MR. BRIAN T GEGEL CRNA, MSN
NPI 1689665432
Nurse Anesthetist, Certified Registered in Houston, TX

Q: What is Brian Gegel's NPI number?

The NPI number for Brian Gegel is 1689665432. It was assigned to this individual provider in the NPPES registry on November 1, 2005.

Q: What is Brian Gegel's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Gegel was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 01, 2005Accepts Medicare Assignment

100/100

CMS Quality Rating

1500 CITYWEST BLVD STE 300, HOUSTON, TX 77042(713) 620-4000(713) 458-4229 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. Brian T Gegel Crna, Msn NPPES

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

MR. BRIAN T GEGEL CRNA, MSN (NPI 1689665432) is an individual nurse anesthetist, certified registered in Houston, Texas, licensed in Texas (AP110096) and active in the NPI registry since November 2005. He maintains 3 additional practice locations and is a graduate of Other (2013).

NPPES Registry Identity

NPI1689665432

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. BRIAN T GEGELCredential: CRNA, MSN

Location Address1500 CITYWEST BLVD STE 300Houston, TX 77042

Mailing AddressPo Box 117614Carrollton, TX 75011-7614 · (106) 151-9012 · Fax (210) 615-1905

Phone(713) 620-4000

Fax(713) 458-4229

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 1, 2005

Last NPPES UpdateJuly 6, 2021

NPPES CertifiedJuly 6, 2021

✔ NPI 1689665432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TX · AP110096

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

1500 CITYWEST BLVD STE 300, Houston, TX 77042

Open in Google Maps ↗

Secondary Practice Locations 3

Location 13903 Wiseman Blvd Ste 311San Antonio, TX 78251-4422 · Phone (210) 615-1901 · Fax (210) 615-1905

Location 212602 Toepperwein Rd Ste 218Live Oak, TX 78233-3271 · Phone (210) 615-1901 · Fax (210) 615-1905

Location 33603 Paesanos Pkwy Ste 100San Antonio, TX 78231-1268 · Phone (210) 615-1901 · Fax (210) 615-1905

Other Identifiers 2

Medicaid002505802TX

Other82113UTX · Blue Cross And Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc. and more.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

Mr. Brian T Gegel Crna, Msn 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 ID3072410448

PECOS Enrollment IDI20031215000389

Medicare Billing Reassignments

Medicare enrollment records show Brian Gegel reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endo Sedation LLC

30 mi

Nurse Anesthetist, Certified Registered

1015 W MEDICAL CENTER BLVD STE 1200
Webster, TX 77598

Reassigned Medicare billing, Texas enrollment
710 clinicians in this Medicare group

NPI 1811464936 (281) 554-3494

Community Medicine Associates

178 mi

Family Medicine

903 W MARTIN ST # MS 49-2
San Antonio, TX 78207

Reassigned Medicare billing, Texas enrollment
1,129 clinicians in this Medicare group

NPI 1245313329 (210) 358-3401

Precision Spine And Pain Management

179 mi

Pain Medicine

1642 LOCKHILL SELMA ROAD
San Antonio, TX 78213

Reassigned Medicare billing, Texas enrollment
6 clinicians in this Medicare group

NPI 1336415371 (210) 233-9331

University Of Texas Health Science Center At San Antonio

182 mi

Clinical Pathology/Laboratory Medicine

7703 FLOYD CURL DR RM 327B
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
2,397 clinicians in this Medicare group

NPI 1396717989 (210) 450-9000

Westover Anesthesia Services PLLC

189 mi

Anesthesiology

1919 ROGERS ROAD, SUITE 104
San Antonio, TX 78251

Reassigned Medicare billing, Texas enrollment
7 clinicians in this Medicare group

NPI 1578005450 (210) 541-0700

Spcsa PLLC

189 mi

Pain Medicine

3903 WISEMAN BLVD STE 101
San Antonio, TX 78251

Reassigned Medicare billing, Texas enrollment
6 clinicians in this Medicare group

NPI 1720008527 (210) 615-1901

Dfw Oba PLLC

244 mi

Anesthesiology

3001 CROSS TIMBERS RD STE 120
Flower Mound, TX 75028

Reassigned Medicare billing, Texas enrollment
60 clinicians in this Medicare group

NPI 1124468855 (972) 350-0225

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 14

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, propofol, 10 mg J2704

Propofol is a medication given via injection to help you relax or sleep during surgery or other medical procedures. The 10 mg dosage refers to the amount of medication you'll receive. It's administered by a healthcare professional and monitored closely for safety.

503 services47 patients

Injection, fentanyl citrate, 0.1 mg J3010

Fentanyl citrate is a potent pain medication administered via injection. The 0.1 mg dosage is used to manage severe pain conditions. It works by blocking pain signals to the brain. It's crucial to follow the dosage instructions to prevent potential side effects.

139 services16 patients

Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938

This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.

84 services70 patients

Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01940

This is a procedure where anesthesia is applied to numb specific nerves in your lower back. Using imaging guidance, the doctor can accurately locate these nerves through the skin. This is done to alleviate pain by disrupting nerve signals. It's a safe and effective method.

63 services53 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

48 services48 patients

Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance 01937

This procedure involves administering anesthesia to numb the neck or upper back area. This helps in carrying out procedures like injection, drainage, or aspiration on the spine or spinal cord. Imaging guidance is used to ensure accurate placement, enhancing safety and effectiveness.

37 services30 patients

Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance 01939

This procedure involves using anesthesia to numb the area around your spine or spinal cord. The doctor will then use imaging guidance to accurately locate and destroy problematic nerves. This is done through the skin and targets either the neck or upper back area.

37 services30 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

31 services15 patients

Injection, midazolam hydrochloride, per 1 mg J2250

Midazolam hydrochloride is a medication injected to help you relax or sleep before surgery or certain medical procedures. It works by calming the brain and nerves. It's given in small doses, measured in milligrams (mg).

27 services19 patients

Anesthesia for exam of colon using an endoscope 00812

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

26 services26 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

25 services25 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

21 services21 patients

Anesthesia for nerve block and injection 01991

Anesthesia for nerve block and injection is a procedure used to numb specific areas, reducing or blocking pain signals. A medication is injected near nerves to cause numbness in a particular part of your body. This helps in performing certain medical procedures with minimal discomfort.

15 services14 patients

Anesthesia for nerve block and injection procedure, prone position 01992

Anesthesia for nerve block and injection is a procedure to numb specific areas, reducing pain. You'll be positioned face-down (prone) for optimal access to the treatment area. The anesthetic is injected near the nerve, blocking pain signals to the brain.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77042 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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

Quality

100

Improvement Activities

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.

EDITHA A FLEMMING CRNA

Nurse Anesthetist, Certified Registered