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DR. BERTO MIGUEL ZAMORA M.D.
NPI 1811910433
Internal Medicine in Irving, TX

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
4510 N MACARTHUR BLVD STE 100, IRVING, TX 75038(214) 879-7800(855) 576-4344 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Berto Miguel Zamora M.d. NPPES

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

DR. BERTO MIGUEL ZAMORA M.D. (NPI 1811910433) is an individual internal medicine provider in Irving, Texas, licensed in Texas (J9457) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Irving, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1811910433
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BERTO MIGUEL ZAMORACredential: M.D.
Location Address4510 N MACARTHUR BLVD STE 100Irving, TX 75038-1235
Mailing Address4510 N Macarthur Blvd Ste 100Irving, TX 75038 · (214) 879-7800 · Fax (855) 576-4344
Phone(214) 879-7800
Fax(855) 576-4344
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 25, 2006
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1811910433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · J9457
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4510 N MACARTHUR BLVD STE 100, Irving, TX 75038
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Secondary Practice Location 1

Location 14301 N MacArthur Blvd Ste 202Irving, TX 75038-6497 · Phone (214) 879-7800 · Fax (214) 879-7808

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Berto Miguel Zamora 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 ID42206617
PECOS Enrollment IDI20110512000366
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

2

Medicare enrollment records show Berto Zamora reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Z & Z Medical Associates, P.A.
0.1 mi
Hospice and Palliative Medicine
4301 N MACARTHUR BLVD STE 202
Irving, TX 75038
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1619196425 (214) 879-7800
Strategic Medical Group Tx PLLC
30 mi
Primary Care
6317 HARRIS PKWY STE 450
Fort Worth, TX 76132
  • Reassigned Medicare billing, Texas enrollment
  • 37 clinicians in this Medicare group
NPI 1053027680 (817) 433-5155

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

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.

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.
163 services55 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.
36 services27 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.
25 services25 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.
17 services17 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75038 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 2

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 suppliers20 claims60 services$5.60 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims17 services$1.12 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.

STRATEGIC MEDICAL GROUP TX PLLC
Clinic/Center (Primary Care)
4510 N MACARTHUR BLVD STE 100
IRVING, TX 75038
Dallas County (214) 879-7800
DR. ALFRED GONZALO ZEVALLOS M.D.
Internal Medicine
4510 N MACARTHUR BLVD STE 100
IRVING, TX 75038
Dallas County (214) 879-7800

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 Berto Zamora's NPI number?

The NPI number for Berto Zamora is 1811910433. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Berto Zamora located?

Berto Zamora practices at 4510 N Macarthur Blvd Ste 100, Irving, TX 75038. The listed phone number is (214) 879-7800.

What is Berto Zamora's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Berto Zamora enrolled in Medicare?

Yes. Berto Zamora 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 Berto Zamora's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Berto Zamora reassigns Medicare benefits to 2 organizations: Z & Z Medical Associates, P.A. (Irving, TX) and Strategic Medical Group Tx PLLC (Fort Worth, TX). 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 Berto Zamora's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Berto Zamora accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Berto Zamora 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 Berto Zamora was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.