ZACHARY G. CANNON M.D.
NPI 1457648974
Pediatrics in Tyler, TX

Active since July 05, 2011PECOS Enrolled
1000 E 5TH ST, TYLER, TX 75701(903) 596-3862(903) 590-5005 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Zachary G. Cannon M.d. NPPES

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

ZACHARY G. CANNON M.D. (NPI 1457648974) is an individual pediatrics provider in Tyler, Texas, licensed in Texas (Q2747) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457648974
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameZACHARY G. CANNONCredential: M.D.
Location Address1000 E 5TH STTyler, TX 75701-3346
Mailing Address1000 E 5th StTyler, TX 75701-3346 · (903) 596-3862 · Fax (903) 590-5005
Fax(903) 590-5005
Sole ProprietorYes
Enumeration DateJuly 5, 2011
Last NPPES UpdateJanuary 25, 2016
NPI 1457648974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TX · Q2747
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1000 E 5TH ST, Tyler, TX 75701

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Zachary G. Cannon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
1000 E 5TH ST
TYLER, TX 75701
Internal Medicine
1000 E 5TH ST, SUITE 400
TYLER, TX 75701
Pediatrics
1000 E 5TH ST
TYLER, TX 75701
Internal Medicine
1000 E 5TH ST, SUITE 1000
TYLER, TX 75701
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1000 E 5TH ST
TYLER, TX 75701
Internal Medicine
1000 E 5TH ST
TYLER, TX 75701
Nurse Practitioner (Family)
1000 E 5TH ST
TYLER, TX 75701
Pediatrics
1000 E 5TH ST
TYLER, TX 75701

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 Zachary Cannon's NPI number?

The NPI number for Zachary Cannon is 1457648974. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Where is Zachary Cannon located?

Zachary Cannon practices at 1000 E 5th St, Tyler, TX 75701. The listed phone number is (903) 596-3862.

What is Zachary Cannon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Zachary Cannon enrolled in Medicare?

Yes. Zachary Cannon is registered in the Medicare PECOS enrollment system.

What insurance does Zachary Cannon 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 2 other insurers list Zachary Cannon 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 Zachary Cannon was last updated on January 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.