JOSEPH R ZITO MD NPI 1013081603
Otolaryngology in West Palm Beach, FL

About JOSEPH R ZITO MD

Joseph Zito is a provider established in West Palm Beach, Florida and his medical specialization is Otolaryngology with more than 22 years of experience. He graduated from Tulane University School Of Medicine in 2001. The NPI number of Joseph Zito is 1013081603 and was assigned on November 2006. The practitioner's primary taxonomy code is 207Y00000X with license number ME95297 (FL). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1013081603
Provider Name JOSEPH R ZITO MD
Location Address1515 N FLAGLER DR STE 920 WEST PALM BEACH, FL 33401
Location Phone(561) 659-2266
Mailing Address1515 N FLAGLER DR STE 920 WEST PALM BEACH, FL 33401
GenderMale
NPI Entity TypeIndividual
Medical School NameTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year2001
Is Sole Proprietor?No
Enumeration Date11-17-2006
Last Update Date10-20-2020

Joseph Zito is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Joseph Zito is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Jupiter Medical Center and Good Samaritan Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.2, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: adult sinusitis: antibiotic prescribed for acute viral sinusitis (overuse), clinical data registry reporting, collection and follow-up on patient experience and satisfaction data on beneficiary engagement, documentation of current medications in the medical record, e-prescribing, pneumococcal vaccination status for older adults, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patients electronic access to their health information and security risk analysis.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.66 for a new patient copayment and $19.1 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207Y00000X
ClassificationOtolaryngology
TypeAllopathic & Osteopathic Physicians
License No.ME95297
License StateFL
Taxonomy DescriptionAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Business Address

JOSEPH R ZITO MD
1515 N FLAGLER DR STE 920
WEST PALM BEACH, FL
ZIP 33401
Phone: (561) 659-2266
Fax: (561) 659-7846

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Mailing Address

JOSEPH R ZITO MD
1515 N FLAGLER DR STE 920
WEST PALM BEACH, FL
ZIP 33401
Phone: (561) 659-2266
Fax: (561) 659-7846


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID9931201910
PECOS Enrollment IDI20070221000570
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.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 33401 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$61.36 $187 $94.64
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.34 $46.75 $23.66
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$18.68 $151.65 $76.4
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.67 $37.91 $19.1

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 98.1
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 96
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 99.2
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse) 41% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
37
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Clinical Data Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to a clinical data registry.
Collection and follow-up on patient experience and satisfaction data on beneficiary engagementYesN/A
Collection and follow-up on patient experience and satisfaction data on beneficiary engagement, including development of improvement plan.
Documentation of Current Medications in the Medical Record 16% 3972
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 98% 565
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT.
Pneumococcal Vaccination Status for Older Adults 1% 1428
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
- Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following:- Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care);- Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/orProvision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patients Electronic Access to Their Health Information 95% 909
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT).
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 390Removal of impact ear wax, one ear (HCPCS:69210)
  • 196Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • 159Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • 14Air and bone conduction assessment of hearing loss and speech recognition (HCPCS:92557)
  • 13Eardrum testing using ear probe (HCPCS:92567)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Joseph Zito is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
JUPITER MEDICAL CENTER1210 S OLD DIXIE HWY
JUPITER, FL 33458
(561) 747-2234Acute Care Hospitals100253
GOOD SAMARITAN MEDICAL CENTER1309 N FLAGLER DR
WEST PALM BEACH, FL 33401
(561) 655-5511Acute Care Hospitals100287

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.
1013081603
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
202308260
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 2 + 6 + 0 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1013081603 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194773614 DAVID A LEHMAN M.D.
Individual
Otolaryngology1515 N FLAGLER DR STE 920
WEST PALM BEACH, FL 33401
(561) 659-2266
1801824099DR. MICHAEL L SCHWARTZ MD
Individual
Specialist1515 N FLAGLER DR STE 920
WEST PALM BEACH, FL 33401
(561) 659-2266
1093965550MR. WILLIAM DALE ANDREASSEN AU.D.
Individual
Audiologist1515 N FLAGLER DR STE 920
WEST PALM BEACH, FL 33401
(561) 659-2266
1720178775DR. TERRY S OLSON M.D.
Individual
Otolaryngology1515 N FLAGLER DR STE 920
WEST PALM BEACH, FL 33401
(561) 659-2266

Frequently Asked Questions

What is Joseph Zito MD NPI number?

The NPI number assigned to Joseph Zito MD is 1013081603, registered as an "individual" on November 17, 2006

Where is Joseph Zito MD located?

The provider is located at 1515 N Flagler Dr Ste 920 West Palm Beach, Fl 33401 and the phone number is (561) 659-2266

Which is Joseph Zito MD specialty?

The provider's speciality is Otolaryngology

How many years of experience does Joseph Zito MD have?

The provider has more than 22 years of experience. He graduated from Tulane University School Of Medicine in 2001.

Is Joseph Zito MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to Joseph Zito MD?

Medicare beneficiaries should expect a typical cost of $94.64 with an average copayment of $23.66 for new patient appointments. Established patients should expect a typical charge of $76.4 and an average copayment of 19.1. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Joseph Zito MD?

The most common procedures or services performed by this practitioner are: Removal of impact ear wax, one ear, Diagnostic examination of nasal passages using an endoscope, Diagnostic examination of voice box using flexible endoscope, Air and bone conduction assessment of hearing loss and speech recognition and Eardrum testing using ear probe.

Is Joseph Zito MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: JUPITER MEDICAL CENTER and GOOD SAMARITAN MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Joseph Zito MD was last updated on November 17, 2006. 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]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]