DR. JARED K ZOTZ M.D.
NPI 1093956815
Obstetrics & Gynecology in Bloomington, IL

Q: What is Jared Zotz's NPI number?

The NPI number for Jared Zotz is 1093956815. It was assigned to this individual provider in the NPPES registry on March 9, 2009.

Q: What is Jared Zotz's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jared Zotz was last updated on December 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 09, 2009PECOS EnrolledAccepts Medicare Assignment

1505 EASTLAND DR STE 2200, BLOOMINGTON, IL 61701(309) 454-3456(309) 454-6977 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2025, Apr 29, 2021, Sep 24, 2019 (3 updates tracked since 2019).

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About Dr. Jared K Zotz M.d. NPPES

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

DR. JARED K ZOTZ M.D. (NPI 1093956815) is an individual obstetrics & gynecology provider in Bloomington, Illinois, licensed in Illinois (036.137023) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and maintains a secondary practice location in Fort Campbell.

NPPES Registry Identity

NPI1093956815

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. JARED K ZOTZCredential: M.D.

Location Address1505 EASTLAND DR STE 2200Bloomington, IL 61701-7910

Mailing Address1505 Eastland Dr Ste 2200Bloomington, IL 61701-7910 · (309) 454-3456 · Fax (309) 454-6977

Phone(309) 454-3456

Fax(309) 454-6977

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMarch 9, 2009

Last NPPES UpdateDecember 15, 20253 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ NPI 1093956815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IL · 036.137023

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1505 EASTLAND DR STE 2200, Bloomington, IL 61701

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Secondary Practice Location 1

Location 1650 Joel Drive, Blanchfield Army Community HospitalFort Campbell, KY 42223-5349 · Phone (270) 956-0359

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Jared K Zotz 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 ID6002135407

PECOS Enrollment IDI20150506002860

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

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.

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.

16 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140127

Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County

Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140162

Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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Other Providers at the Same Location NPPES 6

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

DR. RACHEL MARIE HATFIELD DALTON D.O.

Obstetrics & Gynecology