DR. DAVID A CANTU M.D.
NPI 1538145206
Family Medicine in Fredericksburg, TX

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment
1305 N MILAM ST, FREDERICKSBURG, TX 78624(830) 997-7626(830) 997-2641 Get Directions Write a Review

NPPES record last updated: September 10, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David A Cantu M.d. NPPES

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

DR. DAVID A CANTU M.D. (NPI 1538145206) is an individual family medicine provider in Fredericksburg, Texas, licensed in Texas (J1073) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1990).

NPPES Registry Identity

NPI1538145206
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAVID A CANTUCredential: M.D.
Location Address1305 N MILAM STFredericksburg, TX 78624-2752
Mailing Address1305 N Milam StFredericksburg, TX 78624-2752 · (830) 997-7626 · Fax (830) 997-2641
Fax(830) 997-2641
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1990
Enumeration DateDecember 15, 2005
Last NPPES UpdateSeptember 10, 2013
NPI 1538145206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · J1073
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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License J1073 (TX)
1305 N MILAM ST, Fredericksburg, TX 78624

Other Identifiers 3

Medicaid136406901TX
Medicare UPINF36658TX
Medicare ID-Type Unspecified84Y361TX

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. David A 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 ID143344465
PECOS Enrollment IDI20100824000256
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 14

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, 20-29 minutes 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.
263 services135 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
111 services83 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
62 services47 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
53 services50 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.
37 services37 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
28 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78624 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 3

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
5 suppliers17 claims38 services$6.63 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims14 services$1.18 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$53.68 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 5

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

Family Medicine
1305 N MILAM ST
FREDERICKSBURG, TX 78624
Orthopaedic Surgery
1305 N MILAM ST
FREDERICKSBURG, TX 78624
Family Medicine
1305 N MILAM ST
FREDERICKSBURG, TX 78624
Orthopaedic Surgery
1305 N MILAM ST
FREDERICKSBURG, TX 78624
Family Medicine
1305 N MILAM ST
FREDERICKSBURG, TX 78624

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 David Cantu's NPI number?

The NPI number for David Cantu is 1538145206. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is David Cantu located?

David Cantu practices at 1305 N Milam St, Fredericksburg, TX 78624. The listed phone number is (830) 997-7626.

What is David Cantu's specialty?

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

Is David Cantu enrolled in Medicare?

Yes. David 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 David Cantu 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 1 other insurer list David 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 David Cantu was last updated on September 10, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.