2026 NPPES data Addiction Medicine (Preventive Medicine) Physician NPI 1235690538 DO
Verify on CMS →

MARIA ZAMBRANO, DO

Addiction Medicine (Preventive Medicine) Physician in JOHNSON CITY, Tennessee. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
15
Medicare Part D claims · Addiction Medicine (Preventive Medicine) Physician avg: 959
What the federal data reveals: MARIA ZAMBRANO, DO is a Addiction Medicine (Preventive Medicine) Physician ([object Object]) practicing in JOHNSON CITY, Tennessee with a Medicare Part D prescribing footprint of 15 claims .

What stands out: MARIA ZAMBRANO, DO filed 15 Medicare Part D claims in 2023 across JOHNSON CITY, Tennessee. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARIA ZAMBRANO, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MARIA ZAMBRANO, DO at a glance

Quality data not reported

NPI registry status

Active

Issued 03/28/2019

NPI 1235690538

Primary specialty

Addiction Medicine (Preventive Medicine) Physician

Rare

321 US NPIs in this specialty

Medicare Part D claims

15 98% vs specialty avg

2023 prescription claims

Specialty avg: 959

Specialty distribution in Tennessee

How Addiction Medicine (Preventive Medicine) Physician compares to other specialties among Tennessee providers

Tennessee providers

Addiction Medicine (Preventive Medicine) Physician share within Tennessee

1. Addiction Medicine (Preventive Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Preventive Medicine) Physician share within Tennessee

Specialty board-certification context

Estimated specialty board-certified rate — Addiction Medicine (Preventive Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Addiction Medicine (Preventive Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Addiction Medicine (Preventive Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Addiction Medicine (Preventive Medicine) Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MARIA ZAMBRANO, DO is a Addiction Medicine (Preventive Medicine) Physician provider practicing in JOHNSON CITY, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1235690538. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARIA ZAMBRANO, DO appears in the CMS NPPES registry as a Addiction Medicine (Preventive Medicine) Physician provider holding DO credentials at 2 PROFESSIONAL PARK DR STE 11, JOHNSON CITY, TN, 37604, with a listed phone of (423) 952-6474. NPI 1235690538 was issued on 03/28/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ZAMBRANO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 15 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $240 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Addiction Medicine (Preventive Medicine) Physician is a narrow specialty nationwide, with 321 enrolled providers across 44 states and an average of 959 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN 37604

Provider Details

NPI 1235690538
Specialty Addiction Medicine (Preventive Medicine) Physician
Credentials DO
Gender Female
NPI Issued 03/28/2019

Hospital and facility affiliations

Facilities where MARIA ZAMBRANO, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MEDICAL EDUCATION ASSISTANCE CORPORATION
JOHNSON CITY, TN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

15
Total Claims
$240
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21
Total Day Supply
584
Brand Drug Cost
$0
Generic Drug Cost
$240

Patient Demographics

Average Patient Age
64.0 years
Avg HCC Risk Score
2.63

Addiction Medicine (Preventive Medicine) Physician Overview

How MARIA ZAMBRANO, DO fits within the Addiction Medicine (Preventive Medicine) Physician landscape nationally.

321
Addiction Medicine (Preventive Medicine) Physician Providers in US
44
States with Addiction Medicine (Preventive Medicine) Physician
959
Avg Claims per Provider

MARIA ZAMBRANO, DO's 15 claims are below the specialty average of 959.

Nearby Addiction Medicine (Preventive Medicine) Physician Providers in Tennessee

Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as ZAMBRANO.

Compare Addiction Medicine (Preventive Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARIA ZAMBRANO, DO's specialty?
MARIA ZAMBRANO, DO specializes in Addiction Medicine (Preventive Medicine) Physician and practices in JOHNSON CITY, Tennessee. Credentials: DO.
How much does MARIA ZAMBRANO, DO prescribe under Medicare Part D?
In 2023, MARIA ZAMBRANO, DO wrote 15 Medicare Part D claims totaling $240 in drug costs for N/A beneficiaries.
Where is MARIA ZAMBRANO, DO located?
MARIA ZAMBRANO, DO is located at 2 PROFESSIONAL PARK DR STE 11, JOHNSON CITY, TN, 37604. Phone: (423) 952-6474.
What is MARIA ZAMBRANO, DO's NPI number?
MARIA ZAMBRANO, DO's National Provider Identifier (NPI) is 1235690538, issued on 03/28/2019.
How many Addiction Medicine (Preventive Medicine) Physician providers are there in the US?
There are 321 Addiction Medicine (Preventive Medicine) Physician providers across 44 states in the US. The average Addiction Medicine (Preventive Medicine) Physician provider writes 959 Medicare Part D claims per year.
Does MARIA ZAMBRANO, DO accept Medicare?
MARIA ZAMBRANO, DO appears in CMS Medicare data with 15 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARIA ZAMBRANO, DO's credentials?
MARIA ZAMBRANO, DO's NPI is 1235690538 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology