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CYNTHIA L CANTU D.O.
NPI 1184088411
Internal Medicine in San Antonio, TX

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment
11212 HIGHWAY 151, SAN ANTONIO, TX 78251(210) 450-9901 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 22, 2019, Jun 5, 2019 (2 updates tracked since 2019).

About Cynthia L Cantu D.o. NPPES

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

CYNTHIA L CANTU D.O. (NPI 1184088411) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (S0264) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2016).

NPPES Registry Identity

NPI1184088411
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCYNTHIA L CANTUCredential: D.O.
Location Address11212 HIGHWAY 151San Antonio, TX 78251
Mailing Address11212 Highway 151San Antonio, TX 78251-4498 · (210) 450-9000
Phone(210) 450-9901
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2016
Enumeration DateApril 12, 2016
Last NPPES UpdateAugust 22, 20192 updates tracked since enumeration
✔ NPI 1184088411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · S0264
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11212 HIGHWAY 151, San Antonio, TX 78251
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Other Names 1

Former Name (1)Cynthia L Cantu-gamez

Other Identifiers 1

Medicaid399704101TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare.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

Cynthia L Cantu D.o. 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 ID5092014787
PECOS Enrollment IDI20190624001975
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.

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.
306 services158 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
107 services107 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
83 services59 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
50 services33 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
19 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
19 services16 patients

Hospital Affiliations CMS Care Compare

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

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims30 services$6.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$56.63 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.08 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 16

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

MS. KATHLEEN ELLEN GRZYBOWSKI RN
Registered Nurse
11212 HIGHWAY 151
SAN ANTONIO, TX 78251
Bexar County (405) 708-8049
STEPHANIE ELISE WILLIAMS CRNA
Nurse Anesthetist, Certified Registered
11212 HIGHWAY 151
SAN ANTONIO, TX 78251
Bexar County (210) 703-8000
MR. FELIPE ESPINOZA IV CSFA
Specialist/Technologist, Other (Surgical Assistant)
11212 HIGHWAY 151
SAN ANTONIO, TX 78251
Bexar County (210) 703-8000
DR. JESSICA ASHLEY KITCHEN MD
Family Medicine
11212 HIGHWAY 151, STE.100
SAN ANTONIO, TX 78251
Bexar County (210) 450-9900
MICHAEL A BARNETT MD PLLC
Internal Medicine (Cardiovascular Disease)
11212 HIGHWAY 151, BLDG 2 SUITE 200
SAN ANTONIO, TX 78251
Bexar County (210) 520-7000
DR. PRISCILLA WANG M.D.
Emergency Medicine
11212 HIGHWAY 151
SAN ANTONIO, TX 78251
Bexar County (210) 703-8000
DR. SCOTT LEGGOE D.O.
Family Medicine (Adolescent Medicine)
11212 HIGHWAY 151
SAN ANTONIO, TX 78251
Bexar County (210) 450-9900
MRS. MARIA CRISTINA BENDELE
Nurse Practitioner (Family)
11212 HIGHWAY 151
SAN ANTONIO, TX 78251
Bexar County (210) 450-9000

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 Cynthia Cantu's NPI number?

The NPI number for Cynthia Cantu is 1184088411. It was assigned to this individual provider in the NPPES registry on April 12, 2016. The provider is also known as Cynthia L Cantu-Gamez.

Where is Cynthia Cantu located?

Cynthia Cantu practices at 11212 Highway 151, San Antonio, TX 78251. The listed phone number is (210) 450-9901.

What is Cynthia Cantu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cynthia Cantu enrolled in Medicare?

Yes. Cynthia Cantu 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 Cynthia Cantu accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc. and Molina Healthcare list Cynthia 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 Cynthia Cantu affiliated with any hospitals?

According to CMS data, Cynthia Cantu is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Cynthia Cantu was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.