Practitioner Male Practitioner

Dr. Roy F Brabham , MD

Plastic Surgery • Baton Rouge, LA

Professional Overview & Biography Verified Profile Summary

Dr. Roy Brabham, MD is a registered healthcare professional specializing in Plastic Surgery in Baton Rouge, LA. Practice services are available at 3600 FLORIDA BLVD under active NPI credentials.

Frequently performed procedures and clinical services include management and supervision of oxygen chamber therapy per session, established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3600 Florida Blvd

Baton Rouge, LA 708063842

Telephone 2252812669

Fax 9858927070

Associated Practice Facility / Clinic

🏢 Hospice Foundation Of Greater Baton Rouge Facility NPI 1689642589

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Baton Rouge, LA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.0 Yrs

State Avg: 29.1 Yrs

Regional Practice Density

13 Specialists

Practicing in Baton Rouge, LA (59 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99183 Management and supervision of oxygen chamber therapy per session	314	15	$222.10	$104.69
99213 Established patient office or other outpatient visit, typically 15 minutes	54	22	$143.10	$64.38
11042 Removal of skin and tissue, 20.0 sq cm or less	40	16	$232.14	$53.64
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	36	23	$78.50	$38.86
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$102.48	$49.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	385	80	$142.88	$65.97
11042 Removal of skin and tissue, 20.0 sq cm or less	268	64	$232.04	$52.87
99183 Management and supervision of oxygen chamber therapy per session	139	15	$222.32	$107.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	19	$86.00	$35.97
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	59	15	$451.83	$141.20
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	37	11	$81.18	$26.76
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$403.98	$181.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	493	109	$148.23	$66.55
11042 Removal of skin and tissue, 20.0 sq cm or less	391	89	$244.07	$54.67
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	194	36	$472.22	$150.73
99183 Management and supervision of oxygen chamber therapy per session	157	12	$227.69	$109.21
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	123	13	$151.42	$57.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	47	$90.39	$35.53
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	58	24	$81.98	$38.82
11044 Removal of bone, 20.0 sq cm or less	34	11	$642.11	$227.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$330.14	$129.46
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	19	$106.19	$50.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$216.75	$98.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	503	114	$243.82	$56.85
99213 Established patient office or other outpatient visit, typically 15 minutes	228	83	$152.16	$51.26
99183 Management and supervision of oxygen chamber therapy per session	202	11	$227.74	$113.41
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	142	40	$467.01	$154.79
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	141	31	$84.11	$27.80
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	72	34	$82.54	$38.92
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	71	11	$147.13	$58.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	35	$222.39	$78.64
29445 Application of rigid total contact leg cast	53	11	$265.07	$103.51
11044 Removal of bone, 20.0 sq cm or less	50	12	$621.98	$234.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$324.97	$129.64
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	22	$107.18	$51.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	595	106	$243.02	$55.75
99183 Management and supervision of oxygen chamber therapy per session	268	28	$227.25	$109.21
99213 Established patient office or other outpatient visit, typically 15 minutes	223	73	$148.60	$50.00
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	195	43	$468.22	$155.53
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	102	11	$150.11	$57.06
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	83	24	$84.44	$26.94
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	78	33	$82.49	$38.83
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	75	29	$291.19	$83.20
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	63	11	$310.65	$95.27
97597 Removal of tissue from wound, 20.0 sq cm or less	54	27	$175.97	$23.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	21	$221.17	$77.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$329.69	$127.26
11044 Removal of bone, 20.0 sq cm or less	30	11	$641.63	$217.85
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	18	$107.18	$50.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	513	133	$234.78	$55.94
99183 Management and supervision of oxygen chamber therapy per session	310	29	$228.60	$106.69
99213 Established patient office or other outpatient visit, typically 15 minutes	157	59	$146.69	$48.09
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	151	45	$465.59	$149.31
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	146	33	$83.36	$25.98
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	115	48	$83.31	$37.78
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	113	20	$151.09	$55.30
97597 Removal of tissue from wound, 20.0 sq cm or less	68	48	$149.89	$22.13
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	55	18	$284.60	$82.13
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	43	19	$303.92	$91.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	25	$218.37	$72.83
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	34	30	$108.60	$48.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$330.96	$120.40
29445 Application of rigid total contact leg cast	26	11	$272.29	$92.41
11044 Removal of bone, 20.0 sq cm or less	25	15	$648.62	$224.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	17	$144.02	$69.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99183 Management and supervision of oxygen chamber therapy per session	475	35	$181.69	$105.81
11042 Removal of skin and tissue, 20.0 sq cm or less	342	132	$193.84	$52.79
99213 Established patient office or other outpatient visit, typically 15 minutes	149	75	$110.12	$48.20
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	144	17	$107.56	$55.15
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	141	25	$62.45	$25.48
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	129	64	$58.69	$37.62
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	114	47	$354.47	$147.80
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	52	20	$254.14	$87.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	37	$178.02	$74.36
97597 Removal of tissue from wound, 20.0 sq cm or less	46	32	$113.21	$22.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	40	$76.97	$48.41
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	30	17	$223.41	$82.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$235.71	$120.54
11044 Removal of bone, 20.0 sq cm or less	23	14	$692.66	$220.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	15	$118.91	$68.22
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	12	12	$176.30	$54.43

