Active NPI 1780718767 Individual Practitioner Male Practitioner

Dr. Edgar Zambrano , DO

Surgery • Mount Pleasant, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Edgar Zambrano, DO is a certified Surgery practicing in Mount Pleasant, TX. With approximately 25 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2001, Dr. Zambrano delivers high-quality medical care to the local community at 2015 MULBERRY AVE.

Dr. Zambrano is affiliated with Edgar Zambrano D.O, P.A and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, management and supervision of oxygen chamber therapy per session. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2015 Mulberry Ave
Suite 210

Mount Pleasant, TX 754552312

Telephone 9035759408

Associated Practice Facility / Clinic

🏢 Northeast Texas Womens Health P A Facility NPI 1699756452

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mount Pleasant, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +3.5 yrs vs City Avg

City Avg: 21.5 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Mount Pleasant, TX (2342 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zambrano (25 Years) 25 Yrs

Mount Pleasant Specialty Average (21.5 Years) 21.5 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
11042 Removal of skin and tissue, 20.0 sq cm or less	2,355	312	$126.44	$55.93
99213 Established patient office or other outpatient visit, typically 15 minutes	647	233	$101.25	$62.76
99183 Management and supervision of oxygen chamber therapy per session	525	17	$250.05	$100.72
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	298	76	$97.49	$23.75
97597 Removal of tissue from wound, 20.0 sq cm or less	182	86	$122.29	$33.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	168	93	$136.80	$92.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	158	158	$237.59	$126.55
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	129	28	$369.95	$79.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	47	$140.09	$33.57
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	68	30	$375.00	$135.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$193.41	$76.94
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	43	14	$373.00	$88.84
97598 Removal of tissue from wound, each additional 20.0 sq cm	43	20	$105.65	$23.39
29445 Application of rigid total contact leg cast	40	11	$281.80	$91.62
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	34	$424.00	$161.36
11044 Removal of bone, 20.0 sq cm or less	32	16	$475.00	$214.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$311.00	$121.38
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$220.00	$86.22
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$173.64	$45.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	2,424	301	$250.03	$55.68
99213 Established patient office or other outpatient visit, typically 15 minutes	460	195	$92.55	$63.22
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	380	83	$99.75	$24.05
97597 Removal of tissue from wound, 20.0 sq cm or less	352	141	$106.24	$34.10
99183 Management and supervision of oxygen chamber therapy per session	337	11	$250.00	$101.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	147	$221.09	$127.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$162.14	$79.25
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	92	34	$375.00	$138.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	49	$151.33	$34.05
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	82	19	$233.55	$79.34
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	62	13	$221.17	$86.87
97598 Removal of tissue from wound, each additional 20.0 sq cm	57	29	$103.10	$23.58
17250 Application of chemical to stop tissue regrowth in wound	56	24	$108.73	$31.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	50	$358.70	$166.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	41	$156.22	$93.46
11044 Removal of bone, 20.0 sq cm or less	46	14	$475.00	$213.99
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$180.98	$83.81
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	31	15	$119.74	$16.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$228.60	$114.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	19	$273.60	$114.36
99202 New patient office or other outpatient visit, typically 20 minutes	14	13	$142.54	$67.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	195	39	$97.06	$56.55
99213 Established patient office or other outpatient visit, typically 15 minutes	42	28	$81.00	$63.97
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	37	15	$330.87	$145.62
99213 Established patient office or other outpatient visit, typically 15 minutes	29	18	$90.48	$85.32
97597 Removal of tissue from wound, 20.0 sq cm or less	21	14	$79.00	$34.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$134.05	$79.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$150.00	$109.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$325.00	$193.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	46	29	$125.00	$60.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$150.00	$104.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$325.00	$198.92
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$80.00	$72.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$150.00	$135.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	36	27	$125.00	$60.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$150.00	$103.96
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$325.00	$196.74
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$1000.00	$184.86
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$80.00	$71.32
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	18	18	$1383.33	$254.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$200.00	$158.34
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$825.00	$101.93
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	12	11	$375.00	$152.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	65	18	$125.00	$55.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$150.00	$97.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	31	$325.00	$186.47
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$1088.46	$175.02
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$1550.00	$240.95
99213 Established patient office or other outpatient visit, typically 15 minutes	22	20	$80.00	$66.35
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$950.00	$102.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$200.00	$149.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$105.00	$97.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$150.00	$96.41
11042 Removal of skin and tissue, 20.0 sq cm or less	97	18	$125.00	$56.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	57	$322.57	$183.66
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$80.00	$65.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	39	37	$950.00	$93.01
45378 Diagnostic exam of large bowel using a flexible endoscope	38	36	$1100.00	$162.53
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	33	12	$375.00	$142.28
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	33	33	$1550.00	$237.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$198.44	$147.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$105.00	$96.10
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$857.89	$75.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	12	$105.00	$71.26
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$600.00	$171.32
47562 Removal of gallbladder using an endoscope	14	14	$2667.86	$598.83

Medical Specialties & State Licenses

CMS Verified: 2023-01-19

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TX M4680

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

191068902 (TX)

Commercial Insurance / Payer ID Medicare Railroad

P00676257 (TX)

Commercial Insurance / Payer ID Blue Cross & Blue Shield

8BS780 (TX)

Hospital & Practice Group Affiliations

Edgar Zambrano D.o, P.a

2015 Mulberry Ave, Mount Pleasant, TX 754552319

Phone: 9035759408

Practice Associates & Co-Workers

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

1 Associated Practitioners

Stephanie Taylor , FNP

Nurse Practitioner - Family

NPI 1528305224

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 27, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 27, 2013

Registered at 2015 MULBERRY AVE, SUITE 210, MOUNT PLEASANT, TX 754552312 (Tel: 9035759408)

📍

Updated Business Mailing Address February 27, 2013

Registered at PO BOX 1685, MOUNT PLEASANT, TX 754561685 (Tel: 9035759408)

👤

Provider Name / Credentials Updated February 27, 2013

Recorded as EDGAR ZAMBRANO, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2013

Surgery (License #M4680 in TX)

🟢

Initial NPI Registration & Enumeration March 14, 2007

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: 1780718767

Entity Type:

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

Enumeration Date: March 14, 2007

Last Update: January 19, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1685

Mount Pleasant, TX 754561685

Phone: 9035759408

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.