DR. ROGELIO CANTU JR. O.D.
NPI 1720020316
Optometrist in Harlingen, TX

Active since June 11, 2006PECOS EnrolledAccepts Medicare Assignment
96.89/100
CMS Quality Rating
1205 N ED CAREY DR, HARLINGEN, TX 78550(956) 423-2100(956) 423-0180 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rogelio Cantu Jr. O.d. NPPES

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

DR. ROGELIO CANTU JR. O.D. (NPI 1720020316) is an individual optometrist in Harlingen, Texas, licensed in Texas (6573TG) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2004).

NPPES Registry Identity

NPI1720020316
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROGELIO CANTU JR.Credential: O.D.
Location Address1205 N ED CAREY DRHarlingen, TX 78550-9204
Mailing AddressPo Box 4830Edinburg, TX 78540-4830 · (956) 631-8875 · Fax (956) 683-1502
Fax(956) 423-0180
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2004
Enumeration DateJune 11, 2006
Last NPPES UpdateJune 26, 2026
NPPES CertifiedJune 26, 2026
NPI 1720020316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in TX · 6573TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1205 N ED CAREY DR, Harlingen, TX 78550

Other Identifiers 1

Medicaid168550501TX

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. Rogelio Cantu Jr. O.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 ID3375505399
PECOS Enrollment IDI20041102000557
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 14

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
415 services254 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
389 services297 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
228 services186 patients
Placement of amniotic membrane on eye surface for wound healing 65778
The placement of an amniotic membrane on the eye surface is a treatment to promote healing of eye wounds. It involves placing a thin, protective layer over the eye. This layer, derived from the amniotic membrane, helps reduce inflammation and scarring, while encouraging healing.
174 services108 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
99 services95 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
95 services94 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78550 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.

96.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability89
Improvement Activities40
Cost72.32

Other Providers at the Same Location NPPES 9

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

Family Medicine
1205 N ED CAREY DR, SUITE 2C
HARLINGEN, TX 78550
Family Medicine
1205 N ED CAREY DR, ST 2C
HARLINGEN, TX 78550
Durable Medical Equipment & Medical Supplies
1205 N ED CAREY DR
HARLINGEN, TX 78550
Optometrist
1205 N ED CAREY DR
HARLINGEN, TX 78550
Optometrist
1205 N ED CAREY DR
HARLINGEN, TX 78550
Optometrist
1205 N ED CAREY DR
HARLINGEN, TX 78550
Optometrist
1205 N ED CAREY DR
HARLINGEN, TX 78550
Ophthalmology
1205 N ED CAREY DR
HARLINGEN, TX 78550

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 Rogelio Cantu's NPI number?

The NPI number for Rogelio Cantu is 1720020316. It was assigned to this individual provider in the NPPES registry on June 11, 2006.

Where is Rogelio Cantu located?

Rogelio Cantu practices at 1205 N Ed Carey Dr, Harlingen, TX 78550. The listed phone number is (956) 423-2100.

What is Rogelio Cantu's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Rogelio Cantu enrolled in Medicare?

Yes. Rogelio Cantu 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 Rogelio Cantu accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Rogelio Cantu 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 Rogelio Cantu was last updated on June 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.