Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. FABRICIO JENARO ZUNIGA MD
NPI 1154464055
Family Medicine in Bay City, TX

Q: What is Fabricio Zuniga's NPI number?

The NPI number for Fabricio Zuniga is 1154464055. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Q: What is Fabricio Zuniga's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Fabricio Zuniga was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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 February 14, 2007PECOS EnrolledAccepts Medicare Assignment

104 7TH ST, BAY CITY, TX 77414(979) 245-6383(979) 241-5553 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2026, Jan 2, 2020 (2 updates tracked since 2020).

On this page

About Dr. Fabricio Jenaro Zuniga Md NPPES

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

DR. FABRICIO JENARO ZUNIGA MD (NPI 1154464055) is an individual family medicine provider in Bay City, Texas, licensed in Texas (M5992) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Val Verde Regional Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1154464055

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. FABRICIO JENARO ZUNIGACredential: MD

Location Address104 7TH STBay City, TX 77414-4853

Mailing Address104 7th StBay City, TX 77414-4853 · (979) 245-6383 · Fax (979) 241-5553

Phone(979) 245-6383

Fax(979) 241-5553

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateFebruary 14, 2007

Last NPPES UpdateSeptember 11, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2026

✔ NPI 1154464055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · M5992

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

104 7TH ST, Bay City, TX 77414

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Fabricio Jenaro Zuniga Md 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 ID7810080645

PECOS Enrollment IDI20070910000507

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.

Medicare Billing Reassignments

Medicare enrollment records show Fabricio Zuniga reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Discovery Medical Network Matagorda LLC

0.1 mi

Family Medicine

600 HOSPITAL CIR
Bay City, TX 77414

Reassigned Medicare billing, Texas enrollment
25 clinicians in this Medicare group

NPI 1053672535 (979) 245-0001

Victoria Emergency Associates LLC

62 mi

Emergency Medicine

506 E SAN ANTONIO ST
Victoria, TX 77901

Reassigned Medicare billing, Texas enrollment
153 clinicians in this Medicare group

NPI 1407917164 (361) 575-7441

Hospital Care Consultants Of Corpus Christi

123 mi

Emergency Medicine

6130 PARKWAY
Corpus Christi, TX 78414

Reassigned Medicare billing, Texas enrollment
90 clinicians in this Medicare group

NPI 1275088452 (361) 826-5785

South Texas Hospitalist Associates LLC

229 mi

Hospitalist

1025 GARNER FIELD RD
Uvalde, TX 78801

Reassigned Medicare billing, Texas enrollment
48 clinicians in this Medicare group

NPI 1790045664 (830) 278-6251

Lonestar Hospital Medicine Associates, PA

256 mi

Hospitalist

2700 E BROAD ST
Mansfield, TX 76063

Reassigned Medicare billing, Texas enrollment
994 clinicians in this Medicare group

NPI 1518237429 (682) 622-2000

Hospital Care Consultants, Inc

411 mi

Emergency Medicine

1 E CLARK BASS BLVD
Mcalester, OK 74501

Reassigned Medicare billing, Texas enrollment
70 clinicians in this Medicare group

NPI 1912945635 (918) 426-1800

Victoria Hospitalist Associates, LLC

491 mi

Hospitalist

4500 S GARNETT RD, STE 919
Tulsa, OK 74146

Reassigned Medicare billing, Texas enrollment
100 clinicians in this Medicare group

NPI 1023236825 (918) 728-6145

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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 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.

423 services189 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.

161 services108 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

109 services36 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

92 services72 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

68 services12 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

48 services23 patients

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.

45 services26 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

28 services26 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.

27 services23 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

24 services23 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

21 services19 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

20 services20 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.

18 services15 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

13 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Val Verde Regional Medical Center

Acute Care Hospitals · Del Rio, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450154

Location801 Bedell AveDel Rio, TX 78840 · Val Verde County

Emergency services

Matagorda Regional Medical Center

Acute Care Hospitals · Bay City, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450465

Location104 7th StreetBay City, TX 77414 · Matagorda County

Emergency services Birthing friendly

Cuero Regional Hospital

Acute Care Hospitals · Cuero, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450597

Location2550 N EsplanadeCuero, TX 77954 · De Witt County

Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450820

Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

South Texas Spine And Surgical Hospital

Acute Care Hospitals · San Antonio, TX

OwnershipPhysician

CMS Certification Number450856

Location18600 North Hardy Oak BlvdSan Antonio, TX 78258 · Bexar County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77414 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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%141 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

96%2,862 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

90%238 patients5/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

99%330 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

69%1,330 patients3/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

83%1,330 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

14%1,330 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

35%1,330 patients

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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers75 claims180 services$6.08 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

3 suppliers13 claims13 services$2.50 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers36 claims55 services$1.10 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers12 claims12 services$17.62 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers12 claims64 services$2.54 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers17 claims17 services$68.38 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 19

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

MATAGORDA COUNTY HOSPITAL DISTRICT

Internal Medicine

104 7TH ST
BAY CITY, TX 77414

Matagorda County (979) 241-5520

TEXAS EM-I MEDICAL SERVICES PA

Emergency Medicine

104 7TH ST
BAY CITY, TX 77414

Matagorda County (979) 241-3319

GEORGE P HANNA M.D.

Internal Medicine (Interventional Cardiology)

104 7TH ST
BAY CITY, TX 77414

Matagorda County (979) 323-7000

CHRISTOPHER RIDDLE NP

Nurse Practitioner

104 7TH ST
BAY CITY, TX 77414

Matagorda County (979) 241-3319

MRS. EDSEL ESTABILLO MSN,APRN,FNP-C,CEN

Nurse Practitioner (Family)

104 7TH ST
BAY CITY, TX 77414

Matagorda County (979) 245-6383

DR. DAVID CHIAO MD

Radiology (Vascular & Interventional Radiology)

104 7TH ST
BAY CITY, TX 77414

Matagorda County (979) 241-3420

MRS. KATHERINE ANNE VERN APRN, FNP-C

Nurse Practitioner (Family)

104 7TH ST
BAY CITY, TX 77414

Matagorda County (979) 216-7429

BAY CITY TEXAS ANESTHESIOLOGISTS, PA

Anesthesiology

104 7TH ST
BAY CITY, TX 77414

Matagorda County (979) 245-7246

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 Fabricio Zuniga's NPI number?

The NPI number for Fabricio Zuniga is 1154464055. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Fabricio Zuniga located?

Fabricio Zuniga practices at 104 7th St, Bay City, TX 77414. The listed phone number is (979) 245-6383.

What is Fabricio Zuniga's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fabricio Zuniga enrolled in Medicare?

Yes. Fabricio Zuniga 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.

Which organizations bill Medicare for Fabricio Zuniga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fabricio Zuniga reassigns Medicare benefits to 7 organizations: Discovery Medical Network Matagorda LLC (Bay City, TX), Victoria Emergency Associates LLC (Victoria, TX), Hospital Care Consultants Of Corpus Christi (Corpus Christi, TX), South Texas Hospitalist Associates LLC (Uvalde, TX), Lonestar Hospital Medicine Associates, PA (Mansfield, TX) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fabricio Zuniga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fabricio Zuniga accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellPoint list Fabricio Zuniga 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 Fabricio Zuniga affiliated with any hospitals?

According to CMS data, Fabricio Zuniga is affiliated with Val Verde Regional Medical Center, Matagorda Regional Medical Center, Cuero Regional Hospital, Houston Methodist Sugarland Hospital and South Texas Spine And Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Fabricio Zuniga was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.