EDWARD CANTU MD
NPI 1558528166
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lexington, KY

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
740 S LIMESTONE STE L304, LEXINGTON, KY 40536(859) 323-6494 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edward Cantu Md NPPES

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

EDWARD CANTU MD (NPI 1558528166) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Lexington, Kentucky, licensed in Kentucky (TP523) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (2000).

NPPES Registry Identity

NPI1558528166
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameEDWARD CANTUCredential: MD
Location Address740 S LIMESTONE STE L304Lexington, KY 40536-4206
Mailing Address740 S Limestone Ste L304Lexington, KY 40536-0001
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2000
Enumeration DateMay 21, 2008
Last NPPES UpdateJuly 8, 2025
NPPES CertifiedJuly 8, 2025
NPI 1558528166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in KY · TP523 Licensed in PA · MD440060
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

740 S LIMESTONE STE L304, Lexington, KY 40536

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

Edward Cantu Md 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 ID7113042490
PECOS Enrollment IDI20250721000756
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

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Acute Care)
740 S LIMESTONE STE L304
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
740 S LIMESTONE STE L304
LEXINGTON, KY 40536
Physician Assistant
740 S LIMESTONE STE L304
LEXINGTON, KY 40536
Internal Medicine (Pulmonary Disease)
740 S LIMESTONE STE L304
LEXINGTON, KY 40536
Thoracic Surgery (Cardiothoracic Vascular Surgery)
740 S LIMESTONE STE L304
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
740 S LIMESTONE STE L304
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
740 S LIMESTONE STE L304
LEXINGTON, KY 40536
Physician Assistant
740 S LIMESTONE STE L304
LEXINGTON, KY 40536

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 Edward Cantu's NPI number?

The NPI number for Edward Cantu is 1558528166. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Edward Cantu located?

Edward Cantu practices at 740 S Limestone Ste L304, Lexington, KY 40536. The listed phone number is (859) 323-6494.

What is Edward Cantu's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Edward Cantu enrolled in Medicare?

Yes. Edward 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.

Is Edward Cantu affiliated with any hospitals?

According to CMS data, Edward Cantu is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Edward Cantu was last updated on July 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.