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License LA MD.013301

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Specialist

NUCC Taxonomy Code: 174400000X

State License LA MD.013301

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Preventive Medicine - Undersea and Hyperbaric Medicine

NUCC Taxonomy Code: 2083P0011X

State License LA MD.013301

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Terry Kung , DO

Internal Medicine

NPI 1033195854

Doctor of Osteopathic Medicine (D.O.)

Danielle Bennett , NP

Nurse Practitioner - Adult Health

NPI 1033427497

Nurse Practitioner

Dr. Stanley Bonis , MD

Internal Medicine - Cardiovascular Disease

NPI 1043232549

Doctor of Medicine (M.D.)

Dr. Timothy Girard , MD

Emergency Medicine

NPI 1053323865

Doctor of Medicine (M.D.)

Dr. Pamela Payment , MD

Emergency Medicine

NPI 1053418798

Doctor of Medicine (M.D.)

William Kellum

Internal Medicine

NPI 1073830055

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

✅

NPI Profile Active January 29, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2018

Registered at 3600 FLORIDA BLVD, BATON ROUGE, LA 708063842 (Tel: 2252812669)

📍

Updated Business Mailing Address January 29, 2018

Registered at PO BOX 1089, HAMMOND, LA 704041089 (Tel: 9858927070)

👤

Provider Name / Credentials Updated January 29, 2018

Recorded as ROY BRABHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Plastic Surgery (License #MD.013301 in LA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Specialist (License #MD.013301 in LA)

📍

Updated Practice Location December 18, 2017

Registered at 3600 FLORIDA BLVD, BATON ROUGE, LA 708063842 (Tel: 2252812669)

📍

Updated Business Mailing Address December 18, 2017

Registered at PO BOX 1089, HAMMOND, LA 704041089 (Tel: 9858927070)

✅

NPI Profile Active August 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location August 07, 2014

Registered at 10254 HIGHWAY 431, STE. A9, SAINT AMANT, LA 707744531 (Tel: 2252812669)

📍

Updated Business Mailing Address August 07, 2014

Registered at 2935 THOUSAND OAKS DR, STE. 294, SAN ANTONIO, TX 782473312 (Tel: 2104941100)

👤

Provider Name / Credentials Updated August 07, 2014

Recorded as ROY BRABHAM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2014

Specialist (License #MD.013301 in LA)

🟢

Initial NPI Registration & Enumeration December 21, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1316283286

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 21, 2012

Last Update: January 29, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 1089

Hammond, LA 704041089

Phone: 9858927070

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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