ZACHARY ST. CLAIR MD
NPI 1073182614
Hospitalist in Cincinnati, OH

Active since June 18, 2021PECOS EnrolledAccepts Medicare Assignment
3188 BELLEVUE AVE, CINCINNATI, OH 45219(513) 475-8521 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 28, 2024, Apr 4, 2024, Jul 21, 2022 and 1 more (4 updates tracked since 2021).

About Zachary St. Clair Md NPPES

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

ZACHARY ST. CLAIR MD (NPI 1073182614) is an individual hospitalist provider in Cincinnati, Ohio, licensed in Ohio (35.150530) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of University Of Cincinnati College Of Medicine (2021).

NPPES Registry Identity

NPI1073182614
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameZACHARY ST. CLAIRCredential: MD
Location Address3188 BELLEVUE AVECincinnati, OH 45219-2369
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 585-6200 · Fax (513) 245-3672
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2021
Enumeration DateJune 18, 2021
Last NPPES UpdateJune 28, 20244 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1073182614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.150530
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4351047416 (MI)
3188 BELLEVUE AVE, Cincinnati, OH 45219

Accepted 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

Zachary St. Clair Md 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 ID1850793977
PECOS Enrollment IDI20240911002810
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 Zachary St. Clair reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 2,038 clinicians in this Medicare group

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 2

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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.

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.

Internal Medicine (Critical Care Medicine)
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Emergency Medicine
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Physician Assistant
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Anesthesiology
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Physician Assistant
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Internal Medicine
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Nurse Anesthetist, Certified Registered
3188 BELLEVUE AVE
CINCINNATI, OH 45219

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 Zachary St. Clair's NPI number?

The NPI number for Zachary St. Clair is 1073182614. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Zachary St. Clair located?

Zachary St. Clair practices at 3188 Bellevue Ave, Cincinnati, OH 45219. The listed phone number is (513) 475-8521.

What is Zachary St. Clair's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Zachary St. Clair enrolled in Medicare?

Yes. Zachary St. Clair 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 Zachary St. Clair's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary St. Clair reassigns Medicare benefits to University Of Cincinnati Physicians Company, LLC (Cincinnati, OH). 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 Zachary St. Clair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachary St. Clair accept?

Health plans from Oscar Health Insurance list Zachary St. Clair 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 Zachary St. Clair affiliated with any hospitals?

According to CMS data, Zachary St. Clair is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Zachary St. Clair was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.