JULIO CANTERO MD
NPI 1821060682
Psychiatry & Neurology - Neurology in Sarasota, FL

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
89.43/100
CMS Quality Rating
2881 HYDE PARK ST, SARASOTA, FL 34239(941) 906-7155(941) 330-2905 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2023, Nov 5, 2020, May 6, 2020 and 1 more (4 updates tracked since 2015).

About Julio Cantero Md NPPES

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

JULIO CANTERO MD (NPI 1821060682) is an individual neurology provider in Sarasota, Florida, licensed in Florida (ME94218) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1821060682
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJULIO CANTEROCredential: MD
Location Address2881 HYDE PARK STSarasota, FL 34239-3228
Mailing Address2881 Hyde Park StSarasota, FL 34239-3228 · (941) 906-7155 · Fax (941) 330-2905
Fax(941) 330-2905
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateFebruary 6, 2006
Last NPPES UpdateOctober 16, 20244 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
NPI 1821060682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in FL · ME94218
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License ME94218 (FL)
2881 HYDE PARK ST, Sarasota, FL 34239

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

Julio Cantero 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 ID7214959998
PECOS Enrollment IDI20051221000932
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 22

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
10,800 services23 patients
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.
1,821 services1,026 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.
955 services680 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
722 services711 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
290 services290 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
200 services199 patients

Hospital Affiliations CMS Care Compare 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Hca Florida Sarasota Doctors Hospital

Acute Care Hospitals · Sarasota, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100166
Location5731 Bee Ridge RdSarasota, FL 34233 · Sarasota County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

89.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.84
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
33 suppliers1,335 claims1,335 services$33.04 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
22 suppliers478 claims478 services$76.69 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
21 suppliers460 claims1,277 services$29.65 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
22 suppliers486 claims2,815 services$16.49 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
21 suppliers533 claims3,050 services$12.54 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
35 suppliers1,080 claims1,080 services$47.00 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 19

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

Nurse Practitioner
2881 HYDE PARK ST
SARASOTA, FL 34239
Internal Medicine
2881 HYDE PARK ST
SARASOTA, FL 34239
Psychiatry & Neurology (Neurology)
2881 HYDE PARK ST
SARASOTA, FL 34239
Internal Medicine
2881 HYDE PARK ST
SARASOTA, FL 34239
Nurse Practitioner (Adult Health)
2881 HYDE PARK ST
SARASOTA, FL 34239
Internal Medicine (Geriatric Medicine)
2881 HYDE PARK ST
SARASOTA, FL 34239
Internal Medicine (Cardiovascular Disease)
2881 HYDE PARK ST
SARASOTA, FL 34239
Internal Medicine
2881 HYDE PARK ST
SARASOTA, FL 34239

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 Julio Cantero's NPI number?

The NPI number for Julio Cantero is 1821060682. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Julio Cantero located?

Julio Cantero practices at 2881 Hyde Park St, Sarasota, FL 34239. The listed phone number is (941) 906-7155.

What is Julio Cantero's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Julio Cantero enrolled in Medicare?

Yes. Julio Cantero 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 Julio Cantero accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Julio Cantero 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 Julio Cantero affiliated with any hospitals?

According to CMS data, Julio Cantero is affiliated with Sarasota Memorial Hospital and Hca Florida Sarasota Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Julio Cantero was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.