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GWEN MARIE COUSINS MD
NPI 1336194828
Ophthalmology - Retina Specialist in Metairie, LA

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1 GALLERIA BLVD STE 900, METAIRIE, LA 70001(504) 895-3961(504) 888-6045 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2025, Jan 15, 2020, Dec 19, 2018 and 1 more (4 updates tracked since 2017).

About Gwen Marie Cousins Md NPPES

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

GWEN MARIE COUSINS MD (NPI 1336194828) is an individual retina specialist in Metairie, Louisiana, licensed in Louisiana (024983) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2000).

NPPES Registry Identity

NPI1336194828
Entity TypeIndividualFemale
Primary Taxonomy207WX0107X
Provider Legal NameGWEN MARIE COUSINSCredential: MD
Location Address1 GALLERIA BLVD STE 900Metairie, LA 70001-7528
Mailing Address1 Galleria Blvd Ste 900Metairie, LA 70001-7528 · (504) 456-9061 · Fax (504) 888-6045
Phone(504) 895-3961
Fax(504) 888-6045
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2000
Enumeration DateMay 23, 2006
Last NPPES UpdateOctober 8, 20254 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
✔ NPI 1336194828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in LA · 024983
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 024983 (LA)
1 GALLERIA BLVD STE 900, Metairie, LA 70001
Open in Google Maps ↗

Other Identifiers 1

Medicaid1421251LA

Accepted Insurance

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

Gwen Marie Cousins 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 ID941221279
PECOS Enrollment IDI20051214000137
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 10

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
2,760 services12 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
746 services336 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
732 services330 patients
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.
697 services319 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
377 services105 patients
Injection, bevacizumab, 10 mg J9035
Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.
221 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70001 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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
Quality100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%51 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 5

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

KATHY HOANG TA M.D.
Ophthalmology (Retina Specialist)
1 GALLERIA BLVD STE 900
METAIRIE, LA 70001
Jefferson Parish (504) 456-9061
GITTER AND COHEN L L C
Ophthalmology (Retina Specialist)
1 GALLERIA BLVD STE 900
METAIRIE, LA 70001
Jefferson Parish (504) 456-9061
GITTER AND COHEN A MEDICAL CORPORATION
Ophthalmology (Retina Specialist)
1 GALLERIA BLVD STE 900
METAIRIE, LA 70001
Jefferson Parish (504) 456-9061
DR. STANISLAV A. ZHUK M.D.
Ophthalmology (Retina Specialist)
1 GALLERIA BLVD STE 900
METAIRIE, LA 70001
Jefferson Parish (504) 456-9061
DR. RONALD L WILLSON MD
Ophthalmology (Retina Specialist)
1 GALLERIA BLVD STE 900
METAIRIE, LA 70001
Jefferson Parish (504) 456-9061

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 Gwen Cousins's NPI number?

The NPI number for Gwen Cousins is 1336194828. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Gwen Cousins located?

Gwen Cousins practices at 1 Galleria Blvd Ste 900, Metairie, LA 70001. The listed phone number is (504) 895-3961.

What is Gwen Cousins's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Gwen Cousins enrolled in Medicare?

Yes. Gwen Cousins 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 Gwen Cousins 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 3 other insurers list Gwen Cousins 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 Gwen Cousins was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.