IRENE GELMAN MD
NPI 1083711964
Hospitalist in Conroe, TX

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
504 MEDICAL CENTER BLVD, CONROE, TX 77304(713) 269-5483(281) 256-6673 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Irene Gelman Md NPPES

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

IRENE GELMAN MD (NPI 1083711964) is an individual hospitalist provider in Conroe, Texas, licensed in Texas (M1108) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with St Luke's The Woodlands Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1083711964
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameIRENE GELMANCredential: MD
Location Address504 MEDICAL CENTER BLVDConroe, TX 77304-2808
Mailing AddressPo Box 946Montgomery, TX 77356-0946 · (713) 269-5483 · Fax (281) 256-6673
Fax(281) 256-6673
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 17, 2018
NPI 1083711964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · M1108
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License M1108 (TX)
504 MEDICAL CENTER BLVD, Conroe, TX 77304

Other Names 1

Other Name (5)Irina Gelman M.d.

Accepted 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

Irene Gelman Md 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 ID345273876
PECOS Enrollment IDI20050915000361
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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 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.
224 services89 patients
Follow-up hospital inpatient care per day, typically 25 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.
176 services90 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
110 services108 patients
Initial hospital inpatient care per day, typically 70 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.
40 services39 patients
Hospital observation care on day of discharge 99217
Hospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.
21 services20 patients
Initial hospital observation care per day, typically 70 minutes 99220
This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77304 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers29 claims29 services$14.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers29 claims29 services$63.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Pathology (Neuropathology)
504 MEDICAL CENTER BLVD
CONROE, TX 77304
Pathology (Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX 77304
Pathology (Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX 77304
Pathology (Anatomic Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX 77304
Pathology (Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX 77304
Pathology (Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX 77304
Pathology (Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX 77304
Pathology (Anatomic Pathology & Clinical Pathology)
504 MEDICAL CENTER BLVD
CONROE, TX 77304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083711964, enumerated as an "individual" on September 20, 2006.

The provider is located at 504 MEDICAL CENTER BLVD CONROE, TX 77304 and the phone number is (713) 269-5483.

Hospitalist with taxonomy code 208M00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.

Irene Gelman is affiliated with: ST LUKE'S THE WOODLANDS HOSPITAL.