ZACHARY TAYLOR DO
NPI 1043953631
Emergency Medicine in Bloomington, MN

Q: What is Zachary Taylor's NPI number?

The NPI number for Zachary Taylor is 1043953631. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Q: What is Zachary Taylor's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Taylor was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 20, 2022PECOS EnrolledAccepts Medicare Assignment

4300 MARKET PTE DR STE 100, BLOOMINGTON, MN 55435(952) 767-4574 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2025, Apr 20, 2022 (2 updates tracked since 2022).

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About Zachary Taylor Do NPPES

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

ZACHARY TAYLOR DO (NPI 1043953631) is an individual emergency medicine provider in Bloomington, Minnesota, licensed in Michigan (4351049655APP22) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and maintains a secondary practice location in Saint Joseph.

NPPES Registry Identity

NPI1043953631

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameZACHARY TAYLORCredential: DO

Location Address4300 MARKET PTE DR STE 100Bloomington, MN 55435-5435

Mailing Address4300 Market Pte Dr Ste 100Bloomington, MN 55435-5435 · (952) 767-4574

Phone(952) 767-4574

Sole ProprietorNo

Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2022

Enumeration DateApril 20, 2022

Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1043953631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 4351049655APP22

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

4300 MARKET PTE DR STE 100, Bloomington, MN 55435

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Secondary Practice Location 1

Location 11234 Napier AveSaint Joseph, MI 49085-2112 · Phone (269) 927-5191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Zachary Taylor Do 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 ID8123555257

PECOS Enrollment IDI20241231001175, I20250612001771

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.

Hospital Affiliations CMS Care Compare 2

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

Centracare- Rice Memorial Hospital

Acute Care Hospitals · Willmar, MN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240088

Location301 Becker Ave SWWillmar, MN 56201 · Kandiyohi County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

MICHAEL CHARLES LICK

Physician Assistant