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DR. LUIS OCEGUERA M.D.
NPI 1396946661
Surgery in Cooperstown, NY

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
86.64/100
CMS Quality Rating
1 ATWELL RD, COOPERSTOWN, NY 13326(607) 547-3909(607) 547-6325 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Luis Oceguera M.d. NPPES

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

DR. LUIS OCEGUERA M.D. (NPI 1396946661) is an individual surgery provider in Cooperstown, New York, licensed in New York (249652) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and is a graduate of Loma Linda University School Of Medicine (2005).

NPPES Registry Identity

NPI1396946661
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. LUIS OCEGUERACredential: M.D.
Location Address1 ATWELL RDCooperstown, NY 13326-1301
Mailing Address1 Atwell RdCooperstown, NY 13326-1301 · (607) 547-3909 · Fax (607) 547-6325
Phone(607) 547-3909
Fax(607) 547-6325
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2005
Enumeration DateMay 31, 2007
Last NPPES UpdateAugust 3, 2012
✔ NPI 1396946661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 249652
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1 ATWELL RD, Cooperstown, NY 13326
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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 Oceguera 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 ID4880840412
PECOS Enrollment IDI20120814000078
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
32 services23 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
20 services20 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.
13 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Aurelia Osborn Fox Memorial Hospital

Acute Care Hospitals · Oneonta, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330085
LocationOne Norton AvenueOneonta, NY 13820 · Otsego County
Emergency services

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

O'connor Hospital

Critical Access Hospitals · Delhi, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331305
Location460 Andes RoadDelhi, NY 13753 · Delaware County
Emergency services

Little Falls Hospital

Critical Access Hospitals · Little Falls, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331311
Location140 Burwell StreetLittle Falls, NY 13365 · Herkimer County
Emergency services

Cobleskill Regional Hospital

Critical Access Hospitals · Cobleskill, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number331320
Location178 Grandview DriveCobleskill, NY 12043 · Schoharie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13326 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

86.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.13
Promoting Interoperability74
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.

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
3 suppliers11 claims420 services$5.99 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers12 claims480 services$3.46 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.

BETH A MARKS RPA C
Physician Assistant
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-4762
MS. MARIA E ALLEN NP
Nurse Practitioner (Psychiatric/Mental Health)
1 ATWELL RD, DEPARTMENT OF PSYCHIATRY
COOPERSTOWN, NY 13326
Otsego County (607) 547-3500
DR. WILLIAM CHARLES WASSEL M.D.
Pediatrics
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3074
O SCOTT RAFFO M.D.
Anesthesiology
1 ATWELL RD, BASSETT HEALTHCARE, ANESTHESIOLOGY DEPARTMENT
COOPERSTOWN, NY 13326
Otsego County (607) 547-3153
NICHOLAS JOHN HELLENTHAL M.D.
Urology
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3075
DR. DAVID J BERNARD MD
Anesthesiology
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3153
DR. PAUL DONNALD RUSSO O.D
Optometrist
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-6831
DR. JAMES T DALTON M.D.
Internal Medicine
1 ATWELL RD
COOPERSTOWN, NY 13326
Otsego County (607) 547-3967

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 Oceguera's NPI number?

The NPI number for Luis Oceguera is 1396946661. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Luis Oceguera located?

Luis Oceguera practices at 1 Atwell Rd, Cooperstown, NY 13326. The listed phone number is (607) 547-3909.

What is Luis Oceguera's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Luis Oceguera enrolled in Medicare?

Yes. Luis Oceguera 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.

Is Luis Oceguera affiliated with any hospitals?

According to CMS data, Luis Oceguera is affiliated with Aurelia Osborn Fox Memorial Hospital, Bassett Healthcare, O'connor Hospital, Little Falls Hospital and Cobleskill Regional Hospital.

When was this NPI record last updated?

The NPPES record for Luis Oceguera was last updated on August 3, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.