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Internal Medicine • Opelika, AL 36801 • NPI #1538238225

Dr. Luis Zegada, MD

121 N 20th St, #6, Opelika, AL 36801 • +1-871-555-6444

Medical Education: Accredited U.S. Medical School (Class of 2006)

10 Active CMS HCPCS Codes
4.58/5
Waiting-Room Score
5 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Opelika Percentiles

NPI #1538238225 • CBSA Regional • Internal Medicine

Dr. Luis Zegada DotMD Verification Badge

Dr. Luis Zegada, MD (NPI #1538238225) practices Internal Medicine in Opelika, AL (36801) with sub-specialty concentration in 10 Active CMS HCPCS Codes, recording 1,080 annual CMS services across 264 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (57.14th Opelika percentile) (-0.31σ vs AL state mean, 33.01th statewide percentile).

Fee-schedule auditing of NPI 1538238225 highlights 486 annual claims for 99214 (57.14th Opelika percentile; $136–$186 self-pay corridor) plus 281 encounters under 99213 and 140 under 93000.

At 121 N 20th St, #6 (36801), Dr. Luis Zegada, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.73/5 bedside rating).

Patients evaluating Dr. Luis Zegada in ZIP 36801 note 20 years of post-doctoral tenure (null, 2006) alongside 4.1 annual CMS procedures per patient.

Opelika Percentile 57.14th

Compared against Opelika, AL Internal Medicine peers

AL State Percentile 33.01th

1,080 annual services across 264 beneficiaries

Regional Volume Z-Score -0.308σ

Standard deviations from AL Internal Medicine mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
99214 Moderate-to-High Complexity Internal Medicine Follow-Up 486 57.14th $136 – $186
99213 Established Preventive & Chronic Care Visit 281 52.14th $104 – $142
93000 In-Office 12-Lead Resting Electrocardiogram 140 59.14th $50 – $68
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 108 57.14th $159 – $218
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 65 57.14th $189 – $258
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Dr. Luis Zegada, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Zegada National Provider Identifier NPI #1538238225 (MD) CMS NPPES Registry (36801)
Dr. Zegada Opelika CMS Volume Rank 57.14th Pct (1,080 CMS svcs; Z -0.308σ) CMS Medicare Part B (AL Internal Medicine)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Opelika, AL)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 15 min lobby wait 5 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.73/5 Listening • 4.46/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
15 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.73/5
Patient communication rating
Modern Protocol Openness
4.46/5
Preventive labs, GLP-1s & HRT
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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