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CHARLES R CANTOR MD
NPI 1225066244
Psychiatry & Neurology - Neurology in Philadelphia, PA

Active since June 29, 2006PECOS Enrolled
85.48/100
CMS Quality Rating
3400 CIVIC CENTER BLVD FL 2, PHILADELPHIA, PA 19104(215) 662-3606(215) 243-2312 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charles R Cantor Md NPPES

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

CHARLES R CANTOR MD (NPI 1225066244) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD040671E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225066244
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameCHARLES R CANTORCredential: MD
Location Address3400 CIVIC CENTER BLVD FL 2Philadelphia, PA 19104-5127
Mailing Address3400 Civic Center Blvd Fl 2Philadelphia, PA 19104-5127 · (215) 662-3606 · Fax (215) 243-2312
Phone(215) 662-3606
Fax(215) 243-2312
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateSeptember 27, 2019
✔ NPI 1225066244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · MD040671E
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.
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License MD040671E (PA)
3400 CIVIC CENTER BLVD FL 2, Philadelphia, PA 19104
Open in Google Maps ↗

Other Identifiers 1

Medicaid0012153860004PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles R Cantor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Cantor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn-Medical Group
Same address
Surgery
3400 CIVIC CENTER BLVD, 4 WEST PAVILLION
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1003923707 (Pennsylvania)
  • 3,488 clinicians in this Medicare group
NPI 1033507157 (215) 662-2626

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 12

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
9 suppliers53 claims53 services$32.08 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers26 claims26 services$72.47 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers26 claims63 services$28.58 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers32 claims169 services$15.44 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers15 claims83 services$11.22 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
10 suppliers59 claims60 services$42.05 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 19

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

CAREY CELATA GOSSELIN
Nurse Practitioner (Adult Health)
3400 CIVIC CENTER BLVD FL 2
PHILADELPHIA, PA 19104
Philadelphia County (800) 789-7366
ROBERT D SCHALLER DO
Internal Medicine (Clinical Cardiac Electrophysiology)
3400 CIVIC CENTER BLVD FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
DANIEL M KOLANSKY MD
Internal Medicine (Interventional Cardiology)
3400 CIVIC CENTER BLVD FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
MARIE ANGELIQUE GUERRATY MD
Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 615-4949
DR. MATTHEW JOSEPH MCGUINNESS MD
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD FL 2
PHILADELPHIA, PA 19104
Philadelphia County (617) 667-7000
DR. DAVID LIN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
3400 CIVIC CENTER BLVD FL 2
PHILA, PA 19104
Philadelphia County (215) 615-4949
MEGAN ELIZABETH POWER
Nurse Practitioner (Family)
3400 CIVIC CENTER BLVD FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 316-5151
CATHERINE NORISE MD
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD FL 2
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-3606

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 Charles Cantor's NPI number?

The NPI number for Charles Cantor is 1225066244. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Charles Cantor located?

Charles Cantor practices at 3400 Civic Center Blvd Fl 2, Philadelphia, PA 19104. The listed phone number is (215) 662-3606.

What is Charles Cantor's specialty?

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

Is Charles Cantor enrolled in Medicare?

Yes. Charles Cantor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Cantor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Cantor reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Cantor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Cantor accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Charles Cantor 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.

When was this NPI record last updated?

The NPPES record for Charles Cantor was last updated on September 27, 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.