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RACHEL PANTOJA M.D.
NPI 1831570944
Obstetrics & Gynecology in Georgetown, TX

Active since June 15, 2015PECOS EnrolledAccepts Medicare Assignment
1900 SCENIC DR STE 3326, GEORGETOWN, TX 78626(877) 800-5722 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rachel Pantoja M.d. NPPES

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

RACHEL PANTOJA M.D. (NPI 1831570944) is an individual obstetrics & gynecology provider in Georgetown, Texas, licensed in Pennsylvania (MT208942) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2015).

NPPES Registry Identity

NPI1831570944
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameRACHEL PANTOJACredential: M.D.
Location Address1900 SCENIC DR STE 3326Georgetown, TX 78626-7876
Mailing Address2423 Williams Dr Ste 107Georgetown, TX 78628-3269 · (877) 800-5722
Phone(877) 800-5722
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2015
Enumeration DateJune 15, 2015
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1831570944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MT208942
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1900 SCENIC DR STE 3326, Georgetown, TX 78626
Open in Google Maps ↗

Secondary Practice Location 1

Location 14025 N Western AveChicago, IL 60618-3726 · Phone (773) 296-3300 · Fax (773) 279-6504

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Rachel Pantoja 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 ID8426312034
PECOS Enrollment IDI20210422000772
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 Rachel Pantoja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lone Star Circle Of Care
Same address
Federally Qualified Health Center (FQHC)
1900 SCENIC DR, SUITE 3326
Georgetown, TX 78626
  • Reassigned Medicare billing, Texas enrollment
  • 162 clinicians in this Medicare group
NPI 1972866200 (877) 800-5722

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78626 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.

Other Providers at the Same Location NPPES 7

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

DR. NURAH MORGAN M.D.
Obstetrics & Gynecology
1900 SCENIC DR STE 3326
GEORGETOWN, TX 78626
Williamson County (877) 800-5722
MARISOL CARPIO-SOLIS M.D.
Obstetrics & Gynecology
1900 SCENIC DR STE 3326
GEORGETOWN, TX 78626
Williamson County (877) 800-5722
DR. RICHARD PAUL SHEA JR. MD
Obstetrics & Gynecology
1900 SCENIC DR STE 3326
GEORGETOWN, TX 78626
Williamson County (877) 800-5722
JUNG YEON KWON
Obstetrics & Gynecology
1900 SCENIC DR STE 3326
GEORGETOWN, TX 78626
Williamson County (877) 800-5722
DR. LATASHA A. RABSATT M.D.
Obstetrics & Gynecology
1900 SCENIC DR STE 3326
GEORGETOWN, TX 78626
Williamson County (877) 800-5722
HELIO ZAPATA MD
Obstetrics & Gynecology
1900 SCENIC DR STE 3326
GEORGETOWN, TX 78626
Williamson County (877) 800-5722
THEODORE N HELD M.D.
Obstetrics & Gynecology
1900 SCENIC DR STE 3326
GEORGETOWN, TX 78626
Williamson County (877) 800-5722

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 Rachel Pantoja's NPI number?

The NPI number for Rachel Pantoja is 1831570944. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Rachel Pantoja located?

Rachel Pantoja practices at 1900 Scenic Dr Ste 3326, Georgetown, TX 78626. The listed phone number is (877) 800-5722.

What is Rachel Pantoja's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Rachel Pantoja enrolled in Medicare?

Yes. Rachel Pantoja 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.

Which organization bills Medicare for Rachel Pantoja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Pantoja reassigns Medicare benefits to Lone Star Circle Of Care (Georgetown, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachel Pantoja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachel Pantoja 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 9 other insurers list Rachel Pantoja 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 Rachel Pantoja was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.