Active NPI 1164772323 Individual Practitioner Male Practitioner

Dr. Marco Vinicio Medina-Zea , MD

Surgery • Cedar Park, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Marco Medina-Zea, MD is a certified Surgery practicing in Cedar Park, TX. With approximately 18 years of clinical experience since completing medical education in 2008, Dr. Medina-Zea delivers high-quality medical care to the local community at 1401 MEDICAL PKWY STE 200.

Dr. Medina-Zea is affiliated with Austin Regional Clinic Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1401 Medical Pkwy Ste 200

Cedar Park, TX 786135026

Telephone 5122601581

Fax 5124067309

Associated Practice Facility / Clinic

🏢 Oncology Pharmacy Services, Inc. Facility NPI 1932660644

Medicare Profile & Education

Medical School

Other

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Cedar Park, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -3.2 yrs vs City Avg

City Avg: 21.2 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

7 Specialists

Practicing in Cedar Park, TX (2342 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

50.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Medina-Zea (18 Years) 18 Yrs

Cedar Park Specialty Average (21.2 Years) 21.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	21	$238.00	$104.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$295.00	$159.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$295.00	$147.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$295.00	$154.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$238.00	$124.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$194.00	$108.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	50	$172.13	$119.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$251.80	$154.23
99291 Critical care, first 30-74 minutes	32	26	$474.00	$205.64
47562 Removal of gallbladder using an endoscope	19	19	$1281.05	$607.83
43246 Insertion of stomach tube using a flexible endoscope	19	19	$553.00	$184.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$114.00	$64.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$507.75	$128.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$210.00	$126.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	47	$156.00	$100.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$241.00	$152.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	29	$114.00	$68.72
99291 Critical care, first 30-74 minutes	22	20	$474.00	$211.01
47562 Removal of gallbladder using an endoscope	21	21	$1272.62	$580.73
43246 Insertion of stomach tube using a flexible endoscope	19	17	$553.00	$190.89
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$332.00	$193.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$309.00	$192.21
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$773.00	$243.72
49650 Repair of groin hernia using an endoscope	14	14	$1069.50	$477.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$231.00	$135.59
76937 Ultrasonic guidance for blood vessel access	12	12	$29.00	$13.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$155.00	$98.74
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$36.00	$17.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$480.00	$103.70
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$154.00	$96.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$241.00	$152.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	38	$156.00	$100.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$210.00	$129.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	25	$114.00	$68.69
43246 Insertion of stomach tube using a flexible endoscope	18	18	$553.00	$175.63
76937 Ultrasonic guidance for blood vessel access	18	17	$29.00	$13.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$309.00	$190.85
47562 Removal of gallbladder using an endoscope	13	13	$1243.00	$611.41
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	13	13	$224.00	$81.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$241.00	$152.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$210.00	$129.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$156.00	$99.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	20	$114.00	$68.89
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$309.00	$191.76
47562 Removal of gallbladder using an endoscope	21	21	$1243.00	$610.05
76937 Ultrasonic guidance for blood vessel access	17	17	$29.00	$13.82
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	12	12	$345.33	$92.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	24	16	$114.00	$68.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$241.00	$150.96

Medical Specialties & State Licenses

CMS Verified: 2021-09-01

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AR E-10315

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Austin Regional Clinic Pa

1401 Medical Pkwy, Cedar Park, TX 786137763

Phone: 5122601581

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners

Eben Soliz , PA

Physician Assistant

NPI 1003043662

Physician Assistant

Tiera Franklin , MSN, APRN, FNP-C

Nurse Practitioner - Obstetrics & Gynecology

NPI 1023868098

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Christopher Dallo , MD

Dermatology

NPI 1063071199

Doctor of Medicine (M.D.)

Dr. David Kung , MD

Internal Medicine - Rheumatology

NPI 1134474653

Doctor of Medicine (M.D.)

Dr. Achal Dhruva , MD

Otolaryngology

NPI 1154336212

Doctor of Medicine (M.D.)

Dr. Manish Naik , MD

Internal Medicine

NPI 1184630436

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Practice Location September 01, 2021

Registered at 1401 MEDICAL PKWY STE 200, CEDAR PARK, TX 786135026 (Tel: 5122601581)

📍

Updated Business Mailing Address September 01, 2021

Registered at 6210 E HIGHWAY 290, AUSTIN, TX 787231142 (Tel: 5124839596)

✅

NPI Profile Active August 31, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address August 31, 2017

Registered at PO BOX 21850, HOT SPRINGS, AR 719031850 (Tel: (501) 609-2229)

📍

Updated Practice Location August 31, 2017

Registered at 1 MERCY LN STE 201, HOT SPRINGS, AR 719136457 (Tel: 5016092229)

👤

Provider Name / Credentials Updated August 31, 2017

Recorded as MARCO MEDINA-ZEA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2017

Surgery (License #E-10315 in AR)

📍

Updated Practice Location June 27, 2017

Registered at 1 MERCY LN STE 201, HOT SPRINGS, AR 719136457 (Tel: 5016092229)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2017

Surgery (License #E-10315 in AR)

✅

NPI Profile Active September 14, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 14, 2012

Registered at 100 FRANKLIN STREET, APT 308G, MORRISTOWN, NJ 079605443 (Tel: 2018884812)

📍

Updated Business Mailing Address September 14, 2012

Registered at 100 FRANKLIN ST, APT 308G, MORRISTOWN, NJ 079605443 (Tel: 2018884812)

👤

Provider Name / Credentials Updated September 14, 2012

Recorded as MARCO MEDINA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2012

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration September 14, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164772323

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 14, 2012

Last Update: September 01, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6210 E Highway 290

Austin, TX 787231142

Phone: 5124839596

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.