Individual provider Active NPI

Taylor Scott Gwin, MD, MPH

  • Vascular Surgery Physician
  • Baton Rouge, LA
National Provider Identifier
1093974099
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD204029 Issued in LA
Practice address
8585 Picardy Ave
Suite 310
Baton Rouge, LA 70809-3679
Phone
(225) 767-5479
Fax
(225) 767-5147
NPI assigned
Jun 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD204029 LA Primary

Addresses

Primary practice location

8585 Picardy Ave
Suite 310
Baton Rouge, LA 70809-3679

Mailing address

8585 Picardy Ave
Suite 310
Baton Rouge, LA 70809-3679
Phone (225) 767-5479

Other practice location 1

505 E Airport Ave
Baton Rouge, LA 70806-6515
Phone (225) 769-2572

Other practice location 2

7777 Hennessy Blvd Ste 102
Baton Rouge, LA 70808-4363
Phone (225) 765-2048

Other identifiers 1

IdentifierTypeStateIssuer
1092231MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tgwin9002@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150625002134 LA Practitioner - Vascular SurgeryPractitioner - General Surgery 0042521403 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Our Lady of the Lake Physician Group LLCGroup PAC ID 4587849781, 637 clinicians
Baton Rouge Vascular Access LLCGroup PAC ID 2769655075, 8 clinicians
Baton Rouge Clinic, a Medical CorporationGroup PAC ID 1254317001, 285 clinicians

Practice addresses (Care Compare)

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 953-7800

505 E Airport Ave
Baton Rouge, LA 70806-6515
Phone (225) 769-2572

7373 Perkins Rd
Baton Rouge, LA 70808-4326
Phone (225) 246-9790

7777 Hennessy Blvd
Baton Rouge, LA 70808-4363

8585 Picardy Ave
Baton Rouge, LA 70809-3679

8585 Picardy Ave
Suite 310
Baton Rouge, LA 70809-3749
Phone (225) 767-5479

Hospital & facility affiliations

  • Pinnacle Home Health of Baton Rouge Home health agency, Baton Rouge, LA, CCN 197770
  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100Reported as group
Quality
82.12
Promoting interoperability
100
Improvement activities
40
Cost
71.37

Merit-based Incentive Payment System (MIPS)

Final score
95.72 of 100Reported as group
Quality
77.03
Improvement activities
40
Cost
83.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)19
Removal of tissue15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD204029LAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsuhn Billing LLC CurrentSince Aug 1, 2015 Accepting new patients
Cardiovascular Specialty Care Center of Baton Rouge LLC CurrentSince Apr 1, 2023 Accepting new patients
Baton Rouge Clinic, a Medical Corporation Surgery CurrentSince Jan 1, 2021 Accepting new patients
Our Lady of the Lake Physician Group LLC Surgery CurrentSince Nov 1, 2015 Accepting new patients
Lsuhn Billing LLC CurrentSince Aug 1, 2015 Accepting new patients
Baton Rouge Vascular Access LLC CurrentSince Sep 1, 2019 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Nov 1, 2015 Accepting new patients
Jon V. Schellack, M.D. (a Professional Medical Corporation) Vascular Surgery CurrentSince Aug 1, 2015 Accepting new patients
The Vascular Lab LLC CurrentSince Mar 1, 2018 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Jan 1, 2021 Accepting new patients
Baton Rouge Vascular Access ASC LLC Past Accepting new patients
Our Lady of the Lake Hospital Inc. Past Accepting new patients
Our Lady of the Lake Physician Group LLC Surgery Past Accepting new patients

Locations

505 E Airport Ave
Ste B
Baton Rouge, LA 70806

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

505 E Airport Ave
Baton Rouge, LA 70806
Phone (225) 201-0950

7777 Hennessy Blvd
Ste 215
Baton Rouge, LA 70808
Phone (225) 456-5383

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

5131 Odonovan Dr
Ste 400
Baton Rouge, LA 70808

7777 Hennessy Blvd
Ste 406
Baton Rouge, LA 70808
Phone (225) 765-2048

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

8585 Picardy Ave
Ste 310
Baton Rouge, LA 70809
Phone (225) 767-5479

7777 Hennessy Blvd
Ste 102
Baton Rouge, LA 70808
Phone (225) 214-4300

1104 W Highway 30
Gonzales, LA 70737
Phone (225) 215-1321

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: tgwinmd@dd28915b.micromddirect.com
  • FHIR API: https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: taylor.gwin.p110@direct.aac.nextgenshare.com
  • FHIR API: https://app.meldrx.com/api/fhir/gemms-bat01

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1093974099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE",
            "address_2": "SUITE 310",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093679",
            "telephone_number": "225-767-5479",
            "fax_number": "225-767-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE",
            "address_2": "SUITE 310",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093679",
            "telephone_number": "225-767-5479",
            "fax_number": "225-767-5147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 E Airport Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708066515",
            "country_code": "US",
            "telephone_number": "225-769-2572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 Hennessy Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084363",
            "country_code": "US",
            "telephone_number": "225-765-2048",
            "fax_number": "225-765-1957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GWIN",
        "first_name": "TAYLOR",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-04",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "LA",
            "license": "MD204029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1092231",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgwin9002@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tgwin9002@direct.casso.us.com",
            "address_1": "7777 Hennessy Blvd Ste 102",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7777 Hennessy Blvd Ste 102",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.