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JOSEPH JOHN ZEREGA M.D.
NPI 1033167663
Internal Medicine - Gastroenterology in Vero Beach, FL

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
3745 11TH CIR, SUITE 101, VERO BEACH, FL 32960(772) 299-3511(772) 299-3517 Get Directions Write a Review

NPPES record last updated: February 17, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Joseph John Zerega M.d. NPPES

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

JOSEPH JOHN ZEREGA M.D. (NPI 1033167663) is an individual gastroenterology provider in Vero Beach, Florida, licensed in Florida (ME78827) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Indian River Hospital, and is a graduate of New York Medical College (1982).

NPPES Registry Identity

NPI1033167663
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameJOSEPH JOHN ZEREGACredential: M.D.
Location Address3745 11TH CIR, SUITE 101Vero Beach, FL 32960-4837
Mailing Address3745 11th Cir, Suite 101Vero Beach, FL 32960-4837 · (772) 299-3511 · Fax (772) 299-3517
Phone(772) 299-3511
Fax(772) 299-3517
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1982
Enumeration DateMay 5, 2006
Last NPPES UpdateFebruary 17, 2009
✔ NPI 1033167663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in FL · ME78827
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
3745 11TH CIR, Vero Beach, FL 32960
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINE02751FL
Other100015009FL · Rr Medicare
Medicaid259754300FL
Medicare ID-Type Unspecified49458YFL
Other49458FL · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Joseph John Zerega M.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 ID1557458718
PECOS Enrollment IDI20100217000290
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 Reassignment

Medicare enrollment records show Joseph Zerega reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Indian River Health Services Inc
Same address
Gastroenterology
3745 11TH CIR, SUITE 101
Vero Beach, FL 32960
  • Reassigned Medicare billing, Florida enrollment
  • 505 clinicians in this Medicare group
NPI 1528311677 (772) 299-3511

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 4

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
86 services86 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.
60 services50 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
43 services42 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic Indian River Hospital

Acute Care Hospitals · Vero Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100105
Location1000 36th StVero Beach, FL 32960 · Indian River County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32960 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%209 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims345 services$3.10 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims6,670 services$0.28 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

CHARLES EUGENE EBERHART M.D.
Internal Medicine (Gastroenterology)
3745 11TH CIR, SUITE 101
VERO BEACH, FL 32960
Indian River County (772) 299-3511
DAVID ROBERT BIEZUNSKI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3745 11TH CIR
VERO BEACH, FL 32960
Indian River County (772) 589-0580
NEAL LAMAR SHAPPIE APRN, FNP-C
Nurse Practitioner (Adult Health)
3745 11TH CIR
VERO BEACH, FL 32960
Indian River County (772) 589-0580
GREGORY DAVIS MACKAY M.D.
Internal Medicine (Gastroenterology)
3745 11TH CIR, SUITE 101
VERO BEACH, FL 32960
Indian River County (772) 299-3211
CHRISTOPHER P TARDIF MD
Urology
3745 11TH CIR, SUITE 103
VERO BEACH, FL 32960
Indian River County (772) 794-9771
INDIAN RIVER HEALTH SERVICES INC
Internal Medicine (Gastroenterology)
3745 11TH CIR, SUITE 101
VERO BEACH, FL 32960
Indian River County (772) 299-3511
UROLOGY ASSOCIATES OF VERO BEACH LLC
Urology
3745 11TH CIR, SUITE 103
VERO BEACH, FL 32960
Indian River County (772) 794-9771
HEIDI SUE EMPEY ARNP
Nurse Practitioner
3745 11TH CIR, SUITE 101
VERO BEACH, FL 32960
Indian River County (772) 299-3511

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 Joseph Zerega's NPI number?

The NPI number for Joseph Zerega is 1033167663. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Joseph Zerega located?

Joseph Zerega practices at 3745 11th Cir Suite 101, Vero Beach, FL 32960. The listed phone number is (772) 299-3511.

What is Joseph Zerega's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Joseph Zerega enrolled in Medicare?

Yes. Joseph Zerega 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 organization bills Medicare for Joseph Zerega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Zerega reassigns Medicare benefits to Indian River Health Services Inc (Vero Beach, FL). The 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 Joseph Zerega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Zerega accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Cigna HealthCare of Florida, Inc. and 5 other insurers list Joseph Zerega 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 Joseph Zerega affiliated with any hospitals?

According to CMS data, Joseph Zerega is affiliated with Cleveland Clinic Indian River Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Zerega was last updated on February 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.