ZOLTAN GOMBOS MD
NPI 1619037595
Pathology - Anatomic Pathology & Clinical Pathology in Lafayette, LA

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment
90/100
CMS Quality Rating
1214 COOLIDGE BLVD FL 3, LAFAYETTE, LA 70503(337) 289-7679 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Zoltan Gombos Md NPPES

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

ZOLTAN GOMBOS MD (NPI 1619037595) is an individual anatomic pathology & clinical pathology provider in Lafayette, Louisiana, licensed in Louisiana (MD.201702) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Ochsner Lafayette General Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1619037595
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameZOLTAN GOMBOSCredential: MD
Location Address1214 COOLIDGE BLVD FL 3Lafayette, LA 70503-2621
Mailing AddressPo Box 52087Lafayette, LA 70505-2087 · (337) 289-7679
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateDecember 11, 2006
Last NPPES UpdateSeptember 27, 2024
NPPES CertifiedSeptember 27, 2024
NPI 1619037595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in LA · MD.201702 Licensed in PA · MD423868
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
1214 COOLIDGE BLVD FL 3, Lafayette, LA 70503

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

Zoltan Gombos 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 ID1355341777
PECOS Enrollment IDI20071211000346
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 21

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
670 services416 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
392 services89 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
196 services157 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
192 services154 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
160 services123 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
159 services96 patients

Hospital Affiliations CMS Care Compare 5

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

Ochsner Lafayette General Medical Center

Acute Care Hospitals · Lafayette, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190002
Location1214 Coolidge AvenueLafayette, LA 70503 · Lafayette County
Emergency services Birthing friendly

Ochsner University Hospital And Clinics

Acute Care Hospitals · Lafayette, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190006
Location2390 West CongressLafayette, LA 70506 · Lafayette County
Emergency services

Acadia General Hospital

Acute Care Hospitals · Crowley, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190044
Location1305 Crowley Rayne HighwayCrowley, LA 70526 · Acadia County
Emergency services

Park Place Surgical Hospital

Acute Care Hospitals · Lafayette, LA
OwnershipPhysician
CMS Certification Number190255
Location4811 Ambassador Caffery ParkwayLafayette, LA 70508 · Lafayette County

Ochsner St Martin Hospital

Critical Access Hospitals · Breaux Bridge, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number191302
Location210 Champagne BoulevardBreaux Bridge, LA 70517 · St. Martin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70503 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

90/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Pathology (Anatomic Pathology & Clinical Pathology)
1214 COOLIDGE BLVD FL 3
LAFAYETTE, LA 70503
Pathology (Anatomic Pathology & Clinical Pathology)
1214 COOLIDGE BLVD FL 3
LAFAYETTE, LA 70503

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 Zoltan Gombos's NPI number?

The NPI number for Zoltan Gombos is 1619037595. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Zoltan Gombos located?

Zoltan Gombos practices at 1214 Coolidge Blvd Fl 3, Lafayette, LA 70503. The listed phone number is (337) 289-7679.

What is Zoltan Gombos's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Zoltan Gombos enrolled in Medicare?

Yes. Zoltan Gombos 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 Zoltan Gombos accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and HMO Louisiana list Zoltan Gombos 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 Zoltan Gombos affiliated with any hospitals?

According to CMS data, Zoltan Gombos is affiliated with Ochsner Lafayette General Medical Center, Ochsner University Hospital And Clinics, Acadia General Hospital, Park Place Surgical Hospital and Ochsner St Martin Hospital.

When was this NPI record last updated?

The NPPES record for Zoltan Gombos was last updated on September 27, 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.