Physician

Edgar Zambrano, D.O.

According to 2025 Medicare claims, Edgar Zambrano, D.O. (NPI: 1780718767) practices general surgery in the Killeen-Temple, TX market, with the plurality of this provider's patient population coming from Bell, TX. This provider's primary affiliated billing organization is EDGAR ZAMBRANO D.O, P.A (NPI: 1336302256; TIN: 262564000) and primary practice location at 76549-9998.

Zambrano's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 446 traditional Medicare patients, billed 5,142 HCPCS/CPT codes, and received $269,989 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 73 prescription claims across 54 beneficiaries totaling $4,198 in drug costs, led by Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates). DME data shows 24 claims. Open Payments data shows 10 records totaling $349. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $110,355 to $269,989. In contrast, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $36,720 to $4,198. For DME billing, reported payments moved sharply higher in recent years, from $11,903 to $35,682.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	257	1,304	$110,355
2016	224	1,245	$87,553
2017	255	989	$89,126
2018	161	586	$51,388
2019	161	421	$45,284
2020	131	314	$32,311
2021	78	119	$14,394
2022	93	521	$33,641
2023	473	5,146	$255,948
2024	446	5,142	$269,989

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	64	127	$36,720
2016	75	134	$4,499
2017	89	150	$7,341
2018	82	157	$9,624
2019	79	100	$8,897
2020	37	50	$3,158
2021	37	42	$3,369
2022	39	44	$5,561
2023	53	83	$15,679
2024	54	73	$4,198

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	25	$160
2016	N/R	N/R	N/R
2017	N/R	16	$734
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	62	187	$46,002
2024	11	24	$7,530

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	158	158	$101
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	183	$75
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	246	661	$50
11042	Removal of skin and tissue, 20.0 sq cm or less	312	2,355	$44
97597	Removal of tissue from wound, 20.0 sq cm or less	86	182	$27

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Sod Sulf-Potass Sulf-Mag Sulf	Sodium, Potassium,mag Sulfates	30	42	$1,832

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	N	11	12	$7,243
A6219	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	N	N/R	12	$287

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	10	$349	INTUITIVE SURGICAL, INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Edgar Zambrano, D.O.?

Tedicare shows public-source Medicare data for Edgar Zambrano, D.O. (NPI 1780718767), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Edgar Zambrano, D.O. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Edgar Zambrano, D.O.?

Edgar Zambrano, D.O. is linked to EDGAR ZAMBRANO D.O, P.A (billing NPI 1336302256) in the available physician profile data.

Does Edgar Zambrano, D.O. have Open Payments data?

Edgar Zambrano, D.O. has 10 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.