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DR. ILANA ZEISES D.O.
NPI 1134508658
Family Medicine - Sports Medicine in Sellersville, PA

Active since May 29, 2015PECOS EnrolledAccepts Medicare Assignment
915 LAWN AVE, SELLERSVILLE, PA 18960(215) 257-3700(215) 257-0360 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 4, 2024, Oct 10, 2019, Jun 27, 2018 (3 updates tracked since 2018).

About Dr. Ilana Zeises D.o. NPPES

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

DR. ILANA ZEISES D.O. (NPI 1134508658) is an individual sports medicine provider in Sellersville, Pennsylvania, licensed in Pennsylvania (OS018381) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134508658
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameDR. ILANA ZEISESCredential: D.O.
Location Address915 LAWN AVESellersville, PA 18960-1551
Mailing Address915 Lawn AveSellersville, PA 18960-1551 · (215) 257-3700 · Fax (215) 257-0360
Phone(215) 257-3700
Fax(215) 257-0360
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2015
Enumeration DateMay 29, 2015
Last NPPES UpdateJanuary 4, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1134508658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in PA · OS018381
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
915 LAWN AVE, Sellersville, PA 18960
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Secondary Practice Locations 2

Location 1103 Bethlehem PikeColmar, PA 18915-9719 · Phone (215) 257-3700
Location 2145 N Main St Ste 400Dublin, PA 18917-2107 · Phone (215) 257-3700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ilana Zeises D.o. 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 ID9638482888
PECOS Enrollment IDI20191003001357
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 Reassignments

3

Medicare enrollment records show Ilana Zeises reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grand View Hospital
Same address
Sports Medicine
915 LAWN AVE
Sellersville, PA 18960
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1477037877 (215) 257-3700
St Luke's Physician Group Inc
0.1 mi
Surgery
915 LAWN AVE STE 203
Sellersville, PA 18960
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1154216562 (215) 453-3400
Grand View Urgent Care, LLC.
8.4 mi
Urgent Care
1715 SUMNEYTOWN PIKE
Lansdale, PA 19446
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 20 clinicians in this Medicare group
NPI 1801341862 (215) 453-5600

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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
396 services70 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.
204 services139 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
96 services60 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.
57 services50 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
50 services50 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18960 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

HOLLY MCFADDEN CRNP
Nurse Practitioner (Primary Care)
915 LAWN AVE, SUIE 202
SELLERSVILLE, PA 18960
Bucks County (215) 453-3300
DR. JAMES CHRISTOPHER WATSON M.D.
Surgery (Surgical Oncology)
915 LAWN AVE, SUITE 203
SELLERSVILLE, PA 18960
Bucks County (215) 453-3400
LORRAINE C SNYDER DOUGHERTY MD
Internal Medicine (Hematology & Oncology)
915 LAWN AVE, SUITE 202
SELLERSVILLE, PA 18960
Bucks County (215) 453-3300
DR. ARTHUR FLATAU III M.D.
Surgery
915 LAWN AVE, SUITE 203
SELLERSVILLE, PA 18960
Bucks County (215) 257-3697
ERIC V OLIVERO MD
Surgery (Vascular Surgery)
915 LAWN AVE, SUITE 203
SELLERSVILLE, PA 18960
Bucks County (215) 453-3400
DR. DANIEL RYAN LATTA M.D.
Colon & Rectal Surgery
915 LAWN AVE
SELLERSVILLE, PA 18960
Bucks County (215) 453-3400
DR. LEWIS M GILL MD
Surgery
915 LAWN AVE, SUITE 203
SELLERSVILLE, PA 18960
Bucks County (215) 453-3400
KELLY A. WILLIAMSON PA-C
Physician Assistant (Medical)
915 LAWN AVE, SUITE 203
SELLERSVILLE, PA 18960
Bucks County (215) 453-3400

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 Ilana Zeises's NPI number?

The NPI number for Ilana Zeises is 1134508658. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Ilana Zeises located?

Ilana Zeises practices at 915 Lawn Ave, Sellersville, PA 18960. The listed phone number is (215) 257-3700.

What is Ilana Zeises's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Ilana Zeises enrolled in Medicare?

Yes. Ilana Zeises 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.

Which organizations bill Medicare for Ilana Zeises's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ilana Zeises reassigns Medicare benefits to 3 organizations: Grand View Hospital (Sellersville, PA), St Luke's Physician Group Inc (Sellersville, PA) and Grand View Urgent Care, LLC. (Lansdale, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ilana Zeises's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ilana Zeises accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ilana Zeises 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 Ilana Zeises affiliated with any hospitals?

According to CMS data, Ilana Zeises is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem and Grand View Health.

When was this NPI record last updated?

The NPPES record for Ilana Zeises was last updated on January 4, 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.