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MARIO A ZAPATA MD
NPI 1568451920
Obstetrics & Gynecology - Gynecology in Aurora, IL

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
2424 W INDIAN TRL, STE A, AURORA, IL 60506(630) 907-1414(630) 907-1919 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mario A Zapata Md NPPES

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

MARIO A ZAPATA MD (NPI 1568451920) is an individual gynecology provider in Aurora, Illinois, licensed in Illinois (036-062898) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Copley Memorial Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1568451920
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameMARIO A ZAPATACredential: MD
Location Address2424 W INDIAN TRL, STE AAurora, IL 60506-1568
Mailing Address2424 W Indian Trl, Ste AAurora, IL 60506-1568 · (630) 907-1414 · Fax (630) 907-1919
Phone(630) 907-1414
Fax(630) 907-1919
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateOctober 18, 2005
Last NPPES UpdateMarch 2, 2011
✔ NPI 1568451920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in IL · 036-062898
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
2424 W INDIAN TRL, Aurora, IL 60506
Open in Google Maps ↗

Other Identifiers 7

Other0451514334IL · Bcbs#
Medicare ID-Type UnspecifiedK11213IL
Medicare NSC0727500001IL
Medicare PIN390361019IL
Medicare UPINB85372IL
Medicare PIN390362018IL
Medicaid036-062898IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Mario A Zapata 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 ID6406817873
PECOS Enrollment IDI20041021000511
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.

Hospital Affiliations CMS Care Compare 2

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

Copley Memorial Hospital

Acute Care Hospitals · Aurora, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140029
Location2000 Ogden AvenueAurora, IL 60504 · Kane County
Emergency services Birthing friendly

Presence Mercy Medical Center

Acute Care Hospitals · Aurora, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140174
Location1325 N Highland AvenueAurora, IL 60506 · Kane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60506 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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

Breast Cancer Screening
82%116 patients4/55-star benchmark: 93%
Cervical Cancer Screening
93%216 patients4/55-star benchmark: 98%
Colorectal Cancer Screening
38%197 patients2/55-star benchmark: 88%
Diabetes: Eye Exam
0%44 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%44 patients1/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
54%352 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%673 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 97% · 283 patients
95%283 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.

Other Providers at the Same Location NPPES 6

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

WEGLARZ & PARKHURST, DDS, PC
Dentist (General Practice)
2424 W INDIAN TRL, SUITE D
AURORA, IL 60506
Kane County (630) 907-0330
ASSOCIATED WOMEN'S HEALTH, LTD
Obstetrics & Gynecology
2424 W INDIAN TRL, SUITE A
AURORA, IL 60506
Kane County (630) 907-1414
DR. LINDA M WEGLARZ DDS
Dentist
2424 W INDIAN TRL, SUITE D
AURORA, IL 60506
Kane County (630) 907-0330
TEHMINA BAJWA MDSC
Clinic/Center (Medical Specialty)
2424 W INDIAN TRL, STE B
AURORA, IL 60506
Kane County (630) 907-2424
DR. MARY L. PARKHURST DDS
Dentist (General Practice)
2424 W INDIAN TRL, SUITE D
AURORA, IL 60506
Kane County (630) 907-0330
DREYER CLINIC, INC
Clinic/Center (Multi-Specialty)
2424 W INDIAN TRL, SUITE B
AURORA, IL 60506
Kane County (630) 907-2424

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 Mario Zapata's NPI number?

The NPI number for Mario Zapata is 1568451920. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Mario Zapata located?

Mario Zapata practices at 2424 W Indian Trl Ste A, Aurora, IL 60506. The listed phone number is (630) 907-1414.

What is Mario Zapata's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Mario Zapata enrolled in Medicare?

Yes. Mario Zapata 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 Mario Zapata accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Mario Zapata 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 Mario Zapata affiliated with any hospitals?

According to CMS data, Mario Zapata is affiliated with Copley Memorial Hospital and Presence Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Mario Zapata was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.