SIMON P ZADINA M.D.
NPI 1124020110
Urology in Olympia, WA

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
91.86/100
CMS Quality Rating
703 LILLY RD NE, SUITE 106, OLYMPIA, WA 98506(360) 350-0281(360) 918-8280 Get Directions Write a Review

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Simon P Zadina M.d. NPPES

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

SIMON P ZADINA M.D. (NPI 1124020110) is an individual urology provider in Olympia, Washington, licensed in Washington (MD6011602) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and is a graduate of University Of Nebraska College Of Medicine (1979).

NPPES Registry Identity

NPI1124020110
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSIMON P ZADINACredential: M.D.
Location Address703 LILLY RD NE, SUITE 106Olympia, WA 98506-5191
Mailing Address703 Lilly Rd Ne, Suite 106Olympia, WA 98506-5191 · (360) 350-0281 · Fax (360) 918-8280
Fax(360) 918-8280
Sole ProprietorYes
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1979
Enumeration DateAugust 10, 2005
Last NPPES UpdateFebruary 18, 2015
NPI 1124020110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in WA · MD6011602 Licensed in MN · 33196
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
703 LILLY RD NE, Olympia, WA 98506

Other Identifiers 4

Medicaid208800000XMN
Medicare UPINB67912MN
Medicare PING8888956WA
Other0259730WA · L&i

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

Simon P Zadina 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 ID4486548500
PECOS Enrollment IDI20100303000247
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 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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
514 services323 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.
273 services234 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
187 services130 patients
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.
150 services141 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
130 services130 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
89 services79 patients

Hospital Affiliations CMS Care Compare 2

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

St Clare Hospital

Acute Care Hospitals · Lakewood, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500021
Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County
Emergency services

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

91.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.11
Promoting Interoperability91
Improvement Activities40

Reported Quality Measures

Advance Care Plan
95%1,154 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
51%631 patients3/55-star benchmark: 98%
e-Prescribing
97%779 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,694 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 72% · 641 patients
Patients screened: 72% · 641 patients
96%46 patients
Provide Patients Electronic Access to Their Health Information
90%615 patients4/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
98%182 patients4/55-star benchmark: 100%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
91%144 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
3 suppliers16 claims127 services$1.85 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
3 suppliers32 claims43 services$10.66 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers28 claims6,720 services$1.73 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
4 suppliers22 claims48 services$8.99 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
3 suppliers25 claims74 services$5.74 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 6

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

Urology
703 LILLY RD NE, SUITE 106
OLYMPIA, WA 98506
Acupuncturist
703 LILLY RD NE, STE 102
OLYMPIA, WA 98506
Allergy & Immunology
703 LILLY RD NE, SUITE 103
OLYMPIA, WA 98506
Nurse Practitioner (Family)
703 LILLY RD NE, SUITE 101
OLYMPIA, WA 98506
Clinic/Center (Dental)
703 LILLY RD NE
OLYMPIA, WA 98506
Dietitian, Registered
703 LILLY RD NE, SUITE E
OLYMPIA, WA 98506

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 Simon Zadina's NPI number?

The NPI number for Simon Zadina is 1124020110. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Simon Zadina located?

Simon Zadina practices at 703 Lilly Rd NE Suite 106, Olympia, WA 98506. The listed phone number is (360) 350-0281.

What is Simon Zadina's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Simon Zadina enrolled in Medicare?

Yes. Simon Zadina 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 Simon Zadina accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Simon Zadina 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 Simon Zadina affiliated with any hospitals?

According to CMS data, Simon Zadina is affiliated with St Clare Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Simon Zadina was last updated on February 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.