DR. GERARD FRANCIS PENA M.D.
NPI 1912082009
Otolaryngology in Slidell, LA
NPI Status: Active since October 26, 2006
Contact Information
1850 GAUSE BLVD E
STE. 301
SLIDELL, LA
ZIP 70461
Phone: (985) 646-4400
Fax: (985) 646-4408
- Individual
- Male
- Otolaryngology
- PECOS Enrolled
About GERARD PENA
This page provides the complete NPI Profile along with additional information for Gerard Pena, a provider established in Slidell, Louisiana with a medical specialization in Otolaryngology. The healthcare provider is registered in the NPI registry with number 1912082009 assigned on October 2006. The practitioner's primary taxonomy code is 207Y00000X with license number 016673 (LA). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1912082009
- Provider Name
- DR. GERARD FRANCIS PENA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1850 GAUSE BLVD E STE. 301 SLIDELL, LA 70461
- Location Phone
- (985) 646-4400
- Location Fax
- (985) 646-4408
- Mailing Address
- 1850 GAUSE BLVD E STE. 301 SLIDELL, LA 70461
- Mailing Phone
- (985) 646-4400
- Mailing Fax
- (985) 646-4408
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-26-2006
- Last Update Date
- 05-29-2008
- Code Navigator
Location Map
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
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 016673
- License State
- LA
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1345181 | MEDICAID (05) | LA | |
| $$$$$$$$$A | OTHER (01) | LA | BLUE CROSS |
| B64377 | MEDICARE UPIN (02) | LA | |
| 040003773 | OTHER (01) | LA | RAILROAD MEDICARE |
| 53101D311 | MEDICARE PIN (08) |
Medicare Participation & PECOS Enrollment Status
Gerard Pena 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
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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
3 DME suppliers used 11 Medicare Claims 42 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
New patient office or other outpatient visit, 30-44 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 57 times for 48 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 18 times for 18 patientsPhysician Visit Costs
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 70461 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $124.6
- Minimum New Patient Price $53.43
- Maximum New Patient Price $164.73
- Average New Patient Copayment $31.15
- Minimum New Patient Copayment $13.35
- Maximum New Patient Copayment $41.18
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.06
- Minimum Established Patient Price $16.64
- Maximum Established Patient Price $133.62
- Average Established Patient Copayment $16.76
- Minimum Established Patient Copayment $4.16
- Maximum Established Patient Copayment $33.4
* 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.
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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. | |||||||||
| 1 | 9 | 1 | 2 | 0 | 8 | 2 | 0 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 2 | 2 | 0 | 8 | 4 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 2 + 2 + 0 + 8 + 4 + 0 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1912082009 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740287820 | PEDRO A. SERRANT M.D. Individual | Internal Medicine | 1850 GAUSE BLVD E SUITE 103 SLIDELL, LA 70461 (985) 646-4464 |
| 1730189929 | DR. ROBERT EARLE OWENS M.D. Individual | Otolaryngology | 1850 GAUSE BLVD E SUITE 301 SLIDELL, LA 70461 (095) 646-4400 |
| 1184692329 | JAMES R GOSEY JR. M.D. Organization | Specialist | 1850 GAUSE BLVD E SUITE 300 SLIDELL, LA 70461 (985) 646-3662 |
| 1275502296 | SIMON FINGER, MD APMC Organization | Specialist | 1850 GAUSE BLVD E SUITE 300 SLIDELL, LA 70461 (985) 646-3662 |
| 1174575286 | MRS. RACHEL DAIGLE KANCEWICK O.T. Individual | Occupational Therapist | 1850 GAUSE BLVD E SLIDELL, LA 70461 (504) 495-4328 |
| 1225051659 | LINDA C MCELVEEN MD LLC Organization | Internal Medicine | 1850 GAUSE BLVD E STE 103 SLIDELL, LA 70461 (985) 781-8565 |
| 1730264839 | THE SLIDELL EAR, NOSE AND THROAT ASSOCIATIES, PMC Organization | Otolaryngology | 1850 GAUSE BLVD E STE. 301 SLIDELL, LA 70461 (985) 646-4400 |
| 1356420558 | HELIOS OUTPATIENT CENTER, L.L.C. Organization | Clinic/Center (Ambulatory Surgical) | 1850 GAUSE BLVD E SUITE 201 SLIDELL, LA 70461 (985) 649-5825 |
| 1093914095 | PEDRO A SERRANT MD LLC Organization | Internal Medicine | 1850 GAUSE BLVD E SUITE 103 SLIDELL, LA 70461 (985) 646-4464 |
| 1538336086 | MR. MAURO LEIVA I OPTICIAN Individual | Technician/Technologist (Optician) | 1850 GAUSE BLVD E SUITE 303 SLIDELL, LA 70461 (985) 646-4428 |
| 1952566408 | CARY FRANKLIN GRAY, MD, APMC Organization | Surgery | 1850 GAUSE BLVD E SUITE 202 SLIDELL, LA 70461 (985) 646-4444 |
| 1609012392 | CENTER FOR RELIEF-SLIDELL Organization | Specialist | 1850 GAUSE BLVD E SUITE 250 SLIDELL, LA 70461 (985) 871-1181 |
| 1245597822 | OCHSNER CLINIC LLC Organization | General Practice | 1850 GAUSE BLVD E SUITE 202 SLIDELL, LA 70461 (985) 639-3777 |
| 1265669295 | JENNIFER C CHAMBERLAIN M.D. Individual | Urology | 1850 GAUSE BLVD E SLIDELL, LA 70461 (985) 639-3777 |
| 1225291230 | TARA WHITTAKER JOCHUM APRN, FNP-C Individual | Nurse Practitioner (Family) | 1850 GAUSE BLVD E ST 101 SLIDELL, LA 70461 (985) 634-3909 |
| 1245621176 | MISS ELENA WHITNEY BENEZECH R.D., L.D.N. Individual | Dietitian, Registered | 1850 GAUSE BLVD E SUITE 202 SLIDELL, LA 70461 (985) 661-3542 |
| 1508057688 | BRYAN DAVID DIBUONO M.D. Individual | Internal Medicine (Gastroenterology) | 1850 GAUSE BLVD E SUITE 202 SLIDELL, LA 70461 (985) 639-3777 |
| 1780685453 | DENNIS MAESTRI DALE MD Individual | Internal Medicine (Pulmonary Disease) | 1850 GAUSE BLVD E SUITE 202 SLIDELL, LA 70461 (985) 639-3777 |
| 1306871645 | CAROLINE C SEGURA NP Individual | Family Medicine | 1850 GAUSE BLVD E SUITE 1013 SLIDELL, LA 70461 (985) 646-4464 |
| 1578723599 | ASAHEL L GRIDLEY MD Individual | Surgery | 1850 GAUSE BLVD E SUITE 202 SLIDELL, LA 70461 (985) 639-3777 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912082009, enumerated in the NPI registry as an "individual" on October 26, 2006
The provider is located at 1850 Gause Blvd E Ste. 301 Slidell, La 70461 and the phone number is (985) 646-4400
The provider's speciality is Otolaryngology with taxonomy code 207Y00000X
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. 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 $124.6 with an average copayment of $31.15 for new patient appointments. Established patients should expect a typical charge of $67.06 and an average copayment of 16.76. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes and New patient office or other outpatient visit, 30-44 minutes.
This NPI record was last updated on October 26, 2006. 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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