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DR. SANTIAGO RESTREPO
NPI 1225019003
Psychiatry & Neurology - Neurology in San Antonio, TX

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
84.18/100
CMS Quality Rating
255 E SONTERRA BLVD STE 211, SAN ANTONIO, TX 78258(210) 656-2333(210) 656-1333 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Santiago Restrepo NPPES

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

DR. SANTIAGO RESTREPO (NPI 1225019003) is an individual neurology provider in San Antonio, Texas, licensed in Texas (M0882) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1225019003
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. SANTIAGO RESTREPO
Location Address255 E SONTERRA BLVD STE 211San Antonio, TX 78258-4076
Mailing Address255 E Sonterra Blvd Ste 211San Antonio, TX 78258-4076 · (210) 656-2333 · Fax (210) 656-1333
Phone(210) 656-2333
Fax(210) 656-1333
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateNovember 9, 2005
Last NPPES UpdateOctober 22, 2010
✔ NPI 1225019003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · M0882
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
255 E SONTERRA BLVD STE 211, San Antonio, TX 78258
Open in Google Maps ↗

Other Identifiers 1

OtherM0882TX · Texas License Number

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., Oscar Insurance Company 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 and accepts Medicare assignment

Dr. Santiago Restrepo 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 ID749261246
PECOS Enrollment IDI20051109001201
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 7

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.
864 services474 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
391 services274 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
156 services156 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.
71 services52 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
66 services66 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
22 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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.

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.

84.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.37
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers18 claims18 services$32.58 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers33 claims33 services$62.37 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers31 claims89 services$26.96 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers16 claims86 services$17.13 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers18 claims107 services$10.23 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
8 suppliers33 claims33 services$43.41 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 3

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

SAN MARCOS NEUROLOGY ASSOCIATES
Psychiatry & Neurology (Neurology)
255 E SONTERRA BLVD STE 211
SAN ANTONIO, TX 78258
Bexar County (210) 656-2333
DR. ERIC JOHN PAPPERT M.D.
Psychiatry & Neurology (Neurology)
255 E SONTERRA BLVD STE 211
SAN ANTONIO, TX 78258
Bexar County (210) 656-2333
DR. MICHAEL I GARCIA PH.D.
Psychologist
255 E SONTERRA BLVD STE 211
SAN ANTONIO, TX 78258
Bexar County (210) 656-2333

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 Santiago Restrepo's NPI number?

The NPI number for Santiago Restrepo is 1225019003. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Santiago Restrepo located?

Santiago Restrepo practices at 255 E Sonterra Blvd Ste 211, San Antonio, TX 78258. The listed phone number is (210) 656-2333.

What is Santiago Restrepo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Santiago Restrepo enrolled in Medicare?

Yes. Santiago Restrepo 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 Santiago Restrepo accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Oscar Insurance Company and UnitedHealthcare list Santiago Restrepo 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 Santiago Restrepo affiliated with any hospitals?

According to CMS data, Santiago Restrepo is affiliated with Baptist Medical Center and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Santiago Restrepo was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.