DR. PAMELA SANTONE D.O.
NPI 1528033941
Family Medicine in Grand Prairie, TX

Active since February 20, 2006PECOS EnrolledAccepts Medicare Assignment
4560 LAKE RIDGE PARKWAY, SUITE 200, GRAND PRAIRIE, TX 75052(972) 263-5272(972) 263-3488 Get Directions Write a Review

NPPES record last updated: June 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pamela Santone D.o. NPPES

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

DR. PAMELA SANTONE D.O. (NPI 1528033941) is an individual family medicine provider in Grand Prairie, Texas, licensed in Texas (K5300) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Medical City Arlington, and maintains a secondary practice location in Grand Prairie.

NPPES Registry Identity

NPI1528033941
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAMELA SANTONECredential: D.O.
Location Address4560 LAKE RIDGE PARKWAY, SUITE 200Grand Prairie, TX 75052
Mailing Address3400 W Wheatland Rd, Pav Iii Ste#360Dallas, TX 75237-4418 · (214) 947-7325 · Fax (214) 884-4749
Fax(972) 263-3488
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 1997
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJune 12, 2018
NPI 1528033941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · K5300
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4560 LAKE RIDGE PARKWAY, Grand Prairie, TX 75052

Secondary Practice Location 1

Location 14116 S Carrier Pkwy, Ste#250Grand Prairie, TX 75052-3200 · Phone (972) 263-5272 · Fax (972) 263-3486

Other Identifiers 2

Other8A7075Bc/bs
Medicaid146002401TX

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. Pamela Santone D.o. 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 ID1658416425
PECOS Enrollment IDI20100304000232
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 15

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 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.
346 services139 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
94 services41 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
84 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
77 services77 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
72 services68 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.
68 services49 patients

Hospital Affiliations CMS Care Compare 3

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

Medical City Arlington

Acute Care Hospitals · Arlington, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450675
Location3301 Matlock RoadArlington, TX 76015 · Tarrant County
Emergency services Birthing friendly

Methodist Charlton Medical Center

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450723
Location3500 W Wheatland RoadDallas, TX 75237 · Dallas County
Emergency services Birthing friendly

Methodist Mansfield Medical Center

Acute Care Hospitals · Mansfield, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670023
Location2700 E Broad StreetMansfield, TX 76063 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75052 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers11 claims24 services$6.82 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier19 claims19 services$5.71 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 4

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

Family Medicine (Sports Medicine)
4560 LAKE RIDGE PARKWAY, SUITE 300
DALLAS, TX 75052
Family Medicine
4560 LAKE RIDGE PARKWAY, SUITE 200
GRAND PRAIRIE, TX 75052
Durable Medical Equipment & Medical Supplies
4560 LAKE RIDGE PARKWAY, SUITE 300
GRAND PRAIRIE, TX 75052
Family Medicine
4560 LAKE RIDGE PARKWAY, SUITE 200
GRAND PRAIRIE, TX 75052

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 Pamela Santone's NPI number?

The NPI number for Pamela Santone is 1528033941. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Pamela Santone located?

Pamela Santone practices at 4560 Lake Ridge Parkway Suite 200, Grand Prairie, TX 75052. The listed phone number is (972) 263-5272.

What is Pamela Santone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pamela Santone enrolled in Medicare?

Yes. Pamela Santone 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 Pamela Santone accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Pamela Santone 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 Pamela Santone affiliated with any hospitals?

According to CMS data, Pamela Santone is affiliated with Medical City Arlington, Methodist Charlton Medical Center and Methodist Mansfield Medical Center.

When was this NPI record last updated?

The NPPES record for Pamela Santone was last updated on June 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.