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DR. LUIS E GAITAN M.D.
NPI 1275605974
Psychiatry & Neurology - Neurology in Brownsville, TX

Active since November 15, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
4770 N EXPRESSWAY, SUITE 100, BROWNSVILLE, TX 78526(956) 550-9020(956) 550-9050 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Luis E Gaitan M.d. NPPES

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

DR. LUIS E GAITAN M.D. (NPI 1275605974) is an individual neurology provider in Brownsville, Texas, licensed in Texas (K1442) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Valley Baptist Medical Center- Brownsville, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1275605974
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. LUIS E GAITANCredential: M.D.
Location Address4770 N EXPRESSWAY, SUITE 100Brownsville, TX 78526-4120
Mailing AddressPo Box 676786Dallas, TX 75267-6786 · (956) 548-1139 · Fax (956) 550-9050
Phone(956) 550-9020
Fax(956) 550-9050
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateNovember 15, 2006
Last NPPES UpdateMay 12, 2022
NPPES CertifiedMay 12, 2022
✔ NPI 1275605974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · K1442
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

4770 N EXPRESSWAY, Brownsville, TX 78526
Open in Google Maps ↗

Other Identifiers 4

Other200076095TX · Employer Identification N
Medicaid118823704TX
OtherP00039432TX · Pin Medicare Railroad
Other0043KHTX · Bcbs Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Luis E Gaitan 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 ID6406848050
PECOS Enrollment IDI20040428000932
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
493 services312 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.
110 services109 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.
87 services69 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
72 services72 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
65 services58 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
49 services45 patients

Hospital Affiliations CMS Care Compare 4

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

Valley Baptist Medical Center- Brownsville

Acute Care Hospitals · Brownsville, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450028
Location1040 W Jefferson StBrownsville, TX 78520 · Cameron County
Emergency services Birthing friendly

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Valley Regional Medical Center

Acute Care Hospitals · Brownsville, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450662
Location100 A Alton GloorBrownsville, TX 78526 · Cameron County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78526 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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 9

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

RS2 ANESTHESIA PLLC
Nurse Anesthetist, Certified Registered
4770 N EXPRESSWAY, SUITE 106
BROWNSVILLE, TX 78526
Cameron County (956) 404-0849
MS. REGINA DEANNA ORTIZ PA-C
Physician Assistant (Medical)
4770 N EXPRESSWAY, SUITE 104
BROWNSVILLE, TX 78526
Cameron County (956) 350-0874
DR. RODOLFO J WALSS M.D.
Obstetrics & Gynecology (Obstetrics)
4770 N EXPRESSWAY, 205
BROWNSVILLE, TX 78526
Cameron County (956) 350-0838
LUIS GAITAN, MD., PA.
Psychiatry & Neurology (Neurology)
4770 N EXPRESSWAY, SUITE 100
BROWNSVILLE, TX 78526
Cameron County (956) 550-9020
CHI D NGUYEN MD PA
Otolaryngology
4770 N EXPRESSWAY, STE 106
BROWNSVILLE, TX 78526
Cameron County (956) 544-3336
CHI DANG NGUYEN MD
Otolaryngology
4770 N EXPRESSWAY, STE 106
BROWNSVILLE, TX 78526
Cameron County (956) 544-3336
JUAN GALVAN P.A.C.
Physician Assistant
4770 N EXPRESSWAY, SUITE 204
BROWNSVILLE, TX 78526
Cameron County (956) 350-8380
SURGICAL ASSOCIATES OF BROWNSVILLE
Specialist
4770 N EXPRESSWAY, SUITE 204
BROWNSVILLE, TX 78526
Cameron County (956) 541-6320

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 Luis Gaitan's NPI number?

The NPI number for Luis Gaitan is 1275605974. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Luis Gaitan located?

Luis Gaitan practices at 4770 N Expressway Suite 100, Brownsville, TX 78526. The listed phone number is (956) 550-9020.

What is Luis Gaitan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Luis Gaitan enrolled in Medicare?

Yes. Luis Gaitan 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 Luis Gaitan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Luis Gaitan 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 Luis Gaitan affiliated with any hospitals?

According to CMS data, Luis Gaitan is affiliated with Valley Baptist Medical Center- Brownsville, Vhs Harlingen Hospital Company LLC, Valley Regional Medical Center and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Luis Gaitan was last updated on May 12, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.