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MR. ANTONIO L. GALVAO NETO M.D.
NPI 1255469250
Pathology - Anatomic Pathology in Houston, TX

Active since March 01, 2007PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
5656 KELLEY STREET, HOUSTON, TX 77026(713) 566-5261(713) 599-5299 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Antonio L. Galvao Neto M.d. NPPES

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

MR. ANTONIO L. GALVAO NETO M.D. (NPI 1255469250) is an individual anatomic pathology provider in Houston, Texas, licensed in Texas (48060) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1255469250
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameMR. ANTONIO L. GALVAO NETOCredential: M.D.
Location Address5656 KELLEY STREETHouston, TX 77026-1967
Mailing Address6431 Fannin Street, Msb 2.136Houston, TX 77030-1501 · (713) 500-5301 · Fax (713) 500-0695
Phone(713) 566-5261
Fax(713) 599-5299
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMarch 1, 2007
Last NPPES UpdateFebruary 27, 2024
✔ NPI 1255469250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
Licenses✔ Licensed in TX · 48060✔ Licensed in CO · DR.006135✔ Licensed in CO · DR.0061357
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.
5656 KELLEY STREET, Houston, TX 77026
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Antonio L. Galvao Neto 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 ID3971658063
PECOS Enrollment IDI20231221003152
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 Reassignments

4

Medicare enrollment records show Antonio Galvao Neto reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Health Science Center At Houston
8.6 mi
Clinical Pathology/Laboratory Medicine
6431 FANNIN STREET, MSB 2.136
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 73 clinicians in this Medicare group
NPI 1831142751 (713) 500-5301
New York University
955 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964
Garden City Colon & Rectal Surgical Practice, P.C.
1,432 mi
Colon & Rectal Surgery
1075 FRANKLIN AVE.
Garden City, NY 11530
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Garden City Colon & Rectal Surgical Practice PC
  • 6 clinicians in this Medicare group
NPI 1508189226 (516) 248-7733
Digestive Disease Care, PC
1,463 mi
Gastroenterology
235 N BELLE MEAD RD
East Setauket, NY 11733
  • Reassigned Medicare billing, New York enrollment
  • 60 clinicians in this Medicare group
NPI 1184871774 (631) 450-1500

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

Areas of Expertise CMS Part B claims

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.

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.
73 services30 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77026 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

RUKMA R. GOVINDU MD
Internal Medicine
5656 KELLEY STREET
HOUSTON, TX 77026
Harris County (713) 566-4550
ZHENJIAN CAI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
5656 KELLEY STREET
HOUSTON, TX 77026
Harris County (713) 566-5234
DR. DI AI M.D., PH.D.
Pathology (Anatomic Pathology)
5656 KELLEY STREET
HOUSTON, TX 77026
Harris County (713) 566-5261
PEI HWA KUO R. PH PHARMACIST
Pharmacy
5656 KELLEY STREET
HOUSTON, TX 77026
Harris County (713) 566-5136
LISA EDMISTON DE YBARRONDO M.D.
Pediatrics
5656 KELLEY STREET, 500
HOUSTON, TX 77026
Harris County (713) 566-4541
MICHAEL H COVINSKY M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
5656 KELLEY STREET
HOUSTON, TX 77026
Harris County (713) 566-5261
NIKOLAOS ZACHARIAS M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
5656 KELLEY STREET, DEPT OF OB/GYN ROOM # 2LD80 001
HOUSTON, TX 77026
Harris County (713) 566-5976

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 Antonio Galvao Neto's NPI number?

The NPI number for Antonio Galvao Neto is 1255469250. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Antonio Galvao Neto located?

Antonio Galvao Neto practices at 5656 Kelley Street, Houston, TX 77026. The listed phone number is (713) 566-5261.

What is Antonio Galvao Neto's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Antonio Galvao Neto enrolled in Medicare?

Yes. Antonio Galvao Neto 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.

Which organizations bill Medicare for Antonio Galvao Neto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Galvao Neto reassigns Medicare benefits to 4 organizations: University Of Texas Health Science Center At Houston (Houston, TX), New York University (Boynton Beach, FL), Garden City Colon & Rectal Surgical Practice, P.C. (Garden City, NY) and Digestive Disease Care, PC (East Setauket, NY). Each 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 Antonio Galvao Neto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antonio Galvao Neto accept?

Health plans from Blue Cross and Blue Shield of Texas list Antonio Galvao Neto 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 Antonio Galvao Neto affiliated with any hospitals?

According to CMS data, Antonio Galvao Neto is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Antonio Galvao Neto was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.