MR. RONALD ZACK NP-C
NPI 1104375732
Nurse Practitioner - Family in Tucson, AZ

Q: What is Ronald Zack's NPI number?

The NPI number for Ronald Zack is 1104375732. It was assigned to this individual provider in the NPPES registry on September 23, 2016.

Q: What is Ronald Zack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ronald Zack was last updated on May 30, 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.

Active since September 23, 2016PECOS Enrolled

80.09/100

CMS Quality Rating

6630 E CARONDELET DR, TUCSON, AZ 85710(520) 496-4649(949) 695-4900 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2021, Sep 23, 2016 (2 updates tracked since 2016).

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About Mr. Ronald Zack Np-c NPPES

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

MR. RONALD ZACK NP-C (NPI 1104375732) is an individual family provider in Tucson, Arizona, licensed in Arizona (259986) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tucson, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104375732

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. RONALD ZACKCredential: NP-C

Location Address6630 E CARONDELET DRTucson, AZ 85710-2119

Mailing Address1826 N Hayden DrTucson, AZ 85715-4561 · (520) 331-3232

Phone(520) 496-4649

Fax(949) 695-4900

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 23, 2016

Last NPPES UpdateMay 30, 20242 updates tracked since enumeration

NPPES CertifiedMay 30, 2024

✔ NPI 1104375732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 259986

Also ListedRegistered NurseTaxonomy 163W00000X · License RN082944 (AZ)

6630 E CARONDELET DR, Tucson, AZ 85710

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Secondary Practice Location 1

Location 11826 N Hayden DrTucson, AZ 85715-4561 · Phone (520) 331-3232

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ronald Zack Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082081740

PECOS Enrollment IDI20221109001465

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 Ronald Zack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cogent Healthcare Of Arizona PC

59 mi

Internal Medicine

5700 E HIGHWAY 90
Sierra Vista, AZ 85635

Reassigned Medicare billing, Arizona enrollment
372 clinicians in this Medicare group

NPI 1568758266 (520) 417-4594

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.

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.

30 services24 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.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85710 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

80.09/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

23.45

Other Providers at the Same Location NPPES 5

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

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