DR. SHAUN ZMUDA DO
NPI 1053976449
Internal Medicine in Parma, OH

Q: What is Shaun Zmuda's NPI number?

The NPI number for Shaun Zmuda is 1053976449. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Q: What is Shaun Zmuda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Shaun Zmuda was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since May 01, 2019PECOS EnrolledAccepts Medicare Assignment

79.48/100

CMS Quality Rating

7007 POWERS BLVD, PARMA, OH 44129(440) 743-3000 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2024, May 1, 2019 (2 updates tracked since 2019).

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About Dr. Shaun Zmuda Do NPPES

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

DR. SHAUN ZMUDA DO (NPI 1053976449) is an individual internal medicine provider in Parma, Ohio, licensed in Ohio (34.015231) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1053976449

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SHAUN ZMUDACredential: DO

Location Address7007 POWERS BLVDParma, OH 44129-5437

Mailing Address7007 Powers BlvdParma, OH 44129-5437

Phone(440) 743-3000

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2019

Enumeration DateMay 1, 2019

Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2024

✔ NPI 1053976449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 34.015231

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.

7007 POWERS BLVD, Parma, OH 44129

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Secondary Practice Location 1

Location 19500 Euclid AveCleveland, OH 44195-5437 · Phone (216) 444-2200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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. Shaun Zmuda Do 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 ID6901284413

PECOS Enrollment IDI20220610001878

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 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.

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.

146 services79 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.

42 services41 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

36 services29 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.

31 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Fairview Hospital

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360077

Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

Cleveland Clinic Avon Hospital

Acute Care Hospitals · Avon, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360364

Location33300 Cleveland Clinic BlvdAvon, OH 44011 · Lorain County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44129 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

79.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.51

Promoting Interoperability

100

Improvement Activities

Cost

63.09

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.

STEVEN L MARKOWITZ MD

Emergency Medicine