EDGARDO R CONCEPCION MD
NPI 1326123415
Psychiatry & Neurology - Psychiatry in Lafayette, LA

Active since October 26, 2006PECOS EnrolledAccepts Medicare Assignment
1131 RUE DU BELIER, LAFAYETTE, LA 70506(337) 981-1400(337) 981-6611 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edgardo R Concepcion Md NPPES

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

EDGARDO R CONCEPCION MD (NPI 1326123415) is an individual psychiatry provider in Lafayette, Louisiana, licensed in Louisiana (11294R) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1977).

NPPES Registry Identity

NPI1326123415
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameEDGARDO R CONCEPCIONCredential: MD
Location Address1131 RUE DU BELIERLafayette, LA 70506
Mailing AddressPo Box 3912, 1131 Rue Du BelierLafayette, LA 70506 · (337) 981-1400 · Fax (337) 981-6611
Fax(337) 981-6611
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateOctober 26, 2006
Last NPPES UpdateJuly 3, 2008
✔ NPI 1326123415 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 · 11294R
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.
1131 RUE DU BELIER, Lafayette, LA 70506

Other Identifiers 4

Medicaid1664448LA
Other11294RState Lic
Medicare UPING15806
Medicare PIN5W438LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edgardo R Concepcion 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 ID6103876032
PECOS Enrollment IDI20051116000281
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Edgardo Concepcion reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
1131 RUE DU BELIER
Lafayette, LA 70506
  • Reassigned Medicare billing, Louisiana enrollment
Federally Qualified Health Center (FQHC)
1002 12TH ST
Lafayette, LA 70501
  • Reassigned Medicare billing, Louisiana enrollment
  • 43 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

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.
25 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70506 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.

Other Providers at the Same Location NPPES 3

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

Clinic/Center
1131 RUE DU BELIER
LAFAYETTE, LA 70506
Social Worker
1131 RUE DU BELIER
LAFAYETTE, LA 70506
Psychiatric Hospital
1131 RUE DU BELIER
LAFAYETTE, LA 70506

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 Edgardo Concepcion's NPI number?

The NPI number for Edgardo Concepcion is 1326123415. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Edgardo Concepcion located?

Edgardo Concepcion practices at 1131 Rue Du Belier, Lafayette, LA 70506. The listed phone number is (337) 981-1400.

What is Edgardo Concepcion's specialty?

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

Is Edgardo Concepcion enrolled in Medicare?

Yes. Edgardo Concepcion 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.

Which organizations bill Medicare for Edgardo Concepcion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgardo Concepcion reassigns Medicare benefits to 2 organizations: Dr Concepcion & Associates Therapeutic Ctr (Lafayette, LA) and Iberia Comprehensive Community Health Center, Inc (Lafayette, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edgardo Concepcion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edgardo Concepcion accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and HMO Louisiana list Edgardo Concepcion 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.

When was this NPI record last updated?

The NPPES record for Edgardo Concepcion was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.