JUAN RAUL ZAPATA (M.D.) – Family Medicine Physician, NPI 1518986959

JUAN RAUL ZAPATA (M.D.) is a healthcare provider. based in Gladewater, Texas. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. D9919 (TX). The NPI Number for JUAN RAUL ZAPATA (M.D.) is 1518986959

Main info

Male
59 Years Of Experience
Accepts Medicare Assignment
Name
JUAN RAUL ZAPATA (M.D.)
NPI
1518986959
Phone
(903) 845-2159
Address
307 W UPSHUR AVE
Enumeration Date
18 July 2006
Last Update Date
18 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9038452159
Graduation Year
1967 (59 years ago)
PAC ID
5193729002
Group Practice PAC ID
8527038298
Professional Enrollment ID
I20060907000517
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for JUAN RAUL ZAPATA (M.D.)

  • 307, West Upshur Avenue, Gladewater, Gregg County, Texas, 75647, United States

    GLADEWATER, TX 756472121

    Phone: (903) 845-2159

    Fax: (903) 845-5451

    Type: Location

  • West Upshur Avenue, Gladewater, Gregg County, Texas, 75647, United States

    GLADEWATER, TX 756472121

    Phone: (903) 845-2159

    Fax: (903) 845-5451

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Amgen Inc. ($42).

Total Amount

$61

General + Research + Ownership

Payments

4

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month32487$0
99214Established patient office or other outpatient visit, 30-39 minutes17494$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month7231$0
36415Insertion of needle into vein for collection of blood sample5448$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2727$0
View full utilization report →

Insurance plans in this area (ZIP 75647)

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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: 8527038298View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What number should I use to identify JUAN RAUL ZAPATA (M.D.) for billing?
Administrative and clinical systems typically use NPI 1518986959 for JUAN RAUL ZAPATA (M.D.).
Does the public listing show JUAN RAUL ZAPATA (M.D.) as active?
JUAN RAUL ZAPATA (M.D.)'s NPI record reflects an active status in NPPES.
What services align with JUAN RAUL ZAPATA (M.D.)'s listing?
JUAN RAUL ZAPATA (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to JUAN RAUL ZAPATA (M.D.)?
JUAN RAUL ZAPATA (M.D.) shows a connection to Gladewater, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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