BRIAN THOMAS ZAFONTE M.D., PH.D.
NPI 1003112947
Orthopaedic Surgery in Alexandria Bay, NY

Q: What is Brian Zafonte's NPI number?

The NPI number for Brian Zafonte is 1003112947. It was assigned to this individual provider in the NPPES registry on February 9, 2011.

Q: What is Brian Zafonte's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Zafonte was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 09, 2011PECOS EnrolledAccepts Medicare Assignment

4 FULLER ST, ALEXANDRIA BAY, NY 13607(315) 482-1251(315) 482-4847 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2025, Oct 10, 2016 (2 updates tracked since 2016).

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About Brian Thomas Zafonte M.d., Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN THOMAS ZAFONTE M.D., PH.D. (NPI 1003112947) is an individual orthopaedic surgery provider in Alexandria Bay, New York, licensed in New York (312647) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2008).

NPPES Registry Identity

NPI1003112947

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameBRIAN THOMAS ZAFONTECredential: M.D., PH.D.

Location Address4 FULLER STAlexandria Bay, NY 13607-1391

Mailing Address3811 Spring St, Suite 102Mount Pleasant, WI 53405-1667 · (262) 687-5800

Phone(315) 482-1251

Fax(315) 482-4847

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2008

Enumeration DateFebruary 9, 2011

Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2025

✔ NPI 1003112947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in NY · 312647

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 312647 (NY)

4 FULLER ST, Alexandria Bay, NY 13607

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian Thomas Zafonte M.d., Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769607365

PECOS Enrollment IDI20220105002737, I20240809003965

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Brian Zafonte reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

River Hospital, Inc.

Same address

Critical Access

4 FULLER ST
Alexandria Bay, NY 13607

Reassigned Medicare billing, New York enrollment
89 clinicians in this Medicare group

NPI 1003814641 (315) 482-2511

Samaritan Medical Practice, PC

26 mi

Surgery

826 WASHINGTON ST
Watertown, NY 13601

Reassigned Medicare billing, New York enrollment
26 clinicians in this Medicare group

NPI 1124202619 (315) 788-1751

Novant Medical Group Inc

581 mi

Internal Medicine

100 HOSPITAL DR
Louisburg, NC 27549

Reassigned Medicare billing, North Carolina enrollment
Medicare enrollment name: Novant Health Medical Group, LLC
Also billed through NPI 1770735508 (North Carolina)
2,998 clinicians in this Medicare group

NPI 1942522008 (919) 497-8048

Alamance Regional Medical Center, Inc.

601 mi

General Acute Care Hospital

1240 HUFFMAN MILL RD
Burlington, NC 27215

Reassigned Medicare billing, North Carolina enrollment
384 clinicians in this Medicare group

NPI 1326010273 (336) 538-8400

Mercy Health System Corporation

668 mi

Mental Health (Including Community Mental Health Center)

903 MINERAL POINT AVE
Janesville, WI 53548

Reassigned Medicare billing, Wisconsin enrollment
1,155 clinicians in this Medicare group

NPI 1669685129 (608) 756-5555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services33 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

40 services37 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

22 services15 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

15 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330157

Location830 Washington StreetWatertown, NY 13601 · Jefferson County

Emergency services Birthing friendly

River Hospital Clinics

Critical Access Hospitals · Alexandria Bay, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331309

Location4 Fuller StreetAlexandria Bay, NY 13607 · Jefferson County

Emergency services

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340015

Location612 Mocksville AveSalisbury, NC 28144 · Rowan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIVER HOSPITAL, INC.

General Acute Care Hospital (Critical Access)