DR. JAIME ZENGOTITA (MD) – Family Medicine Physician, NPI 1093896201

DR. JAIME ZENGOTITA (MD) is a healthcare provider. based in Cassville, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 2004017285 (MO). The NPI Number for DR. JAIME ZENGOTITA (MD) is 1093896201

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAIME ZENGOTITA (MD)
NPI
1093896201
Phone
(417) 847-5225
Address
1 MEDICAL PLZ
Enumeration Date
17 October 2006
Last Update Date
20 September 2024

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
31448116151306
Graduation Year
1997 (29 years ago)
PAC ID
5597716399
Group Practice PAC ID
7911815097
Professional Enrollment ID
I20050209000681
Address ID
MO631102138SA4352XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

Provider Addresses for DR. JAIME ZENGOTITA (MD)

  • 1 MEDICAL PLZ

    CASSVILLE, MO 656251602

    Phone: (417) 847-5225

    Fax: (417) 847-5425

    Type: Location

  • 4352 MANCHESTER AVE

    SAINT LOUIS, MO 631102138

    Phone: (314) 531-5444

    Fax: (314) 531-0063

    Type: Location

  • Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom

    SPRINGFIELD, MO 658012580

    Phone: (417) 829-4620

    Fax: (417) 829-4316

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-02-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050209000681IFamily PracticeMOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71046X-ray of chest, 2 views3434$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
73110X-ray of wrist, minimum of 3 views1212$0
73610X-ray of ankle, minimum of 3 views1212$0
View full utilization report →

Insurance plans in this area (ZIP 65625)

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Provider's Procedures

DR. JAIME ZENGOTITA (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO85610Blood test, clotting time23424

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911815097View full group profile
NameSpecialtyState
C H I R O P R A C T I CMO
-MO
O P T O M E T R YMO
O B S T E T R I C S/ G Y N E C O L O G YMO
Clinical Social WorkerMO
-MO
O P T O M E T R YMO
Internal MedicineMO
Nurse PractitionerMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What NPI should I save for DR. JAIME ZENGOTITA (MD)?
Save NPI 1093896201 if you need a stable reference for DR. JAIME ZENGOTITA (MD).
Is DR. JAIME ZENGOTITA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. JAIME ZENGOTITA (MD)?
The page reflects Family Medicine Physician for DR. JAIME ZENGOTITA (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JAIME ZENGOTITA (MD)?
The page summarizes Cassville, Missouri for DR. JAIME ZENGOTITA (MD); expand the address list for detail.
Is DR. JAIME ZENGOTITA (MD) a real provider?
This page reflects official NPPES data for NPI 1093896201. Always confirm identity and privileges with the practice and licensing boards.

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