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GEORGE ZALDIVAR M.D
NPI 1033308994
Internal Medicine - Pulmonary Disease in Charleston, WV

Active since October 17, 2007PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
3100 MACCORKLE AVENUE SE, SUITE 404, CHARLESTON, WV 25304(304) 346-1811(304) 343-3086 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About George Zaldivar M.d NPPES

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

GEORGE ZALDIVAR M.D (NPI 1033308994) is an individual pulmonary disease provider in Charleston, West Virginia, licensed in West Virginia (10054) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of West Virginia University School Of Medicine (1971).

NPPES Registry Identity

NPI1033308994
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameGEORGE ZALDIVARCredential: M.D
Location Address3100 MACCORKLE AVENUE SE, SUITE 404Charleston, WV 25304-1230
Mailing Address3100 Maccorkle Avenue Se, Suite 404Charleston, WV 25304-1230 · (304) 346-1811 · Fax (304) 343-3086
Phone(304) 346-1811
Fax(304) 343-3086
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 1971
Enumeration DateOctober 17, 2007
✔ NPI 1033308994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in WV · 10054
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

3100 MACCORKLE AVENUE SE, Charleston, WV 25304
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN0424091WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

George Zaldivar 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 ID9537240650
PECOS Enrollment IDI20080115000529
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 3

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services33 patients
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.
18 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25304 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 17

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
17 suppliers71 claims72 services$36.53 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
19 suppliers167 claims167 services$81.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
17 suppliers149 claims375 services$32.53 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
19 suppliers88 claims458 services$19.67 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
10 suppliers33 claims187 services$14.23 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
23 suppliers173 claims173 services$53.95 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 3

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

ROBERT THOMAS LINGER JR. MD
Family Medicine
3100 MACCORKLE AVENUE SE, SUITE 311
CHARLESTON, WV 25304
Kanawha County (304) 343-9588
R SAMPATH MD INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3100 MACCORKLE AVENUE SE, SUITE 904
CHARLESTON, WV 25304
Kanawha County (304) 345-4031
DR. RAMANATHAN SAMPATH MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3100 MACCORKLE AVENUE SE, SUITE 904
CHARLESTON, WV 25304
Kanawha County (304) 345-4031

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 George Zaldivar's NPI number?

The NPI number for George Zaldivar is 1033308994. It was assigned to this individual provider in the NPPES registry on October 17, 2007.

Where is George Zaldivar located?

George Zaldivar practices at 3100 Maccorkle Avenue SE Suite 404, Charleston, WV 25304. The listed phone number is (304) 346-1811.

What is George Zaldivar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is George Zaldivar enrolled in Medicare?

Yes. George Zaldivar 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 George Zaldivar accept?

Health plans from CareSource list George Zaldivar 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 George Zaldivar affiliated with any hospitals?

According to CMS data, George Zaldivar is affiliated with Charleston Area Medical Center and Thomas Memorial Hospital.

When was this NPI record last updated?

The NPPES record for George Zaldivar was last updated on October 17, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.