EDWIN SILVA ZAPATA M.D.
NPI 1760896518
Family Medicine in High Point, NC

Active since June 19, 2014PECOS EnrolledAccepts Medicare Assignment
4515 PREMIER DR STE 204, HIGH POINT, NC 27265(336) 802-2075(336) 802-2076 Get Directions Write a Review

NPPES record last updated: November 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2019, Mar 17, 2018, Aug 24, 2017 (3 updates tracked since 2017).

About Edwin Silva Zapata M.d. NPPES

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

EDWIN SILVA ZAPATA M.D. (NPI 1760896518) is an individual family medicine provider in High Point, North Carolina, licensed in North Carolina (2017-01943) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with High Point Regional Health System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760896518
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDWIN SILVA ZAPATACredential: M.D.
Location Address4515 PREMIER DR STE 204High Point, NC 27265
Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074 · (336) 716-1331
Fax(336) 802-2076
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 19, 2014
Last NPPES UpdateNovember 21, 20193 updates tracked since enumeration
NPI 1760896518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2017-01943
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4515 PREMIER DR STE 204, High Point, NC 27265

Other Names 1

Professional Name (2)Edwin Silva Md

Secondary Practice Locations 2

Location 1127 S BroadwayYonkers, NY 10701-4006 · Phone (914) 378-7000
Location 21200 N Elm StGreensboro, NC 27401-1004 · Phone (336) 832-4382

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

Edwin Silva Zapata 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 ID648545996
PECOS Enrollment IDI20171012000985
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 8

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 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.
190 services109 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
95 services95 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.
74 services60 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
36 services34 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
35 services32 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

High Point Regional Health System

Acute Care Hospitals · High Point, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340004
Location601 N Elm StHigh Point, NC 27261 · Guilford County
Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340047
LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County
Emergency services Birthing friendly

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27265 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers14 claims32 services$6.59 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 8

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

Physician Assistant
4515 PREMIER DR STE 204
HIGH POINT, NC 27265
Family Medicine
4515 PREMIER DR STE 204
HIGH POINT, NC 27265
Physician Assistant
4515 PREMIER DR STE 204
HIGH POINT, NC 27265
Physician Assistant
4515 PREMIER DR STE 204
HIGH POINT, NC 27265
Physician Assistant
4515 PREMIER DR STE 204
HIGH POINT, NC 27265
Internal Medicine
4515 PREMIER DR STE 204
HIGH POINT, NC 27265
Nurse Practitioner
4515 PREMIER DR STE 204
HIGH POINT, NC 27265
Physician Assistant
4515 PREMIER DR STE 204
HIGH POINT, NC 27265

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 Edwin Silva Zapata's NPI number?

The NPI number for Edwin Silva Zapata is 1760896518. It was assigned to this individual provider in the NPPES registry on June 19, 2014. The provider is also known as Edwin Silva MD.

Where is Edwin Silva Zapata located?

Edwin Silva Zapata practices at 4515 Premier Dr Ste 204, High Point, NC 27265. The listed phone number is (336) 802-2075.

What is Edwin Silva Zapata's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edwin Silva Zapata enrolled in Medicare?

Yes. Edwin Silva 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 Edwin Silva Zapata accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Edwin Silva 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 Edwin Silva Zapata affiliated with any hospitals?

According to CMS data, Edwin Silva Zapata is affiliated with High Point Regional Health System, North Carolina Baptist Hospital and Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Edwin Silva Zapata was last updated on November 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.