NPIMap

Individual provider Active NPI

Jerry D Wood, MD

  • Adult Medicine Physician
  • Livingston, TX
National Provider Identifier
1508866450
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
G0304 Issued in TX
Practice address
219 Eastwood St
Livingston, TX 77351-3342
Phone
(936) 327-7147
Fax
(936) 327-6234
NPI assigned
Jul 21, 2005
Last updated
Jul 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X G0304 TX Primary

Addresses

Primary practice location

219 Eastwood St
Livingston, TX 77351-3342

Mailing address

219 Eastwood St
Livingston, TX 77351-3342
Phone (936) 327-7147

Other identifiers 4

IdentifierTypeStateIssuer
87W460OtherTXBLUECROSS BLUESHIELD
080005306OtherTXRAILROAD MEDICARE
133935003MedicaidTX
76-0090075OtherTXFIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110714000732 TX Practitioner - Family Practice 3375593155 Receives reassigned benefits from 1 practitioner
Practice locations: Livingston, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

219 Eastwood Ave
Livingston, TX 77351-3342
Phone (936) 327-7147

219 N Eastwood
Livingston, TX 77351-3342

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.44 of 100Reported as apm
Quality
79.59
Promoting interoperability
97.75
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jeffrey Luna MD PA Current Accepting new patients

Locations

219 Eastwood Ave
Livingston, TX 77351
Phone (936) 327-7147

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Pine Ridge Health Care L L PLivingston, TX, CCN 676000 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 2, 2010
Feb 20, 2025
1St Quality Hospice LLCLivingston, TX, CCN 671729 Hospice Contracted Managing Employee Oct 30, 2020

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1508866450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 EASTWOOD ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513342",
            "telephone_number": "936-327-7147",
            "fax_number": "936-327-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 EASTWOOD ST",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513342",
            "telephone_number": "936-327-7147",
            "fax_number": "936-327-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "JERRY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "G0304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "87W460",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080005306",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133935003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIN",
            "identifier": "76-0090075",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.