DR. PAULO J CANCADO M.D.
NPI 1902891104
Psychiatry & Neurology - Neurology in Kennewick, WA

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
88.39/100
CMS Quality Rating
216 W 10TH AVE, SUITE 304, KENNEWICK, WA 99336(509) 585-5972(509) 586-5701 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paulo J Cancado M.d. NPPES

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

DR. PAULO J CANCADO M.D. (NPI 1902891104) is an individual neurology provider in Kennewick, Washington, licensed in Washington (MD0000033734) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with St Anthony Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1902891104
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. PAULO J CANCADOCredential: M.D.
Location Address216 W 10TH AVE, SUITE 304Kennewick, WA 99336-6300
Mailing Address216 W 10th Ave, Suite 304Kennewick, WA 99336-6304 · (509) 585-5972 · Fax (509) 586-5701
Fax(509) 586-5701
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJune 12, 2012
NPI 1902891104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in WA · MD0000033734
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.

216 W 10TH AVE, Kennewick, WA 99336

Other Identifiers 6

Other8936953WA · Crime Victims Number
Medicare ID-Type UnspecifiedGAB29035WA · Individual Mc Number
Medicare ID-Type UnspecifiedGAB29034WA · Group Mc Number
Other0160721WA · Labor & Industries #
Medicaid1116714WA
Medicare UPING37048WA

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. Paulo J Cancado 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 ID3476444910
PECOS Enrollment IDI20120622000126
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 9

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
661 services341 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.
520 services329 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.
358 services358 patients
Nerve conduction, 13 or more studies 95913
Nerve conduction studies involve 13 or more tests to check the speed and strength of signals traveling between your nerves and muscles. It helps diagnose conditions affecting nerves and muscles. The test involves small shocks and may cause minor discomfort.
202 services181 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.
197 services153 patients
Nerve conduction, 7-8 studies 95910
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.
91 services91 patients

Hospital Affiliations CMS Care Compare 4

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

St Anthony Hospital

Critical Access Hospitals · Pendleton, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381319
Location2801 St Anthony WayPendleton, OR 97801 · Umatilla County
Emergency services Birthing friendly

Good Shepherd Medical Center

Critical Access Hospitals · Hermiston, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number381325
Location610 NW 11th StreetHermiston, OR 97838 · Umatilla County
Emergency services Birthing friendly

Trios Health

Acute Care Hospitals · Kennewick, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500053
Location900 South Auburn StreetKennewick, WA 99336 · Benton County
Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99336 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

88.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.25
Promoting Interoperability81
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%20 patients5/55-star benchmark: 87%
Dementia: Cognitive Assessment
15%117 patients
Documentation of Current Medications in the Medical Record
99%2,142 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%844 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 491 patients
Patients screened: 100% · 491 patients
96%25 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 885 patients
Patients totalRate: 4% · 885 patients
2%885 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse's Aide
216 W 10TH AVE
KENNEWICK, WA 99336
Case Manager/Care Coordinator
216 W 10TH AVE
KENNEWICK, WA 99336
Nurse's Aide
216 W 10TH AVE
KENNEWICK, WA 99336
Counselor (Addiction (Substance Use Disorder))
216 W 10TH AVE
KENNEWICK, WA 99336
Surgery
216 W 10TH AVE, STE 206
KENNEWICK, WA 99336
Nurse's Aide
216 W 10TH AVE
KENNEWICK, WA 99336
Case Manager/Care Coordinator
216 W 10TH AVE
KENNEWICK, WA 99336
Nurse Practitioner (Psychiatric/Mental Health)
216 W 10TH AVE
KENNEWICK, WA 99336

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 Paulo Cancado's NPI number?

The NPI number for Paulo Cancado is 1902891104. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Paulo Cancado located?

Paulo Cancado practices at 216 W 10th Ave Suite 304, Kennewick, WA 99336. The listed phone number is (509) 585-5972.

What is Paulo Cancado's specialty?

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

Is Paulo Cancado enrolled in Medicare?

Yes. Paulo Cancado 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 Paulo Cancado accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Paulo Cancado 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 Paulo Cancado affiliated with any hospitals?

According to CMS data, Paulo Cancado is affiliated with St Anthony Hospital, Good Shepherd Medical Center, Trios Health and Kadlec Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Paulo Cancado was last updated on June 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.