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RAMON OMAR CANTU D.O.
NPI 1023049863
Family Medicine in Eagle Lake, TX

Active since July 06, 2006PECOS Enrolled
98.3/100
CMS Quality Rating
610 SOUTH AUSTIN ROAD, EAGLE LAKE, TX 77434(979) 234-2551(979) 234-5994 Get Directions Write a Review

NPPES record last updated: December 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ramon Omar Cantu D.o. NPPES

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

RAMON OMAR CANTU D.O. (NPI 1023049863) is an individual family medicine provider in Eagle Lake, Texas, licensed in Texas (K5266) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Columbus Community Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (1997).

NPPES Registry Identity

NPI1023049863
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAMON OMAR CANTUCredential: D.O.
Location Address610 SOUTH AUSTIN ROADEagle Lake, TX 77434-3202
Mailing Address610 South Austin RoadEagle Lake, TX 77434-3202 · (979) 234-2551 · Fax (979) 234-5994
Phone(979) 234-2551
Fax(979) 234-5994
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1997
Enumeration DateJuly 6, 2006
Last NPPES UpdateDecember 7, 2011
✔ NPI 1023049863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · K5266
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License K5266 (TX)
610 SOUTH AUSTIN ROAD, Eagle Lake, TX 77434
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH18407TX
Medicare PIN00202NTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ramon Omar Cantu D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446241715
PECOS Enrollment IDI20040524001304
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services24 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
37 services13 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
36 services33 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
21 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
19 services18 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Columbus Community Hospital

Acute Care Hospitals · Columbus, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450370
Location110 Shult DrColumbus, TX 78934 · Colorado County
Emergency services Birthing friendly

Rice Medical Center

Critical Access Hospitals · Eagle Lake, TX
OwnershipProprietary
CMS Certification Number451312
Location600 South Austin RoadEagle Lake, TX 77434 · Colorado County
Emergency services

Lavaca Medical Center

Critical Access Hospitals · Hallettsville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451376
Location1400 North Texana StreetHallettsville, TX 77964 · Lavaca County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77434 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

98.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers56 claims103 services$3.88 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers21 claims22 services$0.57 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$43.43 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers14 claims36 services$24.15 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers13 claims13 services$66.86 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers19 claims46 services$2.78 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAYMOND RUSSELL THOMAS JR. DO
Family Medicine
610 SOUTH AUSTIN ROAD
EAGLE LAKE, TX 77434
Colorado County (979) 234-2551
RICE HOSPITAL DISTRICT
Clinic/Center (Rural Health)
610 SOUTH AUSTIN ROAD
EAGLE LAKE, TX 77434
Colorado County (979) 234-2551

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 Ramon Cantu's NPI number?

The NPI number for Ramon Cantu is 1023049863. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Ramon Cantu located?

Ramon Cantu practices at 610 South Austin Road, Eagle Lake, TX 77434. The listed phone number is (979) 234-2551.

What is Ramon Cantu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ramon Cantu enrolled in Medicare?

Yes. Ramon Cantu is registered in the Medicare PECOS enrollment system.

What insurance does Ramon Cantu accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Ramon Cantu 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 Ramon Cantu affiliated with any hospitals?

According to CMS data, Ramon Cantu is affiliated with Columbus Community Hospital, Rice Medical Center and Lavaca Medical Center.

When was this NPI record last updated?

The NPPES record for Ramon Cantu was last updated on December 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.