DR. EDUARDO OZUNA M.D. NPI 1003007469
Anesthesiology - Pain Medicine in New Braunfels, TX

Individual Male Years of Experience 17 Anesthesiology Pain Medicine PECOS Enrolled Accepts Medicare Approved Payment

About DR. EDUARDO OZUNA M.D.

Eduardo Ozuna is a provider established in New Braunfels, Texas and his medical specialization is Anesthesiology with a focus in pain medicine with more than 17 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 2006. The NPI number of Eduardo Ozuna is 1003007469 and was assigned on August 2007. The practitioner's primary taxonomy code is 207LP2900X with license number N5308 (TX). The provider is registered as an individual and his NPI record was last updated August 2022.

NPI
1003007469
Provider NameDR. EDUARDO OZUNA M.D.
Provider Location Address55 GRUENE PARK DR NEW BRAUNFELS, TX 78130
Provider Mailing Address126 SCHOONER DR LAKEWAY, TX 78738
GenderMale
NPI Entity TypeIndividual
Medical School NameTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year2006
Is Sole Proprietor?No
Enumeration Date08-09-2007
Last Update Date08-25-2022

Eduardo Ozuna 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.

Eduardo Ozuna is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Guadalupe Regional Medical Center.



Primary Taxonomy

Taxonomy Code207LP2900X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
SpecializationPain Medicine
License No.N5308
License StateTX
Taxonomy DescriptionAn anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Business Address

DR. EDUARDO OZUNA M.D.
55 GRUENE PARK DR
NEW BRAUNFELS, TX
ZIP 78130
Phone: (830) 379-8800
Fax: (830) 372-1600

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Mailing Address

DR. EDUARDO OZUNA M.D.
126 SCHOONER DR
LAKEWAY, TX
ZIP 78738
Phone: (254) 245-9177
Fax: (254) 245-9178


Secondary Locations

1006 E Kingsbury St
Seguin, TX 78155
(830) 379-88003303 Oakwell Ct Ste 130
San Antonio, TX 78218
(830) 433-9279


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7113108705
PECOS Enrollment IDI20110302000745
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 874Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter (HCPCS:G0431)
  • 316Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • 156Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • 51Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • 50Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • 39Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
  • 19Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes (HCPCS:99144)
  • 11Psychiatric diagnostic evaluation (HCPCS:90791)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Eduardo Ozuna is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
GUADALUPE REGIONAL MEDICAL CENTER1215 E COURT ST
SEGUIN, TX 78155
(830) 379-2411Acute Care Hospitals450104

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyN5308TXNo

Taxonomy Description: an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

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.
1003007469
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030014412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 4 + 4 + 1 + 2 + 24 = 41
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 41 = 99

The NPI number 1003007469 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811920341TEXAS HILL COUNTRY ORTHOPAEDICS, P.A.
Organization
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)55 GRUENE PARK DR
NEW BRAUNFELS, TX 78130
(830) 625-5252
1437175411MR. ROBERT BRADLEY RAY MD
Individual
Orthopaedic Surgery55 GRUENE PARK DR
NEW BRAUNFELS, TX 78130
(830) 625-5252
1720035538IRVIN SAHNI, M.D. PA.
Organization
Specialist55 GRUENE PARK DR
NEW BRAUNFELS, TX 78130
(830) 379-8800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Eduardo Ozuna M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.