CARLOS ISAAC PACHECO CANO MD
NPI 1699161190
Internal Medicine in Sierra Vista, AZ

Q: What is Carlos Pacheco Cano's NPI number?

The NPI number for Carlos Pacheco Cano is 1699161190. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Q: What is Carlos Pacheco Cano's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 10, 2015PECOS EnrolledAccepts Medicare Assignment

155 CALLE PORTAL STE 300, SIERRA VISTA, AZ 85635(520) 459-3011(520) 364-4261 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2020, Feb 14, 2019 (2 updates tracked since 2019).

On this page

About Carlos Isaac Pacheco Cano Md NPPES

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

CARLOS ISAAC PACHECO CANO MD (NPI 1699161190) is an individual internal medicine provider in Sierra Vista, Arizona, licensed in Arizona (55327) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1699161190

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameCARLOS ISAAC PACHECO CANOCredential: MD

Location Address155 CALLE PORTAL STE 300Sierra Vista, AZ 85635-2900

Mailing Address1205 N F AveDouglas, AZ 85607-1920 · (520) 364-6852 · Fax (520) 364-4261

Phone(520) 459-3011

Fax(520) 364-4261

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateApril 10, 2015

Last NPPES UpdateOctober 29, 20242 updates tracked since enumeration

NPPES CertifiedOctober 29, 2024

✔ NPI 1699161190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · 55327

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

155 CALLE PORTAL STE 300, Sierra Vista, AZ 85635

Open in Google Maps ↗

Secondary Practice Location 1

Location 11819 S National AveSpringfield, MO 65804-2217 · Phone (417) 269-9220

Other Identifiers 1

Medicaid469822AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc., Oscar Insurance Company.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

Carlos Isaac Pacheco Cano 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 ID1557615705

PECOS Enrollment IDI20241022000851

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 Carlos Pacheco Cano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lester E Cox Medical Centers

1,044 mi

Geriatric Medicine

1819 S NATIONAL AVE
Springfield, MO 65804

Reassigned Medicare billing, Missouri enrollment
12 clinicians in this Medicare group

NPI 1356068605 (417) 269-9220

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

Areas of Expertise CMS Part B claims 2

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.

61 services51 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.

22 services17 patients

Hospital Affiliations CMS Care Compare

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260040

Location3801 South National AvenueSpringfield, MO 65807 · Greene County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85635 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 4

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

3 suppliers14 claims43 services$6.27 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$16.01 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier20 claims20 services$77.34 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$209.58 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 17

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

JONATHAN HOWELL RUTHERFORD PMHNP

Nurse Practitioner (Psychiatric/Mental Health)