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DR. ADRIENNE ZAVALA M.D.
NPI 1033386834
Family Medicine in Harpers Ferry, WV

Active since May 12, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
171 TAYLOR ST, HARPERS FERRY, WV 25425(304) 535-6343(304) 535-6618 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2022, Jan 12, 2021 (2 updates tracked since 2021).

About Dr. Adrienne Zavala M.d. NPPES

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

DR. ADRIENNE ZAVALA M.D. (NPI 1033386834) is an individual family medicine provider in Harpers Ferry, West Virginia, licensed in West Virginia (24395) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of West Virginia University School Of Medicine (2008).

NPPES Registry Identity

NPI1033386834
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ADRIENNE ZAVALACredential: M.D.
Location Address171 TAYLOR STHarpers Ferry, WV 25425-3641
Mailing Address2500 Foundation WayMartinsburg, WV 25401-9000 · (304) 264-9202 · Fax (304) 264-9042
Phone(304) 535-6343
Fax(304) 535-6618
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2008
Enumeration DateMay 12, 2008
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1033386834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 24395
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
171 TAYLOR ST, Harpers Ferry, WV 25425
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Other Identifiers 1

Medicaid3810022120WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Adrienne Zavala 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 ID1153596309
PECOS Enrollment IDI20111216000168
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 5

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
43 services24 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
33 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
26 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25425 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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
4 suppliers11 claims26 services$5.56 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims13 services$1.04 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$21.30 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$8.44 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers56 claims56 services$113.01 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers40 claims40 services$36.44 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 20

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

DR. BRANT DERWENT BOUCHER MD
Student in an Organized Health Care Education/Training Program
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
JENNAH SYED DALESSIO MD
Student in an Organized Health Care Education/Training Program
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
GISELLE PERRY LPC
Counselor (Professional)
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
DR. CASSANDRA LEA CLAYBORNE MD
Family Medicine
171 TAYLOR ST, -
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
AUDREANNA ELIZABETH JAMES
Student in an Organized Health Care Education/Training Program
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
ISABELLA BUSHMAN MD
Student in an Organized Health Care Education/Training Program
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
MARIA FERNANDA KLEIMANN SANCHEZ CERRO MD
Student in an Organized Health Care Education/Training Program
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343
JESSICA LYNN RUDE
Family Medicine
171 TAYLOR ST
HARPERS FERRY, WV 25425
Jefferson County (304) 535-6343

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 Adrienne Zavala's NPI number?

The NPI number for Adrienne Zavala is 1033386834. It was assigned to this individual provider in the NPPES registry on May 12, 2008.

Where is Adrienne Zavala located?

Adrienne Zavala practices at 171 Taylor St, Harpers Ferry, WV 25425. The listed phone number is (304) 535-6343.

What is Adrienne Zavala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Adrienne Zavala enrolled in Medicare?

Yes. Adrienne Zavala 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 Adrienne Zavala accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Adrienne Zavala 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 Adrienne Zavala affiliated with any hospitals?

According to CMS data, Adrienne Zavala is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Adrienne Zavala was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.