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GILBERT CADENA JR. MD
NPI 1760649255
Neurological Surgery in Orange, CA

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
101 THE CITY DR S, PAVILION 1, BLDG 30, ORANGE, CA 92868(714) 456-6966 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gilbert Cadena Jr. Md NPPES

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

GILBERT CADENA JR. MD (NPI 1760649255) is an individual neurological surgery provider in Orange, California, licensed in California (A109777) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and is a graduate of Boston University School Of Medicine (2008).

NPPES Registry Identity

NPI1760649255
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameGILBERT CADENA JR.Credential: MD
Location Address101 THE CITY DR S, PAVILION 1, BLDG 30Orange, CA 92868-3201
Mailing Address200 S Manchester Ave, Suite 210Orange, CA 92868-3217 · (714) 552-8016
Phone(714) 456-6966
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2008
Enumeration DateMay 21, 2008
Last NPPES UpdateJune 23, 2016
✔ NPI 1760649255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in CA · A109777
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
101 THE CITY DR S, Orange, CA 92868
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Other Identifiers 1

Medicare UPINRES000CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.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

Gilbert Cadena Jr. 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 ID749418184
PECOS Enrollment IDI20200602000315
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 6

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.
34 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
15 services15 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.
15 services14 patients
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.
13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Centracare Health - Monticello

Critical Access Hospitals · Monticello, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241362
Location1013 Hart BoulevardMonticello, MN 55362 · Wright County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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.

DR. ANKIT BHUPENDRA PATEL D.O.
Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-5113
DR. LAURA CATHERINE SKOCZYLAS MD
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Orange County (714) 456-8224
MICHAEL CHENG DO
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7110
AESTHETIC AND PLASTIC SURGERY INSTITUTE
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-2986
JOSEPH VILLARREAL M.D.
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Orange County (714) 456-5239
DEMI TRAN
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Orange County (171) 456-6693
DR. ISABEL CARLTON CLARK M.D.
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Orange County (714) 456-7890
DYLAN LUKATO
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868
Orange County (415) 218-8041

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 Gilbert Cadena's NPI number?

The NPI number for Gilbert Cadena is 1760649255. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Gilbert Cadena located?

Gilbert Cadena practices at 101 The City Dr S Pavilion 1, Bldg 30, Orange, CA 92868. The listed phone number is (714) 456-6966.

What is Gilbert Cadena's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Gilbert Cadena enrolled in Medicare?

Yes. Gilbert Cadena 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 Gilbert Cadena accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Gilbert Cadena 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 Gilbert Cadena affiliated with any hospitals?

According to CMS data, Gilbert Cadena is affiliated with St Cloud Hospital and Centracare Health - Monticello.

When was this NPI record last updated?

The NPPES record for Gilbert Cadena was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.