MARY THERESA ZUPAN
NPI 1154833929
Social Worker in Cincinnati, OH
About Mary Theresa Zupan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY THERESA ZUPAN (NPI 1154833929) is an individual social worker in Cincinnati, Ohio, licensed in Ohio (S.1601163) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Walnut Hills, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
Mary Theresa Zupan 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Zupan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cincinnati, OH 45220
- Reassigned Medicare billing, Ohio enrollment
- 1,102 clinicians in this Medicare group
Cincinnati, OH 45219
- Reassigned Medicare billing, Ohio enrollment
- 288 clinicians in this Medicare group
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 3
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.
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.
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.
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 Mary Zupan's NPI number?
The NPI number for Mary Zupan is 1154833929. It was assigned to this individual provider in the NPPES registry on November 1, 2017.
Where is Mary Zupan located?
Mary Zupan practices at 7810 5 Mile Rd, Cincinnati, OH 45230. The listed phone number is (513) 246-7000.
What is Mary Zupan's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Mary Zupan enrolled in Medicare?
Yes. Mary Zupan 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 Mary Zupan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Zupan reassigns Medicare benefits to 2 organizations: Trihealth H LLC (Cincinnati, OH) and The Christ Hospital Medical Associates, LLC (Cincinnati, OH). 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 Mary Zupan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Zupan accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Mary Zupan 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.
When was this NPI record last updated?
The NPPES record for Mary Zupan was last updated on July 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mary Theresa Zupan · NPI 1154833929
Social Worker provider in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since November 1, 2017.
## Identity
- **NPI:** 1154833929 (Entity type: Individual)
- **Enumerated:** November 1, 2017
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** S.1601163 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7810 5 MILE RD, Cincinnati, OH 45230-2356
- **Phone:** (513) 246-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Trihealth H LLC (NPI 1811215742, Cincinnati, OH); The Christ Hospital Medical Associates, LLC (NPI 1114107919, Cincinnati, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** July 5, 2022
- **Other identifiers:** Other S.1601163 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1154833929) · Data from the CMS NPPES public registry.