GUSTAVO S ODERICH (MD) – Vascular Surgery Physician, NPI 1740254515
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
492 VASCULAR SURGERY in TX
Provider Addresses for GUSTAVO S ODERICH (MD)
6400 Fannin St Ste 2850
Houston, TX 770301540
Phone: (713) 486-5139
Fax: (713) 512-7203
Type: Location
4500 San Pablo Rd S
Jacksonville, FL 322241865
Phone: (904) 953-2000
Type: Location
200 1st St SW
Rochester, MN 559050001
Phone: (507) 284-2511
Type: Location
1515 Holcombe Blvd
Houston, TX 770304000
Phone: (713) 792-6161
Type: Location
7200 CAMBRIDGE ST STE 6B
HOUSTON, TX 770304202
Phone: (713) 798-8371
Fax: (713) 512-7200
Type: Mailing
7200 CAMBRIDGE ST
HOUSTON, TX 770304202
Phone: (713) 798-2400
Type: Location
Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States
HOUSTON, TX 770301540
Phone: (713) 486-5100
Fax: (713) 512-7200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 167 Open Payments records for all available years, with a total value of $248,581.
Total Amount is formed as General ($110,726) + Research ($137,855) + Ownership ($0) = $248,581.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Cook Research Incorporated ($138,697).
Total Amount
$248,581
General + Research + Ownership
Payments
167
Total payment records
General Amount
$110,726
General payments
Research Amount
$137,855
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cook Research Incorporated | $138,697 |
| W. L. Gore & Associates, Inc. | $67,060 |
| Bolton Medical Inc | $11,600 |
| GE HEALTHCARE | $11,286 |
| GE HealthCare | $8,968 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-06-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200612000211 | I | Vascular Surgery | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 33 | $0 |
| 34713 | Exposure of groin artery for delivery of graft | 19 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 17 | 17 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 77030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Clinical Psychologist | TX | |
| Diagnostic Radiology | VA | |
| U R O L O G Y | TX | |
| - | TX | |
| - | TX | |
| General Surgery | AZ | |
| H E M A T O L O G Y/ O N C O L O G Y | TX | |
| Hematology, Internal Medicine | WA | |
| O P H T H A L M O L O G Y | TX |
Reviews
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