JOSE CANTU M.D.
NPI 1366627523
Internal Medicine - Pulmonary Disease in Texas City, TX

Q: What is Jose Cantu's NPI number?

The NPI number for Jose Cantu is 1366627523. It was assigned to this individual provider in the NPPES registry on January 7, 2008.

Q: Where is Jose Cantu located?

Jose Cantu practices at 6807 Emmett F Lowry Expy #303, Texas City, TX 77591. The listed phone number is (409) 935-2995.

Q: What is Jose Cantu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: Is Jose Cantu enrolled in Medicare?

Yes. Jose 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.

Q: What insurance does Jose Cantu accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and UnitedHealthcare list Jose 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.

Q: Is Jose Cantu affiliated with any hospitals?

According to CMS data, Jose Cantu is affiliated with University Of Texas Medical Branch Galveston and Hca Houston Healthcare Clear Lake.

Q: When was this NPI record last updated?

The NPPES record for Jose Cantu was last updated on August 11, 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.

Active since January 07, 2008PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

6807 EMMETT F LOWRY EXPY, #303, TEXAS CITY, TX 77591(409) 935-2995(409) 935-3433 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Jose Cantu M.d. NPPES

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

JOSE CANTU M.D. (NPI 1366627523) is an individual pulmonary disease provider in Texas City, Texas, licensed in Texas (M5657) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of University Of Texas Medical School At Houston (2005).

NPPES Registry Identity

NPI1366627523

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameJOSE CANTUCredential: M.D.

Location Address6807 EMMETT F LOWRY EXPY, #303Texas City, TX 77591-2546

Mailing Address6807 Emmett F Lowry Expy, #303Texas City, TX 77591-2546 · (409) 935-2995 · Fax (409) 935-3433

Phone(409) 935-2995

Fax(409) 935-3433

Sole ProprietorYes

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2005

Enumeration DateJanuary 7, 2008

Last NPPES UpdateAugust 11, 2020

NPPES CertifiedAugust 11, 2020

✔ NPI 1366627523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TX · M5657

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License M5657 (TX)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License M5657 (TX)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License M5657 (TX)

6807 EMMETT F LOWRY EXPY, Texas City, TX 77591

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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, Community Health Choice, UnitedHealthcare.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

Jose 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 ID1557525177

PECOS Enrollment IDI20120612000304

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 21

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,114 services297 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

330 services148 patients

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.

327 services179 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

205 services77 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.

181 services134 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

162 services134 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

153 services56 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

142 services132 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

73 services73 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

73 services73 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

73 services73 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.

41 services41 patients

Ultrasound scan of chest 76604

An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.

35 services19 patients

Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation G0398

A home sleep study test with a type II portable monitor is a non-invasive procedure done at home to monitor your sleep. It records data like brain waves, eye movements, muscle activity, heart rate, breathing, and oxygen levels. This helps identify sleep disorders.

34 services34 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

25 services25 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

22 services20 patients

Diagnostic exam of lung airway using an endoscope 31622

This procedure involves a doctor inserting a thin, flexible tube called an endoscope into your lung airway. It allows the doctor to view the airway and diagnose any issues. The process is safe and helps in accurate diagnosis.

20 services17 patients

Test for exercise-induced spasm of lung airways 94617

This test checks how your lungs respond to exercise. You'll be asked to exercise on a treadmill or stationary bike. Then, you'll breathe into a device that measures your lung function. If your airways narrow during or after exercise, it may indicate exercise-induced bronchoconstriction.

15 services14 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

15 services14 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.

12 services11 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450018

Location301 University BoulevardGalveston, TX 77555 · Galveston County

Emergency services Birthing friendly

Hca Houston Healthcare Clear Lake

Acute Care Hospitals · Webster, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450617

Location500 W Medical Center BlvdWebster, TX 77598 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77591 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

$131.16 typical visit price

range $57.19 – $173.07

Typical copayment $32.79 (range $14.29 – $43.26)

Most-billed visit code 99204

Established Patient

$100.90 typical visit price

range $18.45 – $141.36

Typical copayment $25.22 (range $4.61 – $35.34)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Reported Quality Measures

Chronic Obstructive Pulmonary Disease (COPD): Long-Acting Inhaled Bronchodilator Therapy

Percentage of patients aged 18 years and older with a diagnosis of COPD (FEV1/FVC < 70%) and who have an FEV1 less than 60% predicted and have symptoms who were prescribed an long-acting inhaled bronchodilator

