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STEPHEN SEAN ZOUZOULAS MD
NPI 1033140892
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Concord, NC

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
100 MEDICAL PARK DR, STE 210, CONCORD, NC 28025(704) 403-6100 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 19, 2024, May 11, 2023, Mar 15, 2023 and 44 more (47 updates tracked since 2018).

About Stephen Sean Zouzoulas Md NPPES

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

STEPHEN SEAN ZOUZOULAS MD (NPI 1033140892) is an individual advanced heart failure and transplant cardiology provider in Concord, North Carolina, licensed in North Carolina (2006-00864) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of University Of Texas Medical Branch At Galveston (1999).

NPPES Registry Identity

NPI1033140892
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameSTEPHEN SEAN ZOUZOULASCredential: MD
Location Address100 MEDICAL PARK DR, STE 210Concord, NC 28025-2948
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 403-6100
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1999
Enumeration DateJuly 6, 2006
Last NPPES UpdateJuly 19, 202447 updates tracked since enumeration
✔ NPI 1033140892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License✔ Licensed in NC · 2006-00864
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2006-00864 (NC)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 2006-00864 (NC)
100 MEDICAL PARK DR, Concord, NC 28025
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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

Stephen Sean Zouzoulas 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 ID749384089
PECOS Enrollment IDI20070327000351, I20171120001299
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
94 services46 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
80 services28 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.
78 services68 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services31 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
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340119
Location301 Yadkin StAlbemarle, NC 28001 · Stanly County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

CHELSEA ELAINE MELOCHE MD
Internal Medicine (Cardiovascular Disease)
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Cabarrus County (704) 403-6100
CMC-NORTHEAST, INC.
Internal Medicine (Hematology & Oncology)
100 MEDICAL PARK DR, STE 110, NORTHEAST ONCOLOGY ASSOCIATES
CONCORD, NC 28025
Cabarrus County (704) 403-1370
MEGHAN REBECCA STEINER MD
Internal Medicine
100 MEDICAL PARK DR, STE 110
CONCORD, NC 28025
Cabarrus County (704) 403-1370
KAITLIN KAROL EIBELER NP
Nurse Practitioner
100 MEDICAL PARK DR, STE 110
CONCORD, NC 28025
Cabarrus County (704) 403-1370
AMANDA LYNN COOK MD
Pediatrics (Pediatric Cardiology)
100 MEDICAL PARK DR, STE 310
CONCORD, NC 28025
Cabarrus County (704) 403-2860
LAUREN PAIGE CARTWRIGHT PA
Physician Assistant
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Cabarrus County (704) 403-6100
ANDREW ZACHARY HELING MD
Pediatrics
100 MEDICAL PARK DR, STE 310
CONCORD, NC 28025
Cabarrus County (704) 403-2660
MARIA V. OBRAZTSOVA NP
Nurse Practitioner
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Cabarrus County (704) 403-6100

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 Stephen Zouzoulas's NPI number?

The NPI number for Stephen Zouzoulas is 1033140892. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Stephen Zouzoulas located?

Stephen Zouzoulas practices at 100 Medical Park Dr Ste 210, Concord, NC 28025. The listed phone number is (704) 403-6100.

What is Stephen Zouzoulas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Stephen Zouzoulas enrolled in Medicare?

Yes. Stephen Zouzoulas 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.

What insurance does Stephen Zouzoulas accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Stephen Zouzoulas 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.

Is Stephen Zouzoulas affiliated with any hospitals?

According to CMS data, Stephen Zouzoulas is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health and Stanly Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Zouzoulas was last updated on July 19, 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.