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MR. MARIO GUILLERMO ZAPATA M.D.
NPI 1992856033
Psychiatry & Neurology - Psychiatry in Statesville, NC

Active since January 16, 2007PECOS Enrolled
515 BROOKDALE DR, STATESVILLE, NC 28677(704) 883-8660(704) 883-8661 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Mario Guillermo Zapata M.d. NPPES

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

MR. MARIO GUILLERMO ZAPATA M.D. (NPI 1992856033) is an individual psychiatry provider in Statesville, North Carolina, licensed in North Carolina (200200086) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992856033
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMR. MARIO GUILLERMO ZAPATACredential: M.D.
Location Address515 BROOKDALE DRStatesville, NC 28677-4107
Mailing Address515 Brookdale DrStatesville, NC 28677-4107 · (704) 883-8660 · Fax (704) 883-8661
Phone(704) 883-8660
Fax(704) 883-8661
Sole ProprietorYes
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJanuary 28, 2022
NPPES CertifiedJanuary 28, 2022
✔ NPI 1992856033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 200200086
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
515 BROOKDALE DR, Statesville, NC 28677
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Other Identifiers 1

Medicaid5900106NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc 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 (PECOS)

Mr. Mario Guillermo Zapata M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mario Zapata reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mario Zapata, M.D., P.C.
Same address
Specialist
515 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Mario Zapata MD PC
NPI 1063658110 (704) 883-8762
Gaston Family Health Services, Inc.
Same address
Federally Qualified Health Center (FQHC)
518 BROOKDALE DR
Statesville, NC 28677
  • Reassigned Medicare billing, North Carolina enrollment
  • 207 clinicians in this Medicare group
NPI 1710237367 (704) 872-9595

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 2

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.
151 services35 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
147 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28677 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 8

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

SUJA RAJU M.D.
Psychiatry & Neurology (Psychiatry)
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 380-3620
MARIO ZAPATA, M.D., P.C.
Specialist
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 883-8762
AMY D. CLAY ED.S., LPA, NCSP
Psychologist
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-1697
CAROLINA PSYCH GROUP, PA
Psychologist (Clinical)
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-1697
MRS. ALISIA LOUISE DULANEY LCSW
Social Worker (Clinical)
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 380-3620
DR. SHARON ROWLETTE POWELL PSY.D
Psychologist
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-1697
AHSAT CENTER FOR INTEGRATIVE ONCOLOGY
Clinic/Center (Adult Mental Health)
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 999-7378
MS. SALLIE D VALLEREUX LPC, LCAS
Counselor (Addiction (Substance Use Disorder))
515 BROOKDALE DR
STATESVILLE, NC 28677
Iredell County (704) 873-1697

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 Mario Zapata's NPI number?

The NPI number for Mario Zapata is 1992856033. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Mario Zapata located?

Mario Zapata practices at 515 Brookdale Dr, Statesville, NC 28677. The listed phone number is (704) 883-8660.

What is Mario Zapata's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mario Zapata enrolled in Medicare?

Yes. Mario Zapata is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mario Zapata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mario Zapata reassigns Medicare benefits to 2 organizations: Mario Zapata, M.D., P.C. (Statesville, NC) and Gaston Family Health Services, Inc. (Statesville, NC). 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 Mario Zapata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mario Zapata accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Mario 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.

When was this NPI record last updated?

The NPPES record for Mario Zapata was last updated on January 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.