100%140 patients5/55-star benchmark: 100%

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation

Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented

100%281 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%1,598 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

99%845 patients5/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 100% · 421 patients

Patients tobacco: 100% · 421 patients

100%75 patients5/55-star benchmark: 98%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

99%312 patients4/55-star benchmark: 100%

Sleep Apnea: Assessment of Sleep Symptoms

Percentage of visits for patients aged 18 years and older with a diagnosis of obstructive sleep apnea that includes documentation of an assessment of sleep symptoms, including presence or absence of snoring and daytime sleepiness

100%327 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 27

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

8 suppliers110 claims110 services$33.42 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

4 suppliers14 claims14 services$12.05 avg. paid by Medicare

Filter, disposable, used with aerosol compressor or ultrasonic generator A7013

DME-Other DME · category DE000N

2 suppliers11 claims12 services$0.43 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

3 suppliers15 claims15 services$1.03 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

9 suppliers78 claims78 services$70.07 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

9 suppliers77 claims223 services$28.00 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers75 claims426 services$14.71 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

7 suppliers52 claims296 services$13.22 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

9 suppliers131 claims131 services$46.47 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

13 suppliers120 claims120 services$14.76 avg. paid by Medicare

Chinstrap used with positive airway pressure device A7036

DME-Other DME · category DE001N

4 suppliers16 claims16 services$9.11 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

10 suppliers92 claims92 services$9.73 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

13 suppliers181 claims1,071 services$1.71 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

3 suppliers12 claims12 services$5.26 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

12 suppliers66 claims66 services$10.45 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

6 suppliers134 claims135 services$15.68 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier13 claims13 services$43.83 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers37 claims37 services$917.84 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

2 suppliers23 claims23 services$847.25 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

4 suppliers27 claims27 services$114.72 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers67 claims67 services$3.39 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers216 claims216 services$27.27 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

12 suppliers413 claims414 services$63.63 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

7 suppliers206 claims206 services$30.32 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

11 suppliers83 claims22,747 services$0.03 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$31.17 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

8 suppliers92 claims92 services$22.66 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 20

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

DR. DIANE C ROBINSON MD

Surgery

6807 EMMETT F LOWRY EXPY, SUITE 101
TEXAS CITY, TX 77591

Galveston County (409) 935-2930

TEXAS CITY MWP

Specialist

6807 EMMETT F LOWRY EXPY, 302
TEXAS CITY, TX 77591

Galveston County (832) 431-5162

PAMELA LOUISE CABLE FNP-C

Nurse Practitioner (Family)

6807 EMMETT F LOWRY EXPY
TEXAS CITY, TX 77591

Galveston County (409) 908-9345

CHCA MAINLAND LP

Clinical Nurse Specialist (Women's Health)

6807 EMMETT F LOWRY EXPY, SUITE 305
TEXAS CITY, TX 77591

Galveston County (409) 934-8687

LYMPHEDEMA CENTERS PA

Internal Medicine

6807 EMMETT F LOWRY EXPY, SUITE 103
TEXAS CITY, TX 77591

Galveston County (409) 938-1770

KODLIPET DHARMASHANKAR MD

Internal Medicine (Cardiovascular Disease)

6807 EMMETT F LOWRY EXPY, SUITE 108
TEXAS CITY, TX 77591

Galveston County (409) 945-5444

DIANE C. ROBINSON MD PA

Surgery

6807 EMMETT F LOWRY EXPY, STE 101
TEXAS CITY, TX 77591

Galveston County (409) 935-2930

MARY MERCADO MD PA

Specialist

6807 EMMETT F LOWRY EXPY, SUITE 304
TEXAS CITY, TX 77591

Galveston County (409) 935-8755

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 Jose Cantu's NPI number?

The NPI number for Jose Cantu is 1366627523. It was assigned to this individual provider in the NPPES registry on January 7, 2008.

Where is Jose Cantu located?

Jose Cantu practices at 6807 Emmett F Lowry Expy #303, Texas City, TX 77591. The listed phone number is (409) 935-2995.

What is Jose Cantu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jose Cantu enrolled in Medicare?

Yes. Jose 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 Jose Cantu accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and UnitedHealthcare list Jose 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 Jose Cantu affiliated with any hospitals?

According to CMS data, Jose Cantu is affiliated with University Of Texas Medical Branch Galveston and Hca Houston Healthcare Clear Lake.

When was this NPI record last updated?

The NPPES record for Jose Cantu was last updated on August 11, 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.