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OMAR CABRERA M.D.
NPI 1699040899
Obstetrics & Gynecology in Stephenville, TX

Active since March 20, 2012PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
725 N GRAHAM ST STE 4, STEPHENVILLE, TX 76401(254) 965-1156 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 25, 2022, May 17, 2021 (2 updates tracked since 2021).

About Omar Cabrera M.d. NPPES

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

OMAR CABRERA M.D. (NPI 1699040899) is an individual obstetrics & gynecology provider in Stephenville, Texas, licensed in Texas (Q5980) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Stephenvill, and is a graduate of Medical College Of Wisconsin (2012).

NPPES Registry Identity

NPI1699040899
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameOMAR CABRERACredential: M.D.
Location Address725 N GRAHAM ST STE 4Stephenville, TX 76401-3100
Mailing Address725 N Graham St Ste 4Stephenville, TX 76401-3100 · (254) 965-1156
Phone(254) 965-1156
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2012
Enumeration DateMarch 20, 2012
Last NPPES UpdateFebruary 25, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2022
✔ NPI 1699040899 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 · Q5980
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.
725 N GRAHAM ST STE 4, Stephenville, TX 76401
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Omar Cabrera 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 ID1759675416
PECOS Enrollment IDI20160803002773
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 Reassignments

2

Medicare enrollment records show Omar Cabrera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Health Physicians Group
62 mi
Internal Medicine
1301 PENNSYLVANIA AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1174573596 (214) 860-6300
Providence Health Alliance
77 mi
Specialist
6901 MEDICAL PKWY
Waco, TX 76712
  • Reassigned Medicare billing, Texas enrollment
  • 176 clinicians in this Medicare group
NPI 1932210838 (254) 751-4061

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

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hospital Stephenvill

Acute Care Hospitals · Stephenville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450351
Location411 N Belknap StStephenville, TX 76401 · Erath County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76401 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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
76%97 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
76%612 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
36%102 patients2/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%1,390 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
42%119 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
76%757 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
28%1,134 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%581 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 696 patients
Patients tobacco: 5% · 76 patients
85%696 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%1,134 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
44%1,134 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
54%1,134 patients
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 2

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

JAIME GROTHOUSE DO
Obstetrics & Gynecology
725 N GRAHAM ST STE 4
STEPHENVILLE, TX 76401
Erath County (254) 965-1156
SARA HOLZBAUER DE CASTELLANOS D.O.
Obstetrics & Gynecology
725 N GRAHAM ST STE 4
STEPHENVILLE, TX 76401
Erath County (254) 965-1156

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 Omar Cabrera's NPI number?

The NPI number for Omar Cabrera is 1699040899. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Where is Omar Cabrera located?

Omar Cabrera practices at 725 N Graham St Ste 4, Stephenville, TX 76401. The listed phone number is (254) 965-1156.

What is Omar Cabrera's specialty?

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

Is Omar Cabrera enrolled in Medicare?

Yes. Omar Cabrera 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.

Which organizations bill Medicare for Omar Cabrera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Cabrera reassigns Medicare benefits to 2 organizations: Texas Health Physicians Group (Fort Worth, TX) and Providence Health Alliance (Waco, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Omar Cabrera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Cabrera 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 Omar Cabrera 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 Omar Cabrera affiliated with any hospitals?

According to CMS data, Omar Cabrera is affiliated with Texas Health Harris Methodist Hospital Stephenvill.

When was this NPI record last updated?

The NPPES record for Omar Cabrera was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.