DR. JORGE ANTONIO ZAPATEL MD
NPI 1215081328
Psychiatry & Neurology - Psychiatry in Encinitas, CA
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
Specialties & Licenses 2
Accepted 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. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jorge Zapatel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Encinitas, CA 92024
- Reassigned Medicare billing, California enrollment
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 1,437 clinicians in this Medicare group
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 218 clinicians in this Medicare group
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 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.
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.
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.
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.
ENCINITAS, CA 92024
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.
Which organizations bill Medicare for Jorge Zapatel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Zapatel reassigns Medicare benefits to 3 organizations: Jorge A Zapatel, MD Apmc (Encinitas, CA), Emergency And Acute Care Medical Corporation (San Diego, CA) and On Call Specialists Medical Group Of San Diego, Inc. (San Diego, CA). 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 Jorge Zapatel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jorge Zapatel accept?
Health plans from WellSense Health Plan list Jorge Zapatel 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 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 14 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.
# Dr. Jorge Antonio Zapatel, MD · NPI 1215081328
Psychiatry physician in Encinitas, California. Individual provider, active in the CMS NPPES registry since January 23, 2007.
## Identity
- **NPI:** 1215081328 (Entity type: Individual)
- **Enumerated:** January 23, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** A69151 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 354 SANTA FE DR, Encinitas, CA 92024-5142
- **Phone:** (760) 633-6546 · **Fax:** (760) 633-7998
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jorge A Zapatel, MD Apmc (NPI 1487001673, Encinitas, CA); Emergency And Acute Care Medical Corporation (NPI 1437103942, San Diego, CA); On Call Specialists Medical Group Of San Diego, Inc. (NPI 1962175836, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** August 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215081328) · Data from the CMS NPPES public registry.