ZACHARY RYAN EAGLE MD
NPI 1689166290
Internal Medicine - Gastroenterology in Travis Afb, CA

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment
60 MDG/SGCQ, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535(707) 423-5041 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2023, Mar 7, 2022, Mar 3, 2022 and 1 more (4 updates tracked since 2021).

About Zachary Ryan Eagle Md NPPES

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

ZACHARY RYAN EAGLE MD (NPI 1689166290) is an individual gastroenterology provider in Travis Afb, California, licensed in Mississippi (28122) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2018).

NPPES Registry Identity

NPI1689166290
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameZACHARY RYAN EAGLECredential: MD
Location Address60 MDG/SGCQ, 101 BODIN CIRCLETravis Afb, CA 94535-1809
Mailing Address60 Mdg/sgcq, 101 Bodin CircleTravis Afb, CA 94535-1809
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2018
Enumeration DateMay 31, 2018
Last NPPES UpdateJuly 23, 20254 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1689166290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MS · 28122
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 28122 (MS)
60 MDG/SGCQ, Travis Afb, CA 94535

Other Identifiers 1

Medicaid05603775MS

Accepted 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

Zachary Ryan Eagle 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 ID7315281730
PECOS Enrollment IDI20260514001476
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 Zachary Eagle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Emergency Medicine
15200 COMMUNITY RD
Gulfport, MS 39503
  • Reassigned Medicare billing, Mississippi enrollment
  • 298 clinicians in this Medicare group
Internal Medicine
3109 BIENVILLE BLVD
Ocean Springs, MS 39564
  • Reassigned Medicare billing, Mississippi enrollment
  • 450 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94535 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
$145.83 typical visit price
range $65.02 – $191.95
Typical copayment $36.45 (range $16.25 – $47.98)
Most-billed visit code 99204
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier21 claims21 services$185.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Surgery
60 MDG/SGCQ, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Plastic Surgery
60 MDG/SGCQ, 101 BODIN CIR
TRAVIS AFB, CA 94535

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 Zachary Eagle's NPI number?

The NPI number for Zachary Eagle is 1689166290. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Zachary Eagle located?

Zachary Eagle practices at 60 Mdg/Sgcq 101 Bodin Circle, Travis Afb, CA 94535. The listed phone number is (707) 423-5041.

What is Zachary Eagle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Zachary Eagle enrolled in Medicare?

Yes. Zachary Eagle 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 Zachary Eagle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Eagle reassigns Medicare benefits to 3 organizations: Permanente Medical Group Inc (Vallejo, CA), Singing River Gulfport (Gulfport, MS) and Singing River Health System (Ocean Springs, MS). 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 Zachary Eagle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachary Eagle accept?

Health plans from Blue Cross and Blue Shield of Alabama list Zachary Eagle 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 Zachary Eagle was last updated on July 23, 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.