DR. CARLOS LUIS CANTU M.D.
NPI 1235362146
Pathology - Anatomic Pathology & Clinical Pathology in Tucson, AZ

Active since August 26, 2009PECOS EnrolledAccepts Medicare Assignment
88.55/100
CMS Quality Rating
350 N WILMOT RD, TUCSON, AZ 85711(602) 685-5211(602) 685-5325 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2020, Oct 11, 2018 (2 updates tracked since 2018).

About Dr. Carlos Luis Cantu M.d. NPPES

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

DR. CARLOS LUIS CANTU M.D. (NPI 1235362146) is an individual anatomic pathology & clinical pathology provider in Tucson, Arizona, licensed in Arizona (46996) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Casa Grande, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2009).

NPPES Registry Identity

NPI1235362146
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. CARLOS LUIS CANTUCredential: M.D.
Location Address350 N WILMOT RDTucson, AZ 85711-2602
Mailing AddressPo Box 42210Phoenix, AZ 85080-2210 · (623) 266-7770 · Fax (623) 322-4639
Fax(602) 685-5325
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2009
Enumeration DateAugust 26, 2009
Last NPPES UpdateAugust 7, 20202 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
NPI 1235362146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in AZ · 46996
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
350 N WILMOT RD, Tucson, AZ 85711

Secondary Practice Location 1

Location 11800 E Florence BlvdCasa Grande, AZ 85122-5303 · Phone (602) 685-5211 · Fax (602) 685-5325

Other Identifiers 2

Medicaid133788AZ
Other46996AZ · Az Medical License

Accepted 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. Carlos Luis Cantu M.d. 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 ID8820396054
PECOS Enrollment IDI20160420002455
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 28

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.

Flow cytometry technique for dna or cell analysis, each additional marker 88185
Flow cytometry is a technique that helps analyze the physical and chemical characteristics of cells or particles. When an additional marker is used, it aids in identifying specific cell types or stages of disease. This helps in precise diagnosis and treatment planning.
8,960 services340 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
1,118 services199 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
657 services358 patients
Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure 88374
This procedure involves analyzing tissue at a genetic level using a microscope and advanced computer technology. The initial process involves the collection and preparation of tissue samples. Each multiplex procedure refers to the simultaneous testing of multiple genetic markers to identify abnormalities.
582 services141 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
458 services97 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
389 services343 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85711 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

88.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.53
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physical Therapist
350 N WILMOT RD, OUTPATIENT REHABILITATION
TUCSON, AZ 85711
Specialist
350 N WILMOT RD, NEWBORN INTENSIVE CARE UNIT
TUCSON, AZ 85711
Pathology (Anatomic Pathology & Clinical Pathology)
350 N WILMOT RD
TUCSON, AZ 85711
Emergency Medicine
350 N WILMOT RD
TUCSON, AZ 85711
Nurse Practitioner (Neonatal, Critical Care)
350 N WILMOT RD
TUCSON, AZ 85711
Emergency Medicine
350 N WILMOT RD
TUCSON, AZ 85711
Emergency Medicine
350 N WILMOT RD
TUCSON, AZ 85711
Registered Nurse
350 N WILMOT RD
TUCSON, AZ 85711

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 Carlos Cantu's NPI number?

The NPI number for Carlos Cantu is 1235362146. It was assigned to this individual provider in the NPPES registry on August 26, 2009.

Where is Carlos Cantu located?

Carlos Cantu practices at 350 N Wilmot Rd, Tucson, AZ 85711. The listed phone number is (602) 685-5211.

What is Carlos Cantu's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Carlos Cantu enrolled in Medicare?

Yes. Carlos 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 Carlos Cantu accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and Oscar Insurance Company list Carlos 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.

When was this NPI record last updated?

The NPPES record for Carlos Cantu was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.