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GINO GUILLERMO TAPIA ZEGARRA MD
NPI 1457466724
Internal Medicine - Infectious Disease in San Antonio, TX

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
59.06/100
CMS Quality Rating
8715 VILLAGE DR STE 514, SAN ANTONIO, TX 78217(210) 370-9922(210) 545-5616 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2025, Feb 7, 2024, Nov 19, 2020 (3 updates tracked since 2020).

About Gino Guillermo Tapia Zegarra Md NPPES

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

GINO GUILLERMO TAPIA ZEGARRA MD (NPI 1457466724) is an individual infectious disease provider in San Antonio, Texas, licensed in Texas (S4064) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1457466724
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameGINO GUILLERMO TAPIA ZEGARRACredential: MD
Location Address8715 VILLAGE DR STE 514San Antonio, TX 78217-5407
Mailing Address7940 Floyd Curl Dr Ste 560San Antonio, TX 78229-3907 · (210) 614-8100 · Fax (210) 615-7233
Phone(210) 370-9922
Fax(210) 545-5616
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 20, 2006
Last NPPES UpdateSeptember 18, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1457466724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in TX · S4064✔ Licensed in MN · 102616✔ Licensed in ND · 11067✔ Licensed in MN · 49064✔ Licensed in MI · 4301079651
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
8715 VILLAGE DR STE 514, San Antonio, TX 78217
Open in Google Maps ↗

Other Identifiers 1

Medicaid853183000MN

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

Gino Guillermo Tapia Zegarra 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 ID7810992971
PECOS Enrollment IDI20200521002407
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
424 services126 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
320 services80 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
129 services121 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.
66 services32 patients
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.
60 services21 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.
43 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78217 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

59.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.53
Promoting Interoperability0
Improvement Activities40
Cost67.02

Other Providers at the Same Location NPPES 3

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

DUANE RUSSELL HOSPENTHAL MD, PHD
Internal Medicine (Infectious Disease)
8715 VILLAGE DR STE 514
SAN ANTONIO, TX 78217
Bexar County (210) 370-9922
CAROLINE C DEWITT MD
Internal Medicine (Infectious Disease)
8715 VILLAGE DR STE 514
SAN ANTONIO, TX 78217
Bexar County (210) 370-9922
DR. GEMMA ALMIRA BERLANGA M.D.
Internal Medicine (Infectious Disease)
8715 VILLAGE DR STE 514
SAN ANTONIO, TX 78217
Bexar County (210) 370-9922

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 Gino Tapia Zegarra's NPI number?

The NPI number for Gino Tapia Zegarra is 1457466724. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Gino Tapia Zegarra located?

Gino Tapia Zegarra practices at 8715 Village Dr Ste 514, San Antonio, TX 78217. The listed phone number is (210) 370-9922.

What is Gino Tapia Zegarra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Gino Tapia Zegarra enrolled in Medicare?

Yes. Gino Tapia Zegarra 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 Gino Tapia Zegarra accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Gino Tapia Zegarra 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 Gino Tapia Zegarra affiliated with any hospitals?

According to CMS data, Gino Tapia Zegarra is affiliated with Baptist Medical Center, Methodist Hospital and Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Gino Tapia Zegarra was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.