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LUIS ERNESTO ZEPEDA M.D.
NPI 1215032602
Family Medicine in Houston, TX

Active since September 13, 2006PECOS EnrolledAccepts Medicare Assignment
3100 BROADWAY ST STE 104E, HOUSTON, TX 77017(713) 634-0200(713) 634-0202 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luis Ernesto Zepeda M.d. NPPES

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

LUIS ERNESTO ZEPEDA M.D. (NPI 1215032602) is an individual family medicine provider in Houston, Texas, licensed in Texas (K1739) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1215032602
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLUIS ERNESTO ZEPEDACredential: M.D.
Location Address3100 BROADWAY ST STE 104EHouston, TX 77017-2338
Mailing AddressPo Box 1267Bellaire, TX 77402-1267 · (713) 702-1992 · Fax (713) 391-8413
Phone(713) 634-0200
Fax(713) 634-0202
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateSeptember 13, 2006
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1215032602 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 · K1739
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.
3100 BROADWAY ST STE 104E, Houston, TX 77017
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Other Identifiers 3

Other8J9284Bcbs
Other4136869Bluelinkid
Other8K0447Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Luis Ernesto Zepeda 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 ID5496737371
PECOS Enrollment IDI20040603001279
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.

Therapy procedure for a range of mental processes, each additional 15 minutes 97130
This therapy procedure focuses on improving mental processes. Each additional 15-minute segment allows for a deeper understanding of your thoughts, feelings, and behaviors. The goal is to enhance your mental well-being and overall quality of life.
9,348 services29 patients
Therapy procedure for a range of mental processes, initial 15 minutes 97129
This therapy session, lasting 15 minutes, focuses on improving your mental processes. It's an initial step towards understanding your mental health needs. The therapist will engage in conversation, listen to your concerns, and help identify areas for improvement.
2,234 services29 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.
79 services19 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services18 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77017 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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

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

HOWARD MEDICAL LLC
Family Medicine
3100 BROADWAY ST STE 104E
HOUSTON, TX 77017
Harris County (713) 634-0200

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 Luis Zepeda's NPI number?

The NPI number for Luis Zepeda is 1215032602. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Luis Zepeda located?

Luis Zepeda practices at 3100 Broadway St Ste 104E, Houston, TX 77017. The listed phone number is (713) 634-0200.

What is Luis Zepeda's specialty?

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

Is Luis Zepeda enrolled in Medicare?

Yes. Luis Zepeda 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 Luis Zepeda accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Luis Zepeda 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.

When was this NPI record last updated?

The NPPES record for Luis Zepeda was last updated on March 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.