DR. OTHON ALMANZA M.D.
NPI 1700960655
Pathology - Anatomic Pathology & Clinical Pathology in Abilene, TX

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
51.1/100
CMS Quality Rating
1900 PINE ST, ABILENE, TX 79601(325) 670-2817 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Othon Almanza M.d. NPPES

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

DR. OTHON ALMANZA M.D. (NPI 1700960655) is an individual anatomic pathology & clinical pathology provider in Abilene, Texas, licensed in Texas (K6798) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Hendrick Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1700960655
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. OTHON ALMANZACredential: M.D.
Location Address1900 PINE STAbilene, TX 79601-2432
Mailing Address1150 N 18th St Ste 102Abilene, TX 79601-2931 · (325) 670-2562
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 12, 2020
NPPES CertifiedAugust 12, 2020
NPI 1700960655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in TX · K6798
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.

1900 PINE ST, Abilene, TX 79601

Other Identifiers 1

Medicaid038092501TX

Accepted 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. Othon Almanza 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 ID3274618749
PECOS Enrollment IDI20080307000206
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 17

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
3,170 services1,231 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
560 services459 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.
228 services170 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
187 services179 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.
161 services123 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
139 services126 patients

Hospital Affiliations CMS Care Compare 3

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

Hendrick Medical Center

Acute Care Hospitals · Abilene, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450229
Location1900 PineAbilene, TX 79601 · Taylor County
Emergency services Birthing friendly

Hendrick Medical Center Brownwood

Acute Care Hospitals · Brownwood, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450587
Location1501 Burnet DrBrownwood, TX 76801 · Brown County
Emergency services Birthing friendly

Comanche County Medical Center

Critical Access Hospitals · Comanche, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451382
Location10201 Hwy 16Comanche, TX 76442 · Comanche County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79601 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

51.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality30.6
Improvement Activities40
Cost29.53

Other Providers at the Same Location NPPES 19

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

Skilled Nursing Facility
1900 PINE ST
ABILENE, TX 79601
Nurse Anesthetist, Certified Registered
1900 PINE ST
ABILENE, TX 79601
Emergency Medicine
1900 PINE ST
ABILENE, TX 79601
Emergency Medicine (Emergency Medical Services)
1900 PINE ST
ABILENE, TX 79601
Emergency Medicine (Emergency Medical Services)
1900 PINE ST
ABILENE, TX 79601
Emergency Medicine (Emergency Medical Services)
1900 PINE ST
ABILENE, TX 79601
Physician Assistant (Medical)
1900 PINE ST
ABILENE, TX 79601
Emergency Medicine (Emergency Medical Services)
1900 PINE ST
ABILENE, TX 79601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700960655, enumerated as an "individual" on October 25, 2006.

The provider is located at 1900 PINE ST ABILENE, TX 79601 and the phone number is (325) 670-2817.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to verify.

Othon Almanza is affiliated with: HENDRICK MEDICAL CENTER, HENDRICK MEDICAL CENTER BROWNWOOD and COMANCHE COUNTY MEDICAL CENTER.