DR. SUSAN D HUNTER M.D.
NPI 1477558401
Obstetrics & Gynecology in Harlingen, TX

Q: What is Susan Hunter's NPI number?

The NPI number for Susan Hunter is 1477558401. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is Susan Hunter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Hunter was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 June 16, 2005PECOS EnrolledAccepts Medicare Assignment

81.57/100

CMS Quality Rating

626 N ED CAREY DR, HARLINGEN, TX 78550(956) 428-4868(956) 428-2712 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Susan D Hunter M.d. NPPES

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

DR. SUSAN D HUNTER M.D. (NPI 1477558401) is an individual obstetrics & gynecology provider in Harlingen, Texas, licensed in Texas (J9584) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and is a graduate of Northwestern University Feinberg Medical School (1993).

NPPES Registry Identity

NPI1477558401

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. SUSAN D HUNTERCredential: M.D.

Location Address626 N ED CAREY DRHarlingen, TX 78550-7912

Mailing Address626 N Ed Carey DrHarlingen, TX 78550-7912 · (956) 428-4868 · Fax (956) 428-2712

Phone(956) 428-4868

Fax(956) 428-2712

Sole ProprietorYes

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1993

Enumeration DateJune 16, 2005

Last NPPES UpdateSeptember 15, 2015

✔ NPI 1477558401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in TX · J9584

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

626 N ED CAREY DR, Harlingen, TX 78550

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Other Identifiers 5

Medicare UPING52368TX

Medicare ID-Type Unspecified8832N1TX

Other129772100TX · Vhp

Other8F3421TX · Bcbstx

Medicare PIN8C7151

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Susan D Hunter 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 ID6204899685

PECOS Enrollment IDI20041106000079

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 2

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 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.

36 services32 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450033

Location2101 Pease StHarlingen, TX 78550 · Cameron County

Emergency services Birthing friendly

Harlingen Medical Center

Acute Care Hospitals · Harlingen, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450855

Location5501 South Expressway 77Harlingen, TX 78550 · Cameron County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78550 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

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

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.

81.57/100

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

Scored as part of a group practice

Quality

85.05

Promoting Interoperability

100

Improvement Activities

Cost

53.51

Reported Quality Measures

Breast Cancer Screening

91%670 patients4/55-star benchmark: 93%

Cervical Cancer Screening

93%1,290 patients4/55-star benchmark: 98%

Controlling High Blood Pressure

72%25 patients4/55-star benchmark: 91%

e-Prescribing

98%500 patients4/55-star benchmark: 100%

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

17%1,650 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

39%2,411 patients3/55-star benchmark: 61%

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

Patients screened: 0% · 1,493 patients

0%1,493 patients

Provide Patients Electronic Access to Their Health Information

92%549 patients4/55-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.

Other Providers at the Same Location NPPES 6

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

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