MARKOS H ZEMEDE MD
NPI 1033105598
Internal Medicine in Fresno, CA

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
72.73/100
CMS Quality Rating
1221 E SPRUCE AVE, FRESNO, CA 93720(559) 450-5777(559) 450-5687 Get Directions Write a Review

NPPES record last updated: December 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Markos H Zemede Md NPPES

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

MARKOS H ZEMEDE MD (NPI 1033105598) is an individual internal medicine provider in Fresno, California, licensed in California (G80246) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1993).

NPPES Registry Identity

NPI1033105598
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARKOS H ZEMEDECredential: MD
Location Address1221 E SPRUCE AVEFresno, CA 93720-3374
Mailing Address1221 E Spruce AveFresno, CA 93720-3374 · (559) 450-5777 · Fax (559) 450-5687
Fax(559) 450-5687
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1993
Enumeration DateSeptember 21, 2005
Last NPPES UpdateDecember 12, 2016
NPI 1033105598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G80246
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1221 E SPRUCE AVE, Fresno, CA 93720

Other Identifiers 1

Medicare UPINF98546

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Markos H Zemede 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 ID2466585849
PECOS Enrollment IDI20100805000561
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.

Areas of Expertise CMS Part B claims 28

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
719 services323 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
442 services259 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
437 services284 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
436 services257 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
415 services246 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
336 services214 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.14
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers21 claims42 services$6.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
Breast Cancer Screening 84% 294
Cervical Cancer Screening 76% 237
Colorectal Cancer Screening 90% 736
Controlling High Blood Pressure 76% 563
Diabetes: Eye Exam 6% 154
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) 23% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
154
Documentation of Current Medications in the Medical Record 100% 1715
Falls: Screening for Future Fall Risk 39% 490
HIV Screening 6% 611
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 75% 989
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 59% 930
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 62% 34
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 61% 930
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease 76% 274
Use of High-Risk Medications in Older Adults 1% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
507
Use of High-Risk Medications in Older Adults 8% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
520
Use of High-Risk Medications in Older Adults 8% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
520

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.

Internal Medicine
1221 E SPRUCE AVE
FRESNO, CA 93720
Internal Medicine
1221 E SPRUCE AVE
FRESNO, CA 93720
Internal Medicine
1221 E SPRUCE AVE
FRESNO, CA 93720
Obstetrics & Gynecology (Obstetrics)
1221 E SPRUCE AVE, C
FRESNO, CA 93720
Internal Medicine
1221 E SPRUCE AVE
FRESNO, CA 93720
Psychiatry & Neurology (Psychiatry)
1221 E SPRUCE AVE
FRESNO, CA 93720
Psychiatry & Neurology (Psychiatry)
1221 E SPRUCE AVE
FRESNO, CA 93720
Non-Pharmacy Dispensing Site
1221 E SPRUCE AVE
FRESNO, CA 93720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033105598, enumerated as an "individual" on September 21, 2005.

The provider is located at 1221 E SPRUCE AVE FRESNO, CA 93720 and the phone number is (559) 450-5777.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.