Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. BERTHA H DANIELS MD
NPI 1285620773
Family Medicine in Gretna, LA

Active since September 21, 2005PECOS Enrolled
96.9/100
CMS Quality Rating
175 HECTOR AVE, GRETNA, LA 70056(504) 349-6925(504) 362-5310 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bertha H Daniels Md NPPES

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

DR. BERTHA H DANIELS MD (NPI 1285620773) is an individual family medicine provider in Gretna, Louisiana, licensed in Louisiana (023621) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with West Jefferson Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1997).

NPPES Registry Identity

NPI1285620773
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BERTHA H DANIELSCredential: MD
Location Address175 HECTOR AVEGretna, LA 70056-2590
Mailing Address1101 Medical Center Blvd, Attn: Heidi GwinnMarrero, LA 70072-3147 · (504) 349-1297 · Fax (504) 349-1146
Fax(504) 362-5310
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1997
Enumeration DateSeptember 21, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1285620773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in LA · 023621
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

175 HECTOR AVE, Gretna, LA 70056

Other Identifiers 1

Medicaid1482731LA

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

Dr. Bertha H Daniels 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 ID9931244035
PECOS Enrollment IDI20100301000394
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 3

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.
105 services38 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.
15 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

West Jefferson Medical Center

Acute Care Hospitals · Marrero, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190039
Location1101 Medical Center BlvdMarrero, LA 70072 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70056 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%68 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
175 HECTOR AVE
GRETNA, LA 70056
Nurse Practitioner (Family)
175 HECTOR AVE
GRETNA, LA 70056
Family Medicine
175 HECTOR AVE
GRETNA, LA 70056
Family Medicine
175 HECTOR AVE
GRETNA, LA 70056
Pediatrics
175 HECTOR AVE
GRETNA, LA 70056
Internal Medicine
175 HECTOR AVE
GRETNA, LA 70056
Internal Medicine
175 HECTOR AVE
GRETNA, LA 70056
Family Medicine
175 HECTOR AVE
GRETNA, LA 70056

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 Bertha Daniels's NPI number?

The NPI number for Bertha Daniels is 1285620773. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Bertha Daniels located?

Bertha Daniels practices at 175 Hector Ave, Gretna, LA 70056. The listed phone number is (504) 349-6925.

What is Bertha Daniels's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bertha Daniels enrolled in Medicare?

Yes. Bertha Daniels 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 Bertha Daniels accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Bertha Daniels 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 Bertha Daniels affiliated with any hospitals?

According to CMS data, Bertha Daniels is affiliated with West Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Bertha Daniels was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.