KRISTEN LIMBACH M.D.
NPI 1265851661
Surgery in Metairie, LA

NPI Status: Active since April 14, 2014

Contact Information

4204 HOUMA BLVD
METAIRIE, LA
ZIP 70006
Phone: (504) 503-5426

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  • Individual
  • Female
  • Years of Experience 12
  • Surgery
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KRISTEN LIMBACH

This page provides the complete NPI Profile along with additional information for Kristen Limbach, a provider established in Metairie, Louisiana with a medical specialization in Surgery and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1265851661 assigned on April 2014. The practitioner's primary taxonomy code is 208600000X with license number 337887 (LA). The provider is registered as an individual and her NPI record was last updated February 2025.

NPI
1265851661
Provider Name
KRISTEN LIMBACH M.D.
Gender
Female
Entity Type
Individual
Location Address
4204 HOUMA BLVD METAIRIE, LA 70006
Location Phone
(504) 503-5426
Mailing Address
1430 TULANE AVE # 8622 NEW ORLEANS, LA 70112
Mailing Phone
(215) 460-7514
Medical School Name
OTHER
Graduation Year
2014
Is Sole Proprietor?
No
Enumeration Date
04-14-2014
Last Update Date
02-24-2025
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A surgeon like Kristen Limbach treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Secondary Locations

  • 3181 SW Sam Jackson Park Rd
    Portland, OR 97239
    (503) 494-8311

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
337887
License State
LA
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Blue Max 70/50 $6700 - PPO
  • Blue Max 90/70 $1500 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - PPO
  • Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - PPO
  • Blue Saver 60/40 $6100 - PPO
  • Blue Saver 90/70 $3200 - PPO
  • Blue POS 60/40 $6500 - POS
  • Blue POS 70/50 $4550 - POS
  • Blue POS 80/60 $3200 - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
  • Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
  • Signature Blue 80/60 $3200 - POS
  • Signature Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
  • Signature Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Kristen Limbach is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Kristen Limbach is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 446477236

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230906004267

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.69 for a new patient copayment and $17.36 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 70006 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $86.76
  • Minimum New Patient Price $55.5
  • Maximum New Patient Price $170.3
  • Average New Patient Copayment $21.69
  • Minimum New Patient Copayment $13.87
  • Maximum New Patient Copayment $42.57

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $69.44
  • Minimum Established Patient Price $17.42
  • Maximum Established Patient Price $138.03
  • Average Established Patient Copayment $17.36
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $34.5

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kristen Limbach is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
EAST JEFFERSON GENERAL HOSPITAL4200 HOUMA BLVD
METAIRIE, LA 70006
(504) 988-5263Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265851661
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251652612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 6 + 5 + 2 + 6 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1265851661 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184691271 PAUL D MONSOUR M.D.
Individual
Radiology (Radiation Oncology)4204 HOUMA BLVD SUITE 211
METAIRIE, LA 70006
(504) 454-1727
1891763694 LUIS A LINARES M.D.
Individual
Radiology (Radiation Oncology)4204 HOUMA BLVD SUITE 211
METAIRIE, LA 70006
(504) 454-1727
1013980853DR. ASHISH UDHRAIN M.D.
Individual
Internal Medicine (Hematology & Oncology)4204 HOUMA BLVD FL 2
METAIRIE, LA 70006
(504) 883-2968
1316170780 VICTORIA MILLER LABRUZZO
Individual
Nurse Practitioner4204 HOUMA BLVD FL 2
METAIRIE, LA 70006
(504) 883-2968
1184902736MRS. APRIL MINNICH HAYDEL NURSE PRACTITIONER
Individual
Nurse Practitioner (Family)4204 HOUMA BLVD FL 2
METAIRIE, LA 70006
(504) 883-2968
1669862801MS. KAREN SPENCER FNP
Individual
Nurse Practitioner (Family)4204 HOUMA BLVD FL 2
METAIRIE, LA 70006
(504) 883-2968
1750346938 THOMAS M COSGRIFF MD
Individual
Internal Medicine (Hematology & Oncology)4204 HOUMA BLVD FLOOR 2
METAIRIE, LA 70006
(504) 883-2968
1073578787BREAST DIAGNOSTICS, LLC
Organization
Clinic/Center (Radiology, Mammography)4204 HOUMA BLVD
METAIRIE, LA 70006
(504) 883-8995
1114977402EAST JEFFERSON RADIATION ONCOLOGY, LLC
Organization
Radiology (Radiation Oncology)4204 HOUMA BLVD
METAIRIE, LA 70006
(504) 454-1724
1619927910JEFFERSON RADIATION ONCOLOGY, LLC
Organization
Radiology (Radiation Oncology)4204 HOUMA BLVD
METAIRIE, LA 70006
(504) 454-1724
1477505071DR. MARY A HOBBS MALUCCIO MD, MPH
Individual
Surgery (Surgical Oncology)4204 HOUMA BLVD
METAIRIE, LA 70006
(504) 503-5426

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265851661, enumerated in the NPI registry as an "individual" on April 14, 2014

The provider is located at 4204 Houma Blvd Metairie, La 70006 and the phone number is (504) 503-5426

The provider's speciality is Surgery with taxonomy code 208600000X

The provider has more than 12 years of experience.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $86.76 with an average copayment of $21.69 for new patient appointments. Established patients should expect a typical charge of $69.44 and an average copayment of 17.36. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): EAST JEFFERSON GENERAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 14, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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