DR. JACK ZEPEDA (MD, MPH) – Family Medicine Physician, NPI 1184192510
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. JACK ZEPEDA (MD, MPH)
1005 Mar Walt Dr
Fort Walton Beach, FL 325476707
Phone: (850) 863-6600
Fax: (850) 862-0977
Type: Location
2011 S BEND DR
CORDOVA, TN 380165449
Phone: (210) 837-2511
Type: Mailing
13013 FULLER AVE STE A
GRANDVIEW, MO 640302687
Phone: (816) 214-5548
Type: Location
1005 MAR WALT DR
FORT WALTON BEACH, FL 325476707
Phone: (850) 863-8100
Fax: (850) 863-8548
Type: Mailing
1301 S E ST
FORT SMITH, AR 729014716
Phone: (479) 785-2431
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $528.
Total Amount is formed as General ($528) + Research ($0) + Ownership ($0) = $528.
Last reported payment date: 2023-07-21 • Largest payer in this snapshot: ABBVIE INC. ($170).
Total Amount
$528
General + Research + Ownership
Payments
22
Total payment records
General Amount
$528
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $170 |
| Corium, LLC | $67 |
| Novo Nordisk Inc | $48 |
| GE HealthCare | $46 |
| Lilly USA, LLC | $35 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210211000906 | I | Emergency Medicine | AR | TBD |
| I20220610002535 | I | Emergency Medicine | FL | TBD |
| I20230627002106 | I | Family Practice | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 115 | 112 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 112 | 110 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 69 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 20 | 13 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 19 | 19 | $0 |
Insurance plans in this area (ZIP 32547)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Emergency Medicine | IN | |
| Family Practice, Emergency Medicine | AL | |
| A N E S T H E S I O L O G Y | ND | |
| Internal Medicine, Emergency Medicine | AL | |
| Family Practice | KY | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Emergency Medicine, Infectious Disease | AL | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| A N E S T H E S I O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TN |
Reviews
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