DR. NICOLAS ZEA M.D.
NPI 1083855050
Surgery - Vascular Surgery in Austin, TX

Active since March 20, 2009PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
1010 W 40TH ST, AUSTIN, TX 78756(512) 459-8753(512) 483-6807 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicolas Zea M.d. NPPES

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

DR. NICOLAS ZEA M.D. (NPI 1083855050) is an individual vascular surgery provider in Austin, Texas, licensed in Louisiana (MD204385) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1083855050
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. NICOLAS ZEACredential: M.D.
Location Address1010 W 40TH STAustin, TX 78756-4010
Mailing Address4917 Clearview PkwyMetairie, LA 70006-1218 · (504) 813-7571
Fax(512) 483-6807
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 20, 2009
Last NPPES UpdateAugust 11, 2021
NPPES CertifiedAugust 11, 2021
NPI 1083855050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in LA · MD204385
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1010 W 40TH ST, Austin, TX 78756

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. Nicolas Zea 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 ID2062636855
PECOS Enrollment IDI20210715004148, I20241121000119
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 23

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.

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153
This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
134 services42 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
63 services50 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
59 services39 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.
52 services52 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.
40 services37 patients
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
29 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450718
Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County
Emergency services Birthing friendly

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78756 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality67.95
Promoting Interoperability96
Improvement Activities40
Cost48.52

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
25%28 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
53%30 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%685 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
25%504 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
12%602 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 80% · 241 patients
Patients screened: 89% · 241 patients
36%33 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
82%234 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%255 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 331 patients
Patients totalRate: 0% · 331 patients
0%331 patients5/55-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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1010 W 40TH ST
AUSTIN, TX 78756
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1010 W 40TH ST
AUSTIN, TX 78756
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1010 W 40TH ST
AUSTIN, TX 78756
Surgery (Vascular Surgery)
1010 W 40TH ST
AUSTIN, TX 78756
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1010 W 40TH ST
AUSTIN, TX 78756
Surgery (Vascular Surgery)
1010 W 40TH ST
AUSTIN, TX 78756
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1010 W 40TH ST
AUSTIN, TX 78756
Physician Assistant (Surgical)
1010 W 40TH ST
AUSTIN, TX 78756

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 Nicolas Zea's NPI number?

The NPI number for Nicolas Zea is 1083855050. It was assigned to this individual provider in the NPPES registry on March 20, 2009.

Where is Nicolas Zea located?

Nicolas Zea practices at 1010 W 40th St, Austin, TX 78756. The listed phone number is (512) 459-8753.

What is Nicolas Zea's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Nicolas Zea enrolled in Medicare?

Yes. Nicolas Zea 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 Nicolas Zea 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 10 other insurers list Nicolas Zea 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 Nicolas Zea affiliated with any hospitals?

According to CMS data, Nicolas Zea is affiliated with Ascension Seton Medical Center Austin, St David's Medical Center, Round Rock Medical Center and North Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Nicolas Zea was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.