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DR. JEFFREY S ZAPALAC M.D., F.A.C.S.
NPI 1013988336
Otolaryngology in Round Rock, TX

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
7200 WYOMING SPRINGS DR STE 1400, ROUND ROCK, TX 78681(512) 458-6391(512) 580-0097 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffrey S Zapalac M.d., F.a.c.s. NPPES

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

DR. JEFFREY S ZAPALAC M.D., F.A.C.S. (NPI 1013988336) is an individual otolaryngology provider in Round Rock, Texas, licensed in Texas (K3045) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1013988336
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JEFFREY S ZAPALACCredential: M.D., F.A.C.S.
Location Address7200 WYOMING SPRINGS DR STE 1400Round Rock, TX 78681-4306
Mailing Address3705 Medical Pkwy, Suite 310Austin, TX 78705-1019 · (512) 458-6391 · Fax (512) 390-4091
Phone(512) 458-6391
Fax(512) 580-0097
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 27, 2006
Last NPPES UpdateSeptember 13, 2024
NPPES CertifiedSeptember 13, 2024
✔ NPI 1013988336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in TX · K3045
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
7200 WYOMING SPRINGS DR STE 1400, Round Rock, TX 78681
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Other Identifiers 3

Medicaid150239501TX
Other5789479TX · Aetna
Other8F8780TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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. Jeffrey S Zapalac M.d., F.a.c.s. 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 ID4880793967
PECOS Enrollment IDI20100913001129
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.

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.
324 services274 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
250 services250 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
102 services97 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
101 services88 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.
83 services67 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.
82 services82 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78681 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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 17

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
11 suppliers36 claims36 services$32.09 avg. paid by Medicare
Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
1 supplier12 claims1,080 services$1.14 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier12 claims360 services$4.50 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
1 supplier11 claims44 services$7.13 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
1 supplier12 claims96 services$3.15 avg. paid by Medicare
Water collection device, used with large volume nebulizer A7012
DME-Other DME · category DE000N
1 supplier12 claims12 services$1.84 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 3

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

DANIEL JONATHAN RATCLIFF MD
Otolaryngology
7200 WYOMING SPRINGS DR STE 1400
ROUND ROCK, TX 78681
Williamson County (512) 458-6391
PETER D SCHOLL D.D.S.,M.D.
Otolaryngology
7200 WYOMING SPRINGS DR STE 1400
ROUND ROCK, TX 78681
Williamson County (512) 458-6391
AUSTIN ENT ASSOCIATES
Otolaryngology (Plastic Surgery within the Head & Neck)
7200 WYOMING SPRINGS DR STE 1400
ROUND ROCK, TX 78681
Williamson County (512) 458-6391

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 Jeffrey Zapalac's NPI number?

The NPI number for Jeffrey Zapalac is 1013988336. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Jeffrey Zapalac located?

Jeffrey Zapalac practices at 7200 Wyoming Springs Dr Ste 1400, Round Rock, TX 78681. The listed phone number is (512) 458-6391.

What is Jeffrey Zapalac's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jeffrey Zapalac enrolled in Medicare?

Yes. Jeffrey Zapalac 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 Jeffrey Zapalac accept?

Health plans from UnitedHealthcare list Jeffrey Zapalac 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 Jeffrey Zapalac affiliated with any hospitals?

According to CMS data, Jeffrey Zapalac is affiliated with Ascension Seton Medical Center Austin and St David's Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Zapalac was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.