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ROBERT P ZAINO M.D.
NPI 1104967272
Family Medicine in Gahanna, OH

Active since February 09, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 36D2119930 · Microscopy
87.65/100
CMS Quality Rating
765 N HAMILTON RD, STE. 255, GAHANNA, OH 43230(614) 337-9100(614) 337-0027 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2023, May 19, 2016 (2 updates tracked since 2016).

About Robert P Zaino M.d. NPPES

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

ROBERT P ZAINO M.D. (NPI 1104967272) is an individual family medicine provider in Gahanna, Ohio, licensed in Ohio (35.057645) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through October 5, 2026, and is affiliated with Riverside Methodist Hospital.

NPPES Registry Identity

NPI1104967272
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT P ZAINOCredential: M.D.
Location Address765 N HAMILTON RD, STE. 255Gahanna, OH 43230-8703
Mailing Address765 N Hamilton Rd Ste 200Gahanna, OH 43230-8703 · (614) 715-6798 · Fax (614) 337-2221
Phone(614) 337-9100
Fax(614) 337-0027
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1987
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJune 19, 20232 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
✔ NPI 1104967272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.057645
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

765 N HAMILTON RD, Gahanna, OH 43230
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Other Identifiers 1

Medicaid0768781OH

Accepted Insurance

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

Robert P Zaino 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 ID6103941265
PECOS Enrollment IDI20100913000600
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D2119930

Robert P Zaino MD, LLC · Gahanna, OH
Active · expires Oct 5, 2026
CLIA Number36D2119930
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorRobert P. Zaino
Laboratory Phone(614) 715-6798
Laboratory LocationRobert P Zaino MD, LLC765 N Hamilton Rd Suite 200, Gahanna, OH 43230
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 10

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.
347 services147 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.
329 services169 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
166 services166 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
103 services101 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
102 services100 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
78 services78 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43230 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.45
Promoting Interoperability96.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers33 claims69 services$6.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers13 claims17 services$0.94 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers22 claims24 services$212.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SETH J RIALS MD
Internal Medicine (Clinical Cardiac Electrophysiology)
765 N HAMILTON RD, SUITE 120
GAHANNA, OH 43230
Franklin County (614) 337-9800
DR. APRIL LYNN MANCUSO PSYD
Psychologist (Clinical)
765 N HAMILTON RD, SUITE 210
GAHANNA, OH 43230
Franklin County (614) 478-4900
DEBORAH JEAN COWEN L.P.C.C.
Counselor (Professional)
765 N HAMILTON RD, SUITE 210
GAHANNA, OH 43230
Franklin County (614) 478-4900
LESLIE M GREEN M.D.
Family Medicine
765 N HAMILTON RD, STE. 255
GAHANNA, OH 43230
Franklin County (614) 337-9100
GENERATIONS FAMILY MEDICINE, INC
Family Medicine
765 N HAMILTON RD, STE. 255
GAHANNA, OH 43230
Franklin County (614) 337-9100
JULIAN SIMMONS
Physical Therapy Assistant
765 N HAMILTON RD
GAHANNA, OH 43230
Franklin County (614) 566-0507
DANIELLE R LEHMAN PA-C
Physician Assistant (Medical)
765 N HAMILTON RD, STE 255
GAHANNA, OH 43230
Franklin County (614) 337-9100
MARK C PRESTON MD INC
Plastic Surgery
765 N HAMILTON RD, SUITE 130
GAHANNA, OH 43230
Franklin County (614) 478-4785

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 Robert Zaino's NPI number?

The NPI number for Robert Zaino is 1104967272. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Robert Zaino located?

Robert Zaino practices at 765 N Hamilton Rd Ste. 255, Gahanna, OH 43230. The listed phone number is (614) 337-9100.

What is Robert Zaino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Zaino enrolled in Medicare?

Yes. Robert Zaino 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.

Does Robert Zaino hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D2119930) is associated with this NPI, valid through October 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Robert Zaino accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and UnitedHealthcare list Robert Zaino 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 Robert Zaino affiliated with any hospitals?

According to CMS data, Robert Zaino is affiliated with Riverside Methodist Hospital, Mount Carmel St Ann's, Grant Medical Center, Mount Carmel East & West and Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Robert Zaino was last updated on June 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.