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NICOLAS VERGARA M.D
NPI 1003084625
Psychiatry & Neurology - Psychiatry in Houma, LA

Active since February 17, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1990 INDUSTRIAL BLVD., HOUMA, LA 70363(985) 868-9300(985) 851-0053 Get Directions Write a Review

NPPES record last updated: October 4, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicolas Vergara M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLAS VERGARA M.D (NPI 1003084625) is an individual psychiatry provider in Houma, Louisiana, licensed in Louisiana (MD.204964) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Touro Infirmary, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1003084625
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameNICOLAS VERGARACredential: M.D
Location Address1990 INDUSTRIAL BLVD.Houma, LA 70363-7055
Mailing Address1440 Canal Street, Tb-53New Orleans, LA 70112-2272 · (504) 988-2201
Phone(985) 868-9300
Fax(985) 851-0053
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 17, 2008
Last NPPES UpdateOctober 4, 2012
✔ NPI 1003084625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in LA · MD.204964
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1990 INDUSTRIAL BLVD., Houma, LA 70363
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Other Identifiers 2

Medicaid1507814LA
Medicare PIN4Q9717627LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicolas Vergara M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012170301
PECOS Enrollment IDI20120524000204
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
42 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services11 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
21 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70363 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$164.73 typical visit price
range $53.43 – $164.73
Typical copayment $41.18 (range $13.35 – $41.18)
Most-billed visit code 99205
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.15
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RUBEN DARIO VARGAS-CUBA M.D.
Internal Medicine (Hematology & Oncology)
1990 INDUSTRIAL BLVD.
HOUMA, LA 70363
Terrebonne Parish (985) 868-9300
DR. ADAM JOSEPH ARCEMENT M.D.
Emergency Medicine
1990 INDUSTRIAL BLVD.
HOUMA, LA 70363
Terrebonne Parish (985) 868-9300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicolas Vergara's NPI number?

The NPI number for Nicolas Vergara is 1003084625. It was assigned to this individual provider in the NPPES registry on February 17, 2008.

Where is Nicolas Vergara located?

Nicolas Vergara practices at 1990 Industrial Blvd., Houma, LA 70363. The listed phone number is (985) 868-9300.

What is Nicolas Vergara's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nicolas Vergara enrolled in Medicare?

Yes. Nicolas Vergara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicolas Vergara accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Nicolas Vergara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicolas Vergara affiliated with any hospitals?

According to CMS data, Nicolas Vergara is affiliated with Touro Infirmary.

When was this NPI record last updated?

The NPPES record for Nicolas Vergara was last updated on October 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.