DR. ZENEBE DEBELA M.D.
NPI 1093093874
Internal Medicine in Austin, TX

Active since July 28, 2011PECOS EnrolledAccepts Medicare Assignment
7000 NORTH MOPAC, SUITE #420, AUSTIN, TX 78731(512) 482-0045(512) 476-9892 Get Directions Write a Review

NPPES record last updated: February 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Zenebe Debela M.d. NPPES

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

DR. ZENEBE DEBELA M.D. (NPI 1093093874) is an individual internal medicine provider in Austin, Texas, licensed in Texas (P0368) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1093093874
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ZENEBE DEBELACredential: M.D.
Location Address7000 NORTH MOPAC, SUITE #420Austin, TX 78731
Mailing Address7000 North Mopac, Suite #420Austin, TX 78731 · (512) 482-0045 · Fax (512) 476-9892
Fax(512) 476-9892
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 28, 2011
Last NPPES UpdateFebruary 14, 2014
NPI 1093093874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · P0368
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
7000 NORTH MOPAC, Austin, TX 78731

Other Identifiers 1

Medicare PINTXB137506TX

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. Zenebe Debela 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 ID3274705355
PECOS Enrollment IDI20111014000087
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
364 services150 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
351 services342 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
198 services197 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
101 services53 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
83 services83 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

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 78731 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%109 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.

Internal Medicine
7000 NORTH MOPAC, SUITE # 420
AUSTIN, TX 78731
Internal Medicine
7000 NORTH MOPAC, SUITE # 420
AUSTIN, TX 78731
Nurse Practitioner
7000 NORTH MOPAC, SUITE 420
AUSTIN, TX 78731
Internal Medicine
7000 NORTH MOPAC, SUITE 420
AUSTIN, TX 78731
Internal Medicine
7000 NORTH MOPAC, SUITE #420
AUSTIN, TX 78731
Internal Medicine
7000 NORTH MOPAC, SUITE #420
AUSTIN, TX 78731
Hospitalist
7000 NORTH MOPAC, SUITE # 420
AUSTIN, TX 78731
Internal Medicine
7000 NORTH MOPAC, #180
AUSTIN, TX 78731

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 Zenebe Debela's NPI number?

The NPI number for Zenebe Debela is 1093093874. It was assigned to this individual provider in the NPPES registry on July 28, 2011.

Where is Zenebe Debela located?

Zenebe Debela practices at 7000 North Mopac Suite #420, Austin, TX 78731. The listed phone number is (512) 482-0045.

What is Zenebe Debela's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Zenebe Debela enrolled in Medicare?

Yes. Zenebe Debela 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 Zenebe Debela accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Zenebe Debela 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 Zenebe Debela affiliated with any hospitals?

According to CMS data, Zenebe Debela 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 Zenebe Debela was last updated on February 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.