DR. WARREN J. DEGATUR M.D. NPI 1720047079

NPI Information

  • NPI: 1720047079
  • Provider Name: DR. WARREN J. DEGATUR, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 19D0878294
  • Address: 206 CHAMPAGNE BLVD
    SUITE A
    BREAUX BRIDGE, LA
    ZIP 70517
  • Phone: (337) 332-3500

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NPI Details

DR. Warren J. Degatur, M.D. is a family medicine in Breaux Bridge, LA with 43 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Warren J. Degatur, M.D. NPI is 1720047079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:1983

The provider's business location address is:

206 CHAMPAGNE BLVD
SUITE A
BREAUX BRIDGE, LA
ZIP 70517-700
Phone: (337) 332-3500

The NPI 1720047079 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 19D0878294 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Stool analysis for blood, by fecal hemoglobin determination by immunoassay (HCPCS:82274)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Urine microalbumin (protein) analysis (HCPCS:82044)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Detection test by nucleic acid for multiple types influenza virus (HCPCS:87502)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Photography of the retina (HCPCS:92250)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of impacted ear wax (HCPCS:69210)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Transitional care management services for problem of high complexity (HCPCS:99496)

The enumeration date for this NPI number is 3/23/2006 and was last updated on 8/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine017128LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
151235MEDICARE PINLOUISIANA
21344940MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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