DR. EDGAR ZAMBRANO D.O.
NPI 1780718767
Surgery in Mount Pleasant, TX

Q: What is Edgar Zambrano's NPI number?

The NPI number for Edgar Zambrano is 1780718767. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Q: What is Edgar Zambrano's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Zambrano was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 14, 2007PECOS EnrolledAccepts Medicare Assignment

2015 MULBERRY AVE, SUITE 210, MOUNT PLEASANT, TX 75455(903) 575-9408 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Edgar Zambrano D.o. NPPES

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

DR. EDGAR ZAMBRANO D.O. (NPI 1780718767) is an individual surgery provider in Mount Pleasant, Texas, licensed in Texas (M4680) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of Philadelphia College Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1780718767

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. EDGAR ZAMBRANOCredential: D.O.

Location Address2015 MULBERRY AVE, SUITE 210Mount Pleasant, TX 75455-2312

Mailing AddressPo Box 1685Mount Pleasant, TX 75456-1685 · (903) 575-9408

Phone(903) 575-9408

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2001

Enumeration DateMarch 14, 2007

Last NPPES UpdateJanuary 19, 2023

NPPES CertifiedJanuary 19, 2023

✔ NPI 1780718767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · M4680

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

2015 MULBERRY AVE, Mount Pleasant, TX 75455

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Other Identifiers 3

Medicaid191068902TX

OtherP00676257TX · Medicare Railroad

Other8BS780TX · Blue Cross & Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare and more.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

Dr. Edgar Zambrano D.o. 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 ID6305926163

PECOS Enrollment IDI20080107000102

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 19

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.

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

2,355 services312 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.

647 services233 patients

Management of oxygen chamber therapy 99183

Oxygen chamber therapy involves breathing pure oxygen in a pressurized room or tube. It's used to treat various conditions like wounds that won't heal due to diabetes or radiation injury. In this therapy, your body's tissues get more oxygen to promote healing and fight infection.

525 services17 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

298 services76 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

182 services86 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.

168 services93 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

158 services158 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

129 services28 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

70 services47 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

68 services30 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

68 services68 patients

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275

This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.

43 services14 patients

Removal of tissue from wound, each additional 20.0 sq cm 97598

This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.

43 services20 patients

Application of walking cast covering foot, ankle, and lower leg 29445

A walking cast covering the foot, ankle, and lower leg offers support and protection after an injury or surgery. It's designed to allow safe mobility while the healing process is ongoing. It's applied by medical professionals and should be kept dry and clean.

40 services11 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

38 services34 patients

Removal of bone, 20.0 sq cm or less 11044

The procedure involves the surgical removal of a section of bone, up to 20.0 square cm in size. This may be necessary due to various reasons such as injury, infection, or to treat a disease. The process aims to alleviate pain, enhance mobility, or prevent the spread of disease.

32 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

15 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

14 services13 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450054

Location2401 S 31st StTemple, TX 76508 · Bell County

Emergency services Birthing friendly

Titus Regional Medical Center

Acute Care Hospitals · Mount Pleasant, TX

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450080

Location2001 N JeffersonMount Pleasant, TX 75455 · Titus County

Emergency services Birthing friendly

Adventhealth Central Texas

Acute Care Hospitals · Killeen, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450152

Location2201 S Clear Creek RoadKilleen, TX 76542 · Bell County

Emergency services Birthing friendly

Adventhealth Rollins Brook

Critical Access Hospitals · Lampasas, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number451323

Location608 North Key AvenueLampasas, TX 76550 · Lampasas County

Emergency services

Ut Health East Texas Pittsburg Hospital

Critical Access Hospitals · Pittsburg, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number451367

Location2701 Us Hwy 271 NPittsburg, TX 75686 · Camp County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75455 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

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

Other Providers at the Same Location NPPES 9

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

DR. CHRISTOPHER NORMAN MASON M.D.

Obstetrics & Gynecology

2015 MULBERRY AVE, STE 250
MOUNT PLEASANT, TX 75455

Titus County (903) 572-4664

MILAN SEKULIC MD

Internal Medicine (Cardiovascular Disease)

2015 MULBERRY AVE, SUITE 310
MOUNT PLEASANT, TX 75455

Titus County (903) 577-7070

HERBERT L. WATKINS, MD PA

Urology

2015 MULBERRY AVE, SUITE 260
MT PLEASANT, TX 75455

Titus County (903) 717-8960

CARDIOLOGY CONSULTANTS OF EAST TEXAS PA

Internal Medicine (Cardiovascular Disease)

2015 MULBERRY AVE, SUITE 310
MT PLEASANT, TX 75455

Titus County (903) 577-7070

DR. MELISSA SHANNON SLOVAK-TUCKER M.D.

Obstetrics & Gynecology

2015 MULBERRY AVE, STE 250
MOUNT PLEASANT, TX 75455

Titus County (903) 572-4664

7 SISTERS CARE HEALTH BOUTIQUE,INC.

Prosthetic/Orthotic Supplier

2015 MULBERRY AVE, STE. 320
MOUNT PLEASANT, TX 75455

Titus County (903) 572-0058

MEDICAL PLAZA CARDIOLOGY

Clinic/Center (Medical Specialty)

2015 MULBERRY AVE, SUITE 310
MOUNT PLEASANT, TX 75455

Titus County (903) 577-7070

TITUS COUNTY HOSPITAL DISTRICT

Clinic/Center (Medical Specialty)

2015 MULBERRY AVE, SUITE 310
MOUNT PLEASANT, TX 75455

Titus County (903) 577-7077

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 Edgar Zambrano's NPI number?

The NPI number for Edgar Zambrano is 1780718767. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Edgar Zambrano located?

Edgar Zambrano practices at 2015 Mulberry Ave Suite 210, Mount Pleasant, TX 75455. The listed phone number is (903) 575-9408.

What is Edgar Zambrano's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Edgar Zambrano enrolled in Medicare?

Yes. Edgar Zambrano 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 Edgar Zambrano accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Edgar Zambrano 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 Edgar Zambrano affiliated with any hospitals?

According to CMS data, Edgar Zambrano is affiliated with Baylor Scott & White Medical Center - Temple, Titus Regional Medical Center, Adventhealth Central Texas, Adventhealth Rollins Brook and Ut Health East Texas Pittsburg Hospital.

When was this NPI record last updated?

The NPPES record for Edgar Zambrano was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.