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RENZO A ZALDIVAR M.D.
NPI 1548234313
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Cary, NC

Active since February 16, 2006PECOS EnrolledAccepts Medicare Assignment
3731 NW CARY PRKW, SUITE 101, CARY, NC 27513(919) 443-2557(919) 869-1869 Get Directions Write a Review

NPPES record last updated: November 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2023, Aug 9, 2019, Sep 20, 2016 (3 updates tracked since 2016).

About Renzo A Zaldivar M.d. NPPES

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

RENZO A ZALDIVAR M.D. (NPI 1548234313) is an individual ophthalmic plastic and reconstructive surgery provider in Cary, North Carolina, licensed in North Carolina (2009-00355) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Central Del Caribe Escuela De Medicina (2002).

NPPES Registry Identity

NPI1548234313
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameRENZO A ZALDIVARCredential: M.D.
Location Address3731 NW CARY PRKW, SUITE 101Cary, NC 27513
Mailing Address3731 Nw Cary Prkw, Suite 101Cary, NC 27513 · (919) 443-2557 · Fax (919) 443-2557
Phone(919) 443-2557
Fax(919) 869-1869
Sole ProprietorNo
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 2002
Enumeration DateFebruary 16, 2006
Last NPPES UpdateNovember 11, 20233 updates tracked since enumeration
NPPES CertifiedNovember 11, 2023
✔ NPI 1548234313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
Licenses✔ Licensed in NC · 2009-00355✔ Licensed in FL · ME100129
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License 2009-00355 (NC), 46912 (MN), ME100129 (FL)
3731 NW CARY PRKW, Cary, NC 27513
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, UnitedHealthcare.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

Renzo A Zaldivar M.d. 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 ID4789657859
PECOS Enrollment IDI20090720000213
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Renzo Zaldivar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Luxe Aesthetics PLLC
Same address
Ophthalmic Plastic and Reconstructive Surgery
3731 NW CARY PARKWAY, SUITE 101
Cary, NC 27513
  • Reassigned Medicare billing, North Carolina enrollment
  • 4 clinicians in this Medicare group
NPI 1184375156 (919) 443-2557
Oculofacial Plastic Surgery Consultants PA
Same address
Ophthalmic Plastic and Reconstructive Surgery
3731 NW CARY PKWY STE 101
Cary, NC 27513
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1346535283 (919) 443-2557
University Of North Carolina At Chapel Hill
10 mi
Family Medicine
401 E WHITAKER MILL RD STE 2100
Raleigh, NC 27608
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,797 clinicians in this Medicare group
NPI 1972912285 (984) 974-4832

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 23

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.

Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
431 services362 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.
192 services192 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
114 services114 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.
108 services93 patients
Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
89 services88 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.
55 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27513 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
94%1,983 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
90%314 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%729 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
33%1,197 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 94% · 202 patients
89%202 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
46%1,197 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%1,197 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
34%1,197 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Polishing/resurfacing of ocular prosthesis V2624
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers11 claims11 services$40.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Renzo Zaldivar's NPI number?

The NPI number for Renzo Zaldivar is 1548234313. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Renzo Zaldivar located?

Renzo Zaldivar practices at 3731 NW Cary Prkw Suite 101, Cary, NC 27513. The listed phone number is (919) 443-2557.

What is Renzo Zaldivar's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Renzo Zaldivar enrolled in Medicare?

Yes. Renzo Zaldivar 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 Renzo Zaldivar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renzo Zaldivar reassigns Medicare benefits to 3 organizations: Luxe Aesthetics PLLC (Cary, NC), Oculofacial Plastic Surgery Consultants PA (Cary, NC) and University Of North Carolina At Chapel Hill (Raleigh, NC). 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 Renzo Zaldivar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Renzo Zaldivar accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Renzo Zaldivar 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 Renzo Zaldivar was last updated on November 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.