1. Home
  2. Directory
  3. California
  4. Encinitas
  5. Psychiatry Neurology
  6. NPI Profile

DR. JORGE ANTONIO ZAPATEL MD
NPI 1215081328
Psychiatry & Neurology - Psychiatry in Encinitas, CA

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
78.79/100
CMS Quality Rating
354 SANTA FE DR, ENCINITAS, CA 92024(760) 633-6546(760) 633-7998 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2020, Oct 8, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Jorge Antonio Zapatel Md NPPES

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

DR. JORGE ANTONIO ZAPATEL MD (NPI 1215081328) is an individual psychiatry provider in Encinitas, California, licensed in California (A69151) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1215081328
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JORGE ANTONIO ZAPATELCredential: MD
Location Address354 SANTA FE DREncinitas, CA 92024-5142
Mailing AddressPo Box 503148San Diego, CA 92150-3148 · (858) 759-4765
Phone(760) 633-6546
Fax(760) 633-7998
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 23, 2007
Last NPPES UpdateAugust 26, 20254 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1215081328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A69151
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License A69151 (CA)
354 SANTA FE DR, Encinitas, CA 92024
Open in Google Maps ↗

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. Jorge Antonio Zapatel 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 ID8224163258
PECOS Enrollment IDI20100316000900
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 2

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.

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.
90 services86 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.
35 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

78.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability80
Improvement Activities40
Cost61.75

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.

LAURIE CHRISTINA LOEWENSTEIN OTR
Occupational Therapist
354 SANTA FE DR
ENCINITAS, CA 92024
San Diego County (760) 633-6518
JASHPREET SANGHERA DPM
Student in an Organized Health Care Education/Training Program
354 SANTA FE DR
ENCINITAS, CA 92024
San Diego County (760) 642-7009
DR. KATHERINE COVINGTON AUSTIN M.D.
Obstetrics & Gynecology
354 SANTA FE DR
ENCINITAS, CA 92024
San Diego County (760) 633-7801
SAMER SAMI HANNA KANNO MD
Internal Medicine
354 SANTA FE DR
ENCINITAS, CA 92024
San Diego County (760) 230-2251
OWEN BOWERS M.D.
Emergency Medicine
354 SANTA FE DR
ENCINITAS, CA 92024
San Diego County (760) 230-2251
DR. WESLEY SHIH M.D.
Internal Medicine
354 SANTA FE DR
ENCINITAS, CA 92024
San Diego County (760) 230-2251
PAUL BURBANK DOHRENWEND M.D.
Emergency Medicine
354 SANTA FE DR
ENCINITAS, CA 92024
San Diego County (760) 230-2251
LAUREN CURLEY EDWARDS PA-C
Physician Assistant (Medical)
354 SANTA FE DR
ENCINITAS, CA 92024
San Diego County (760) 230-2251

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 Jorge Zapatel's NPI number?

The NPI number for Jorge Zapatel is 1215081328. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Jorge Zapatel located?

Jorge Zapatel practices at 354 Santa Fe Dr, Encinitas, CA 92024. The listed phone number is (760) 633-6546.

What is Jorge Zapatel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jorge Zapatel enrolled in Medicare?

Yes. Jorge Zapatel 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.

When was this NPI record last updated?

The NPPES record for Jorge Zapatel was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.