ZEUS GONZALES DELEON
NPI 1023895281
Nurse Anesthetist, Certified Registered in Edinburg, TX
NPI Status: Active since September 12, 2023
- Individual
- Male
- Years of Experience 3
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
- Accepts Medicare Approved Payment
About ZEUS DELEON
This page provides the complete NPI Profile along with additional information for Zeus Deleon, a provider established in Edinburg, Texas with a medical specialization in Nurse Anesthetist, Certified Registered and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1023895281 assigned on September 2023. The practitioner's primary taxonomy code is 367500000X with license number 1134897 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1023895281
- Provider Name
- ZEUS GONZALES DELEON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5513 DOCTORS DR EDINBURG, TX 78539
- Location Phone
- (832) 367-8454
- Mailing Address
- 1513 GOLDCREST AVE MCALLEN, TX 78504
- Mailing Phone
- (832) 367-8454
- Medical School Name
- OTHER
- Graduation Year
- 2023
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-12-2023
- Last Update Date
- 09-12-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1134897
- License State
- TX
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - Neighborhood Network - HMO
- Blue StandardHealth Gold - Neighborhood Network - HMO
- Blue StandardHealth Silver - Neighborhood Network - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Zeus Deleon is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 2961859087
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240401001965
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $31.6 for a new patient copayment and $17.13 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78539 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.4
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $31.6
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.55
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $17.13
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 8 | 9 | 5 | 2 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 16 | 9 | 10 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 1 + 6 + 9 + 1 + 0 + 2 + 1 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1023895281 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235269432 | DR. ROBERT B. FRASER DC Individual | Chiropractor (Rehabilitation) | 5513 DOCTORS DR EDINBURG, TX 78539 (956) 682-6900 |
| 1205954013 | VERONICA DELEON RD,LD Individual | Dietitian, Registered | 5513 DOCTORS DR EDINBURG, TX 78539 (956) 682-6900 |
| 1386804938 | MRS. DARLENE BRADFORD MARTINEZ RN, MSN, ACNS-BC Individual | Clinical Nurse Specialist (Adult Health) | 5513 DOCTORS DR EDINBURG, TX 78539 (956) 994-1025 |
| 1871532531 | NORMAN M RAMIREZ M.D. Individual | Internal Medicine (Cardiovascular Disease) | 5513 DOCTORS DR EDINBURG, TX 78539 (956) 362-8590 |
| 1538877345 | JUAN JOYA GOMEZ APRN Individual | Nurse Practitioner (Family) | 5513 DOCTORS DR EDINBURG, TX 78539 (956) 362-8590 |
| 1831211705 | CARLOS E MORALES MD Individual | Internal Medicine (Cardiovascular Disease) | 5513 DOCTORS DR EDINBURG, TX 78539 (956) 362-8340 |
| 1932135779 | DR. DANIEL MARTINEZ MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5513 DOCTORS DR EDINBURG, TX 78539 (956) 362-8570 |
| 1144424920 | DR. JOSE FERNANDO ESCOBAR MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5513 DOCTORS DR EDINBURG, TX 78539 (956) 362-8570 |
| 1841586484 | DR. VICTOR SARDINHA REIS M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5513 DOCTORS DR EDINBURG, TX 78539 (956) 362-8570 |
| 1427576735 | MOHAMMAD AHMAD AZZAM Individual | Nurse Practitioner (Gerontology) | 5513 DOCTORS DR EDINBURG, TX 78539 (956) 362-8570 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023895281, enumerated in the NPI registry as an "individual" on September 12, 2023
The provider is located at 5513 Doctors Dr Edinburg, Tx 78539 and the phone number is (832) 367-8454
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider has more than 3 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Medicare beneficiaries should expect a typical cost of $126.4 with an average copayment of $31.6 for new patient appointments. Established patients should expect a typical charge of $68.55 and an average copayment of 17.13. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 12, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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