Edgardo Concepcion, MD
NPI 1326123415 · Psychiatry Physician · Lafayette, LA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edgardo Concepcion, MD is a Psychiatry Physician provider in Lafayette, LA (NPI 1326123415).
Provider details
- NPI number
- 1326123415
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 11294R (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
25 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 25 | $108 |
Typical Medicare-allowed amounts for these services range $108–$108 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 82 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Alprazolam | 1,643 | 163 |
| Quetiapine Fumarate | 786 | 95 |
| Clonazepam | 593 | 78 |
| Trazodone Hcl | 562 | 77 |
| Zolpidem Tartrate | 518 | 63 |
| Duloxetine Hcl | 480 | 59 |
| Dextroamphetamine/Amphetamine |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,143 across 93 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-26
- Last updated
- 2008-07-03
Frequently asked questions
- What is Edgardo Concepcion's NPI number?
- Edgardo Concepcion's National Provider Identifier (NPI) is 1326123415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edgardo Concepcion's specialty?
- Edgardo Concepcion is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Edgardo Concepcion located?
- Edgardo Concepcion's practice location on file with NPPES is 1131 Rue Du Belier, Lafayette, LA 70506.
- What is Edgardo Concepcion's phone number?
- The practice phone number listed in the NPPES registry for Edgardo Concepcion is (337) 981-1400.
- Does Edgardo Concepcion accept Medicare?
- Edgardo Concepcion is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edgardo Concepcion's NPI active?
- Yes — Edgardo Concepcion's NPI (1326123415) is active in the NPPES registry as of the last update on 2008-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.