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RICHARD ZAVALLA AGNP-C
NPI 1477933893
Nurse Practitioner - Adult Health in Houston, TX

Active since June 01, 2015PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
11221 KATY FWY STE 115, HOUSTON, TX 77079(800) 991-6117(888) 812-8191 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Zavalla Agnp-c NPPES

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

RICHARD ZAVALLA AGNP-C (NPI 1477933893) is an individual adult health provider in Houston, Texas, licensed in Texas (AP127748) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1477933893
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameRICHARD ZAVALLACredential: AGNP-C
Location Address11221 KATY FWY STE 115Houston, TX 77079-2105
Mailing Address11221 Katy Fwy Ste 115Houston, TX 77079-2105 · (281) 600-5000
Phone(800) 991-6117
Fax(888) 812-8191
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 1, 2015
Last NPPES UpdateMay 1, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1477933893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · AP127748
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 786186 (TX)
11221 KATY FWY STE 115, Houston, TX 77079
Open in Google Maps ↗

Secondary Practice Location 1

Location 111511 Katy Fwy Ste 100Houston, TX 77079-1902 · Phone (281) 600-5000

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

Richard Zavalla Agnp-c 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 ID8628386570
PECOS Enrollment IDI20150928000197
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 3

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.

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.
174 services139 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
168 services168 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.
29 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77079 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.

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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost43.66

Other Providers at the Same Location NPPES 7

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

MS. JESSICA MARIE OLIVAREZ FNP-C
Nurse Practitioner
11221 KATY FWY STE 115
HOUSTON, TX 77079
Harris County (800) 991-6117
DR. ASHEESH BOTHRA M.B.,B.S.
Internal Medicine
11221 KATY FWY STE 115
HOUSTON, TX 77079
Harris County (800) 991-6117
DR. SRINIVAS P RAO
Radiology (Vascular & Interventional Radiology)
11221 KATY FWY STE 115
HOUSTON, TX 77079
Harris County (281) 888-1464
FRANCHELL RICHARD-HAMILTON MD
Surgery
11221 KATY FWY STE 115
HOUSTON, TX 77079
Harris County (800) 991-6117
KUSH SHAH MD
Radiology (Vascular & Interventional Radiology)
11221 KATY FWY STE 115
HOUSTON, TX 77079
Harris County (800) 991-6117
MOHAMMAD HALAIBEH M.D
Radiology (Vascular & Interventional Radiology)
11221 KATY FWY STE 115
HOUSTON, TX 77079
Harris County (800) 991-6117
SRINIVAS RAO MD PA
Surgery
11221 KATY FWY STE 115
HOUSTON, TX 77079
Harris County (281) 888-1464

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 Richard Zavalla's NPI number?

The NPI number for Richard Zavalla is 1477933893. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Where is Richard Zavalla located?

Richard Zavalla practices at 11221 Katy Fwy Ste 115, Houston, TX 77079. The listed phone number is (800) 991-6117.

What is Richard Zavalla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Richard Zavalla enrolled in Medicare?

Yes. Richard Zavalla 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 Richard Zavalla 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 11 other insurers list Richard Zavalla 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 Richard Zavalla was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.