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DR. LEOMAR Y BALLESTER-FUENTES MD, PHD
NPI 1699196147
Pathology - Anatomic Pathology in Houston, TX

Active since January 01, 2014PECOS EnrolledAccepts Medicare Assignment
81.38/100
CMS Quality Rating
6431 FANNIN ST, HOUSTON, TX 77030(713) 500-5309 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 13, 2017 (2 updates tracked since 2017).

About Dr. Leomar Y Ballester-fuentes Md, Phd NPPES

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

DR. LEOMAR Y BALLESTER-FUENTES MD, PHD (NPI 1699196147) is an individual anatomic pathology provider in Houston, Texas, licensed in Texas (P8215) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (2011).

NPPES Registry Identity

NPI1699196147
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameDR. LEOMAR Y BALLESTER-FUENTESCredential: MD, PHD
Location Address6431 FANNIN STHouston, TX 77030-1501
Mailing Address6431 Fannin StHouston, TX 77030 · (713) 500-5309
Phone(713) 500-5309
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2011
Enumeration DateJanuary 1, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1699196147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in TX · P8215
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
6431 FANNIN ST, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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. Leomar Y Ballester-fuentes Md, Phd 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 ID9335410075
PECOS Enrollment IDI20170731000315
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 8

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.

Molecular pathology procedure; physician interpretation and report G0452
A molecular pathology procedure involves analyzing your body's cells at a molecular level to identify any abnormalities. This can help detect diseases early. A physician will interpret the results and provide a detailed report, explaining the findings clearly.
207 services199 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
118 services37 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
92 services47 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
49 services46 patients
Pathology examination of tissue using a microscope, limited examination 88300
A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.
35 services17 patients
Surgical pathology consultation and report on referred slides prepared elsewhere 88321
A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

81.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.25
Promoting Interoperability100
Improvement Activities40
Cost49.97

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.

DR. STUART MASON FRASER M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6431 FANNIN ST, MSB 3.151
HOUSTON, TX 77030
Harris County (713) 500-5800
AMY ROSSI MD
Emergency Medicine
6431 FANNIN ST, JJL 431
HOUSTON, TX 77030
Harris County (713) 500-7882
MATTHEW KHOA NGUYEN
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-6113
MARY WAYNE PELTIER MD
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-5010
HANNA MAVRIC DO
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-7882
DR. DAVIDE CATTANO MD
Anesthesiology
6431 FANNIN ST, MSB 5.020
HOUSTON, TX 77030
Harris County (713) 500-6235
MICHAEL ANTHONY HOLZMAN
Orthopaedic Surgery
6431 FANNIN ST, SUITE JJL 310
HOUSTON, TX 77030
Harris County (713) 500-5154
SHUBHANGI MEHRA
Student in an Organized Health Care Education/Training Program
6431 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 500-0798

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 Leomar Ballester-fuentes's NPI number?

The NPI number for Leomar Ballester-fuentes is 1699196147. It was assigned to this individual provider in the NPPES registry on January 1, 2014.

Where is Leomar Ballester-fuentes located?

Leomar Ballester-fuentes practices at 6431 Fannin St, Houston, TX 77030. The listed phone number is (713) 500-5309.

What is Leomar Ballester-fuentes's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Leomar Ballester-fuentes enrolled in Medicare?

Yes. Leomar Ballester-fuentes 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 Leomar Ballester-fuentes accept?

Health plans from Blue Cross and Blue Shield of Texas list Leomar Ballester-fuentes 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 Leomar Ballester-fuentes was last updated on July 21, 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.