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DR. ROLAND ZHANG MD
NPI 1003495417
Family Medicine in Elmira, NY

Active since April 04, 2021PECOS EnrolledAccepts Medicare Assignment
200 MADISON AVE STE 2E, ELMIRA, NY 14901(607) 795-8035(607) 795-8125 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2024, Apr 4, 2021 (2 updates tracked since 2021).

About Dr. Roland Zhang Md NPPES

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

DR. ROLAND ZHANG MD (NPI 1003495417) is an individual family medicine provider in Elmira, New York, licensed in Delaware (C1-0027154) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1003495417
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ROLAND ZHANGCredential: MD
Location Address200 MADISON AVE STE 2EElmira, NY 14901-3219
Mailing Address1122 N Clark St Apt 2001Chicago, IL 60610-7882 · (518) 330-6591
Phone(607) 795-8035
Fax(607) 795-8125
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 4, 2021
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1003495417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in DE · C1-0027154
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 MADISON AVE STE 2E, Elmira, NY 14901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.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

Dr. Roland Zhang Md 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 ID7113464355
PECOS Enrollment IDI20240805004221
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

2

Medicare enrollment records show Roland Zhang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aspira Health
247 mi
Urgent Care
18068 COASTAL HWY
Lewes, DE 19958
  • Reassigned Medicare billing, Delaware enrollment
  • 40 clinicians in this Medicare group
NPI 1295394039 (301) 567-1500
Atracare Walk-In LLC
247 mi
Urgent Care
18068 COASTAL HWY
Lewes, DE 19958
  • Reassigned Medicare billing, Delaware enrollment
  • 21 clinicians in this Medicare group
NPI 1982310108 (302) 567-1500

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 5

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 services41 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
40 services40 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.
31 services27 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
30 services30 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14901 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roland Zhang's NPI number?

The NPI number for Roland Zhang is 1003495417. It was assigned to this individual provider in the NPPES registry on April 4, 2021.

Where is Roland Zhang located?

Roland Zhang practices at 200 Madison Ave Ste 2E, Elmira, NY 14901. The listed phone number is (607) 795-8035.

What is Roland Zhang's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Roland Zhang enrolled in Medicare?

Yes. Roland Zhang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Roland Zhang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roland Zhang reassigns Medicare benefits to 2 organizations: Aspira Health (Lewes, DE) and Atracare Walk-In LLC (Lewes, DE). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roland Zhang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roland Zhang accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Roland Zhang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roland Zhang was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.