DR. LUIS EDWIN GAONA GARZA MD
NPI 1437735107
Family Medicine in Rockford, IL

Q: What is Luis Gaona Garza's NPI number?

The NPI number for Luis Gaona Garza is 1437735107. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Luis Gaona Garza's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Luis Gaona Garza was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment

815 MARCHESANO DR, ROCKFORD, IL 61102(779) 696-5950 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 25, 2024, Sep 20, 2024, Mar 22, 2021 (3 updates tracked since 2021).

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About Dr. Luis Edwin Gaona Garza Md NPPES

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

DR. LUIS EDWIN GAONA GARZA MD (NPI 1437735107) is an individual family medicine provider in Rockford, Illinois, licensed in Illinois (036168560) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1437735107

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LUIS EDWIN GAONA GARZACredential: MD

Location Address815 MARCHESANO DRRockford, IL 61102-3521

Mailing Address815 Marchesano DrRockford, IL 61102-3521 · (779) 696-5950

Phone(779) 696-5950

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 22, 2021

Last NPPES UpdateSeptember 25, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2024

✔ NPI 1437735107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036168560

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 036.168560 (IL)

815 MARCHESANO DR, Rockford, IL 61102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.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 Edwin Gaona Garza 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 ID446653141

PECOS Enrollment IDI20241007000573

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 2

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 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.

18 services16 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.

18 services15 patients

Hospital Affiliations CMS Care Compare

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

Uw Health

Acute Care Hospitals · Rockford, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140228

Location1401 East State StreetRockford, IL 61104 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61102 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 6

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

MATTEO PERRONE MD

Family Medicine