DR. EDMUND CAVAZOS III M.D.
NPI 1568461986
Psychiatry & Neurology - Psychiatry in San Antonio, TX

Q: What is Edmund Cavazos's NPI number?

The NPI number for Edmund Cavazos is 1568461986. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Q: What is Edmund Cavazos's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Edmund Cavazos was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 18, 2005PECOS Enrolled

4242 MEDICAL DR STE 6300, SAN ANTONIO, TX 78229(210) 614-8400(210) 614-8165 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 6, 2019, Jan 16, 2019, May 23, 2017 (3 updates tracked since 2017).

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About Dr. Edmund Cavazos Iii M.d. NPPES

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

DR. EDMUND CAVAZOS III M.D. (NPI 1568461986) is an individual psychiatry provider in San Antonio, Texas, licensed in Texas (J5084) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1568461986

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. EDMUND CAVAZOS IIICredential: M.D.

Location Address4242 MEDICAL DR STE 6300San Antonio, TX 78229-5606

Mailing AddressPo Box 897Bowling Green, KY 42102-0897 · (270) 783-4070 · Fax (270) 783-4070

Phone(210) 614-8400

Fax(210) 614-8165

Sole ProprietorNo

Enumeration DateJuly 18, 2005

Last NPPES UpdateFebruary 6, 20193 updates tracked since enumeration

✔ NPI 1568461986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in TX · J5084✔ Licensed in KY · 30639

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

4242 MEDICAL DR STE 6300, San Antonio, TX 78229

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Secondary Practice Location 1

Location 14402 Vance Jackson Rd Ste 100San Antonio, TX 78230-5336 · Phone (210) 698-7002 · Fax (210) 698-7835

Other Identifiers 1

Medicaid64306392KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Harbor Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edmund Cavazos Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Edmund Cavazos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Progressive Behavioral Health, PLLC

203 mi

Mental Health

308 S FRIENDSWOOD DR STE 200
Friendswood, TX 77546

Reassigned Medicare billing, Texas enrollment
494 clinicians in this Medicare group

NPI 1659567238 (844) 824-8775

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

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.

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.

MRS. LISA MICHELLE LASSEN LCSW

Social Worker (Clinical)