MR. GERALD JOSEPH CALEGAN II MD
NPI 1902873516
Psychiatry & Neurology - Neurology in Baton Rouge, LA

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
87.58/100
CMS Quality Rating
10101 PARK ROWE AVE, SUITE 200, BATON ROUGE, LA 70810(225) 769-2200(225) 768-2185 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Gerald Joseph Calegan Ii Md NPPES

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

MR. GERALD JOSEPH CALEGAN II MD (NPI 1902873516) is an individual neurology provider in Baton Rouge, Louisiana, licensed in Louisiana (200840) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and is a graduate of Tulane University School Of Medicine (2001).

NPPES Registry Identity

NPI1902873516
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMR. GERALD JOSEPH CALEGAN IICredential: MD
Location Address10101 PARK ROWE AVE, SUITE 200Baton Rouge, LA 70810
Mailing AddressPo Box 98509Baton Rouge, LA 70884-9509 · (225) 769-2200 · Fax (225) 768-2185
Fax(225) 768-2185
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2001
Enumeration DateMarch 2, 2006
Last NPPES UpdateMay 31, 2018
NPI 1902873516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in LA · 200840
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal MedicineTaxonomy 207R00000X · License 24995 (AL)
10101 PARK ROWE AVE, Baton Rouge, LA 70810

Other Names 1

Professional Name (2)Gerald J Calegan Md

Other Identifiers 2

Medicaid1529001LA
Other051516518AL · Blue Cross Blue Shield

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

Mr. Gerald Joseph Calegan Ii 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 ID8224070875
PECOS Enrollment IDI20060428000429
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 18

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, incobotulinumtoxin a, 1 unit J0588
Incobotulinumtoxin A, 1 unit, is an injection commonly known as Botox. It's used to treat various conditions like muscle spasms or wrinkles. The substance temporarily paralyzes muscles, providing relief or aesthetic improvement.
28,050 services52 patients
Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
5,800 services16 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.
359 services266 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
282 services139 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.
190 services158 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
119 services119 patients

Hospital Affiliations CMS Care Compare 2

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

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number190064
Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County
Emergency services

The Spine Hospital Of Louisiana

Acute Care Hospitals · Baton Rouge, LA
OwnershipPhysician
CMS Certification Number190266
Location10105 Park Row Circle, Suite 250Baton Rouge, LA 70810 · E. Baton Rouge County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70810 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.

87.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.41
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
65%969 patients3/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
59%203 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
94%2,094 patients4/55-star benchmark: 100%
e-Prescribing
75%1,661 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
71%911 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
40%1,416 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
59%1,245 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 932 patients
Patients screened: 87% · 932 patients
82%55 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 62% · 414 patients
60%414 patients
Provide Patients Electronic Access to Their Health Information
90%1,161 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
38%430 patients2/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%382 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier13 claims52 services$16.93 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims364 services$35.74 avg. paid by Medicare
Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml J7340
DME-Drugs Administered Through DME · category DG000N
1 supplier13 claims364 services$168.09 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.

Neurological Surgery
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physical Therapist
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Psychiatry & Neurology (Clinical Neurophysiology)
10101 PARK ROWE AVE
BATON ROUGE, LA 70810
Physical Medicine & Rehabilitation (Pain Medicine)
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Neurological Surgery
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physical Medicine & Rehabilitation
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physical Medicine & Rehabilitation
10101 PARK ROWE AVE, SUITE 200
BATON ROUGE, LA 70810
Physician Assistant
10101 PARK ROWE AVE
BATON ROUGE, LA 70810

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 Gerald Calegan's NPI number?

The NPI number for Gerald Calegan is 1902873516. It was assigned to this individual provider in the NPPES registry on March 2, 2006. The provider is also known as Gerald J Calegan MD.

Where is Gerald Calegan located?

Gerald Calegan practices at 10101 Park Rowe Ave Suite 200, Baton Rouge, LA 70810. The listed phone number is (225) 769-2200.

What is Gerald Calegan's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Gerald Calegan enrolled in Medicare?

Yes. Gerald Calegan 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 Gerald Calegan accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Gerald Calegan 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 Gerald Calegan affiliated with any hospitals?

According to CMS data, Gerald Calegan is affiliated with Our Lady Of The Lake Regional Medical Center and The Spine Hospital Of Louisiana.

When was this NPI record last updated?

The NPPES record for Gerald Calegan was last updated on May 31, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.