PHILIP N ZAMBOS MD
NPI 1093734121
Radiology - Diagnostic Radiology in Prestonsburg, KY

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
5000 KY ROUTE 321, HIGHLAND REGIONAL MEDICAL CENTER RADIOLOGY DEPT, PRESTONSBURG, KY 41653(606) 836-4929(606) 836-3185 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Philip N Zambos Md NPPES

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

PHILIP N ZAMBOS MD (NPI 1093734121) is an individual diagnostic radiology provider in Prestonsburg, Kentucky, licensed in Kentucky (25854) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Camc Greenbrier Valley Medical Center, Inc, and is a graduate of Jc Edwards School Of Medicine, Marshall University (1984).

NPPES Registry Identity

NPI1093734121
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NamePHILIP N ZAMBOSCredential: MD
Location Address5000 KY ROUTE 321, HIGHLAND REGIONAL MEDICAL CENTER RADIOLOGY DEPTPrestonsburg, KY 41653-9113
Mailing AddressPo Box 148Ashland, KY 41105-0148 · (606) 836-4929 · Fax (606) 836-3185
Fax(606) 836-3185
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1984
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1093734121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in KY · 25854
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

5000 KY ROUTE 321, Prestonsburg, KY 41653

Other Identifiers 5

OtherDC0133Rroad Medicare
Other7200028000Wva Medicaid
Medicare UPINC68119
Medicare ID-Type Unspecified0915801KY
Medicaid65941494KY

Accepted 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

Philip N Zambos 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 ID6800886771
PECOS Enrollment IDI20230303000312
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 66

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,115 services648 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
365 services350 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
261 services246 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
179 services165 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
176 services166 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
175 services143 patients

Hospital Affiliations CMS Care Compare 5

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

Camc Greenbrier Valley Medical Center, Inc

Acute Care Hospitals · Ronceverte, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510002
Location1320 Maplewood AvenueRonceverte, WV 24970 · Greenbrier County
Emergency services Birthing friendly

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

Beckley Arh Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510062
Location306 Stanaford RoadBeckley, WV 25801 · Raleigh County
Emergency services

Raleigh General Hospital

Acute Care Hospitals · Beckley, WV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number510070
Location1710 Harper RoadBeckley, WV 25801 · Raleigh County
Emergency services Birthing friendly

Welch Community Hospital

Acute Care Hospitals · Welch, WV
OwnershipGovernment - State
CMS Certification Number510086
Location454 Mcdowell StreetWelch, WV 24801 · Mc Dowell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41653 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.

Reported Quality Measures

Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy
Percentage of final reports for all patients, regardless of age, undergoing bone scintigraphy that include physician documentation of correlation with existing relevant imaging studies (e.g., x-ray, MRI, CT, etc.) that were performed
78%27 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
96%1,187 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%145 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Skilled Nursing Facility
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Nurse Anesthetist, Certified Registered
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Internal Medicine (Cardiovascular Disease)
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
General Acute Care Hospital
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Psychiatric Unit
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Physical Therapy Assistant
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Family Medicine
5000 KY ROUTE 321
PRESTONSBURG, KY 41653
Nurse Practitioner (Family)
5000 KY ROUTE 321
PRESTONSBURG, KY 41653

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 Philip Zambos's NPI number?

The NPI number for Philip Zambos is 1093734121. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Philip Zambos located?

Philip Zambos practices at 5000 Ky Route 321 Highland Regional Medical Center Radiology Dept, Prestonsburg, KY 41653. The listed phone number is (606) 836-4929.

What is Philip Zambos's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Philip Zambos enrolled in Medicare?

Yes. Philip Zambos 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 Philip Zambos accept?

Health plans from CareSource list Philip Zambos 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 Philip Zambos affiliated with any hospitals?

According to CMS data, Philip Zambos is affiliated with Camc Greenbrier Valley Medical Center, Inc, Charleston Area Medical Center, Beckley Arh Hospital, Raleigh General Hospital and Welch Community Hospital.

When was this NPI record last updated?

The NPPES record for Philip Zambos was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.