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ANTHONY ZACHARIAS
NPI 1063875458
Orthopaedic Surgery in Lexington, KY

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
UNIVERSITY OF KENTUCKY, 800 ROSE ST., LEXINGTON, KY 40536(859) 218-3044 Get Directions Write a Review

NPPES record last updated: July 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2017, Apr 1, 2016 (2 updates tracked since 2016).

About Anthony Zacharias NPPES

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

ANTHONY ZACHARIAS (NPI 1063875458) is an individual orthopaedic surgery provider in Lexington, Kentucky, licensed in Kentucky (R4201) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Medical College Of Wisconsin (2016).

NPPES Registry Identity

NPI1063875458
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameANTHONY ZACHARIAS
Location AddressUNIVERSITY OF KENTUCKY, 800 ROSE ST.Lexington, KY 40536-0293
Mailing Address740 S Limestone K403Lexington, KY 40536-0284 · (859) 218-3044
Phone(859) 218-3044
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2016
Enumeration DateApril 1, 2016
Last NPPES UpdateJuly 3, 20172 updates tracked since enumeration
✔ NPI 1063875458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in KY · R4201
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
UNIVERSITY OF KENTUCKY, Lexington, KY 40536
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.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

Anthony Zacharias 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 ID1254603756
PECOS Enrollment IDI20220712003866
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 7

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
772 services54 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.
96 services74 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.
63 services49 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
47 services34 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
46 services24 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.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

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.

INDU ELIZABETH MATHEW MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-1786
DR. MEGAN HOFMEISTER M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 218-2100
DR. JEREMIAH PHELPS MD PHD
Emergency Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6762
ASHLEY ROLLINS MD
Internal Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Fayette County (859) 323-2636
DR. JANELLE LOUISE REED M.D./PH.D
Emergency Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE ST.
LEXINGTON, KY 40536
Fayette County (859) 323-5083
DR. PAUL JAMES SPICER MD
Radiology (Diagnostic Radiology)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET, HX-311
LEXINGTON, KY 40536
Fayette County (859) 323-8570
LAURA H REYNOLDS M.D.
Psychiatry & Neurology (Psychiatry)
UNIVERSITY OF KENTUCKY, 800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6021
DR. MATTHEW EDWARD SMITH M.D.
Emergency Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE STREET M53
LEXINGTON, KY 40536
Fayette County (859) 323-5083

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 Anthony Zacharias's NPI number?

The NPI number for Anthony Zacharias is 1063875458. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Anthony Zacharias located?

Anthony Zacharias practices at University Of Kentucky 800 Rose St., Lexington, KY 40536. The listed phone number is (859) 218-3044.

What is Anthony Zacharias's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Anthony Zacharias enrolled in Medicare?

Yes. Anthony Zacharias 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 Anthony Zacharias accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Anthony Zacharias 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 Anthony Zacharias affiliated with any hospitals?

According to CMS data, Anthony Zacharias is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Anthony Zacharias was last updated on July 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.