DR. JACK ZEPEDA MD, MPH
NPI 1184192510
Family Medicine in Fort Smith, AR

Q: What is Jack Zepeda's NPI number?

The NPI number for Jack Zepeda is 1184192510. It was assigned to this individual provider in the NPPES registry on November 3, 2018.

Q: What is Jack Zepeda'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 Jack Zepeda was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 03, 2018PECOS EnrolledAccepts Medicare Assignment

1301 S E ST, FORT SMITH, AR 72901(479) 785-2431 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2022, Nov 3, 2018 (2 updates tracked since 2018).

On this page

About Dr. Jack Zepeda Md, Mph NPPES

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

DR. JACK ZEPEDA MD, MPH (NPI 1184192510) is an individual family medicine provider in Fort Smith, Arkansas, licensed in Arkansas (E-13916) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, is affiliated with Manatee Memorial Hospital, and maintains a secondary practice location in Fort Walton Beach.

NPPES Registry Identity

NPI1184192510

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JACK ZEPEDACredential: MD, MPH

Location Address1301 S E STFort Smith, AR 72901-4716

Mailing Address1005 Mar Walt DrFort Walton Beach, FL 32547-6707 · (850) 863-8100 · Fax (850) 863-8548

Phone(479) 785-2431

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 3, 2018

Last NPPES UpdateMay 17, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2021

✔ NPI 1184192510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in AR · E-13916✔ Licensed in MO · 2018036941

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.

1301 S E ST, Fort Smith, AR 72901

Open in Google Maps ↗

Secondary Practice Location 1

Location 11005 Mar Walt DrFort Walton Beach, FL 32547-6707 · Phone (850) 863-6600 · Fax (850) 862-0977

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, AvMed, Blue Cross and Blue Shield of Alabama and more.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. Jack Zepeda Md, Mph 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 ID9133454408

PECOS Enrollment IDI20220610002535, I20230627002106

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 5

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

391 services381 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

364 services348 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

149 services146 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

30 services29 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Manatee Memorial Hospital

Acute Care Hospitals · Bradenton, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100035

Location206 2nd St EBradenton, FL 34208 · Manatee County

Emergency services Birthing friendly

Shorepoint Health Port Charlotte

Acute Care Hospitals · Port Charlotte, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100077

Location2500 Harbor BlvdPort Charlotte, FL 33952 · Charlotte County

Emergency services Birthing friendly

Santa Rosa Medical Center

Acute Care Hospitals · Milton, FL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number100124

Location6002 Berryhill RdMilton, FL 32570 · Santa Rosa County

Emergency services Birthing friendly

Hca Florida Englewood Hospital

Acute Care Hospitals · Englewood, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100267

Location700 Medical BlvdEnglewood, FL 34223 · Sarasota County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72901 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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 16

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

GENIE ANNE-MARIE MILONE CNP

Nurse Practitioner (Family)