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CARLY SUZANNE ZAPATA
NPI 1578829156
Internal Medicine - Hospice and Palliative Medicine in San Francisco, CA

Active since April 08, 2012PECOS EnrolledAccepts Medicare Assignment
74.46/100
CMS Quality Rating
1215 11TH AVE, APT 6, SAN FRANCISCO, CA 94122(209) 406-5942 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carly Suzanne Zapata NPPES

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

CARLY SUZANNE ZAPATA (NPI 1578829156) is an individual hospice and palliative medicine provider in San Francisco, California, licensed in California (A127573) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Harvard Medical School (2012).

NPPES Registry Identity

NPI1578829156
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameCARLY SUZANNE ZAPATA
Location Address1215 11TH AVE, APT 6San Francisco, CA 94122-2256
Mailing Address1215 11th Ave, Apt 6San Francisco, CA 94122-2256 · (209) 406-5942
Phone(209) 406-5942
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2012
Enumeration DateApril 8, 2012
Last NPPES UpdateFebruary 13, 2018
✔ NPI 1578829156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in CA · A127573
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
1215 11TH AVE, San Francisco, CA 94122
Open in Google Maps ↗

Other Names 1

Former Name (1)Carly Suzanne Benner Md

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

Carly Suzanne Zapata 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 ID1658683503
PECOS Enrollment IDI20150706002746
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
174 services68 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
26 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 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.
11 services11 patients

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.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability76
Improvement Activities40
Cost46.68

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 Carly Zapata's NPI number?

The NPI number for Carly Zapata is 1578829156. It was assigned to this individual provider in the NPPES registry on April 8, 2012. The provider is also known as Carly Suzanne Benner MD.

Where is Carly Zapata located?

Carly Zapata practices at 1215 11th Ave Apt 6, San Francisco, CA 94122. The listed phone number is (209) 406-5942.

What is Carly Zapata's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Carly Zapata enrolled in Medicare?

Yes. Carly 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.

When was this NPI record last updated?

The NPPES record for Carly Zapata was last updated on February 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.