ROSE CECILE ANTON MD
NPI 1134177611
Pathology - Anatomic Pathology & Clinical Pathology in Houston, TX


Quality Rating: 77.15 out of 100 score

NPI Status: Active since May 05, 2006

Contact Information

6565 FANNIN ST
MS205
HOUSTON, TX
ZIP 77030
Phone: (713) 394-6450

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  • Individual
  • Female
  • Years of Experience 32
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled
  • Medicare Quality Reporting

About ROSE ANTON

This page provides the complete NPI Profile along with additional information for Rose Anton, a provider established in Houston, Texas with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology and more than 32 years of experience. She graduated from Medical University Of South Carolina College Of Medicine in 1994. The healthcare provider is registered in the NPI registry with number 1134177611 assigned on May 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number K3551 (TX). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1134177611
Provider Name
ROSE CECILE ANTON MD
Gender
Female
Entity Type
Individual
Location Address
6565 FANNIN ST MS205 HOUSTON, TX 77030
Location Phone
(713) 394-6450
Mailing Address
PO BOX 4701 HOUSTON, TX 77210
Mailing Phone
(713) 441-3885
Mailing Fax
Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year
1994
Is Sole Proprietor?
No
Enumeration Date
05-05-2006
Last Update Date
12-14-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
K3551
License State
TX
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207ZC0500XAllopathic & Osteopathic Physicians

Pathology
Cytopathology

K3551 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8G9528MEDICARE PIN (08)TX 
P00362929MEDICARE PIN (08)TX 
H31091MEDICARE UPIN (02) 
8F3006MEDICARE PIN (08)TX 

Medicare Participation & PECOS Enrollment Status

Rose Anton is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Rose Anton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5193776557

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050203000256

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cell examination of specimen, concentration technique

Cell examination of a specimen using a concentration technique is a lab process that enhances the detection of cells in a sample. This method helps to focus on key areas of the sample, making it easier to spot abnormalities or changes. It's a crucial part of diagnosing and monitoring certain health conditions.

This service was performed 103 times for 90 patients

Cell examination of specimen, selective cellular enhancement technique

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

This service was performed 102 times for 83 patients

Evaluation of fine needle aspirate

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

This service was performed 44 times for 36 patients

Evaluation of fine needle aspirate with interpretation and report

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

This service was performed 69 times for 58 patients

Microscopic genetic analysis of tumor, manual

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

This service was performed 190 times for 58 patients

Pathology cytologic examination of specimen during surgery, initial site

A pathology cytologic examination during surgery involves taking a small sample of cells from the initial site of concern. This sample is then examined under a microscope by a pathologist to check for any abnormal or disease-causing cells. This helps guide the ongoing surgical procedure.

This service was performed 14 times for 14 patients

Pathology examination of specimen during surgery, first tissue block

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

This service was performed 30 times for 18 patients

Pathology examination of tissue using a microscope, intermediate complexity

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.

This service was performed 1,189 times for 606 patients

Pathology examination of tissue using a microscope, moderately high complexity

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.

This service was performed 37 times for 24 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 206 times for 73 patients

Special stained specimen slides to examine tissue, initial procedure

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.

This service was performed 209 times for 174 patients

Special stained specimen slides to identify organisms including interpretation and report

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.

This service was performed 83 times for 62 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $33.51 for a new patient copayment and $25.67 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 77030 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $134.06
  • Minimum New Patient Price $58.24
  • Maximum New Patient Price $176.98
  • Average New Patient Copayment $33.51
  • Minimum New Patient Copayment $14.56
  • Maximum New Patient Copayment $44.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.71
  • Minimum Established Patient Price $18.6
  • Maximum Established Patient Price $143.93
  • Average Established Patient Copayment $25.67
  • Minimum Established Patient Copayment $4.65
  • Maximum Established Patient Copayment $35.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 77.15, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 77.15 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 70

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Implementation of improvements that contribute to more timely communication of test resultsYesN/A
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up.
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral LoopYesN/A
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Rose Anton is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HOUSTON METHODIST HOSPITAL6565 FANNIN
HOUSTON, TX 77030
(713) 790-2221Acute Care Hospitals
HOUSTON METHODIST CLEAR LAKE HOSPITAL18300 HOUSTON METHODIST DR
NASSAU BAY, TX 77058
(281) 333-5503Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134177611
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164271462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 7 + 1 + 4 + 6 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1134177611 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083619316DR. JOYCE MALDONADO M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1912902248DR. CHRISTOPHER LEVEQUE MD
Individual
Pathology (Clinical Pathology/Laboratory Medicine)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1386620318 AMY L. PAUL CNP
Individual
Nurse Practitioner (Acute Care)6565 FANNIN ST SUITE B452
HOUSTON, TX 77030
(713) 441-3620
1457320202MR. MICHAEL THOMAS MABREY R.PH.
Individual
Pharmacist6565 FANNIN ST DEPARTMENT OF PHARMACY
HOUSTON, TX 77030
(713) 441-6970
1225091689 CHARLES HOLMES MCCOLLUM III MD
Individual
Surgery (Vascular Surgery)6565 FANNIN ST DEPARTMENT OF INTERNAL MEDICINE
HOUSTON, TX 77030
(713) 790-3311
1871551176 DINA RUSTOM MODY MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1013975416 DONNA MARIE COFFEY MD
Individual
Pathology (Anatomic Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1043278302 MOJGAN AMRIKACHI MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1144288424 SEEMA SANJEEV MULLICK MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1407814783 APRIL ANNE EWTON MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1376501775 YOULI ZU MD PHD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1497713895 ABDUS SALEEM MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1417915828 ROBERTO JOSE BARRIOS MD
Individual
Pathology (Anatomic Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1386602795 ANNA ELIZABETH SIENKO MD
Individual
Pathology (Anatomic Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1336197623DR. PETER HOWARD JONES M.D.
Individual
Internal Medicine6565 FANNIN ST A601
HOUSTON, TX 77030
(713) 790-5800
1104874650 LUAN DINH TRUONG MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1942258405 STEVEN SIJIU SHEN MD, PHD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1851349310 SUZANNE ZEIN-ELDIN POWELL MD
Individual
Pathology (Anatomic Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1598713059 PHILIP THEO CAGLE MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450
1477501948 MARY REBECCA SCHWARTZ MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)6565 FANNIN ST MS205
HOUSTON, TX 77030
(713) 394-6450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134177611, enumerated in the NPI registry as an "individual" on May 05, 2006

The provider is located at 6565 Fannin St Ms205 Houston, Tx 77030 and the phone number is (713) 394-6450

The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology

The provider has more than 32 years of experience. She graduated from Medical University Of South Carolina College Of Medicine in 1994.

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $134.06 with an average copayment of $33.51 for new patient appointments. Established patients should expect a typical charge of $102.71 and an average copayment of 25.67. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Cell examination of specimen, concentration technique, Cell examination of specimen, selective cellular enhancement technique, Evaluation of fine needle aspirate, Evaluation of fine needle aspirate with interpretation and report, Microscopic genetic analysis of tumor, manual, Pathology cytologic examination of specimen during surgery, initial site, Pathology examination of specimen during surgery, first tissue block, Pathology examination of tissue using a microscope, intermediate complexity, Pathology examination of tissue using a microscope, moderately high complexity, Special stained specimen slides to examine tissue, each additional procedure, Special stained specimen slides to examine tissue, initial procedure and Special stained specimen slides to identify organisms including interpretation and report.

The practitioner is affiliated to the following hospital(s): HOUSTON METHODIST HOSPITAL and HOUSTON METHODIST CLEAR LAKE HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.