SHANE EDWARD ZATKALIK MD
NPI 1619082872
Emergency Medicine in Plano, TX

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
63.35/100
CMS Quality Rating
6200 W PARKER RD, PLANO, TX 75093(972) 981-8008 Get Directions Write a Review

NPPES record last updated: May 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Edward Zatkalik Md NPPES

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

SHANE EDWARD ZATKALIK MD (NPI 1619082872) is an individual emergency medicine provider in Plano, Texas, licensed in Texas (L5630) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2001).

NPPES Registry Identity

NPI1619082872
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSHANE EDWARD ZATKALIKCredential: MD
Location Address6200 W PARKER RDPlano, TX 75093-8185
Mailing Address8160 Walnut Hill Lane, Suite 8160, Presbyterian Hospital Of Dallas, Perot BldgDallas, TX 75231 · (214) 345-4733 · Fax (214) 345-7963
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2001
Enumeration DateAugust 20, 2006
Last NPPES UpdateMay 14, 2010
NPI 1619082872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TX · L5630
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
6200 W PARKER RD, Plano, TX 75093

Other Identifiers 4

Other0058QRTX · Bcbs
Medicaid164760407TX
Medicare PIN613165TX
Medicare UPINI04685

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 and accepts Medicare assignment

Shane Edward Zatkalik 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 ID8820070741
PECOS Enrollment IDI20040603001514
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
296 services290 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
170 services163 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
109 services108 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services47 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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.

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.

63.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality55.59
Improvement Activities40
Cost42.57

Reported Quality Measures

Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis
100%51 patients
Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain
100%23 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 20

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

Internal Medicine
6200 W PARKER RD
PLANO, TX 75093
Student in an Organized Health Care Education/Training Program
6200 W PARKER RD
PLANO, TX 75093
Student in an Organized Health Care Education/Training Program
6200 W PARKER RD
PLANO, TX 75093
Nurse Anesthetist, Certified Registered
6200 W PARKER RD
PLANO, TX 75093
Physician Assistant (Medical)
6200 W PARKER RD
PLANO, TX 75093
Physician Assistant (Surgical)
6200 W PARKER RD
PLANO, TX 75093
Nurse Practitioner (Psychiatric/Mental Health)
6200 W PARKER RD
PLANO, TX 75093
Pediatrics
6200 W PARKER RD, SUITE 410
PLANO, TX 75093

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 Shane Zatkalik's NPI number?

The NPI number for Shane Zatkalik is 1619082872. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Shane Zatkalik located?

Shane Zatkalik practices at 6200 W Parker Rd, Plano, TX 75093. The listed phone number is (972) 981-8008.

What is Shane Zatkalik's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shane Zatkalik enrolled in Medicare?

Yes. Shane Zatkalik 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 Shane Zatkalik accept?

Health plans from Blue Cross and Blue Shield of Texas list Shane Zatkalik 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 Shane Zatkalik affiliated with any hospitals?

According to CMS data, Shane Zatkalik is affiliated with Texas Health Presbyterian Hospital Plano and Texas Health Presbyterian Hospital Allen.

When was this NPI record last updated?

The NPPES record for Shane Zatkalik was last updated on May 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.