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VALERIE L. ZONA DO
NPI 1184165227
Internal Medicine in Lancaster, OH

Active since March 08, 2017PECOS EnrolledAccepts Medicare Assignment
1550 SHERIDAN DR, SUITE 203, LANCASTER, OH 43130(740) 687-8397(740) 654-4103 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2023, Jul 31, 2018 (2 updates tracked since 2018).

About Valerie L. Zona Do NPPES

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

VALERIE L. ZONA DO (NPI 1184165227) is an individual internal medicine provider in Lancaster, Ohio, licensed in Ohio (34.013516) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1184165227
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameVALERIE L. ZONACredential: DO
Location Address1550 SHERIDAN DR, SUITE 203Lancaster, OH 43130
Mailing Address1550 Sheridan Dr, Suite 203Lancaster, OH 43130-1381 · (740) 687-8397 · Fax (740) 654-4103
Phone(740) 687-8397
Fax(740) 654-4103
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2017
Enumeration DateMarch 8, 2017
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1184165227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 34.013516
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1550 SHERIDAN DR, Lancaster, OH 43130
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Secondary Practice Location 1

Location 1220 E Walnut StLancaster, OH 43130-4464 · Phone (740) 277-6043

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

Valerie L. Zona Do 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 ID6901175991
PECOS Enrollment IDI20200708002340
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 5

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.
79 services57 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.
31 services31 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.
30 services30 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.
28 services28 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.
27 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Hocking Valley Community Hospital

Critical Access Hospitals · Logan, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361330
Location601 State Route 664NLogan, OH 43138 · Hocking County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers57 claims130 services$5.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers27 claims32 services$1.04 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims25 services$19.59 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier11 claims11 services$106.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers36 claims38 services$112.47 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 16

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

MACKENZIE JACOBSON
Nurse Practitioner
1550 SHERIDAN DR, 202
LANCASTER, OH 43130
Fairfield County (740) 654-0232
SARA SARGENT CNP
Nurse Practitioner
1550 SHERIDAN DR, SUITE 202
LANCASTER, OH 43130
Fairfield County (740) 654-0232
DON MARSHALL
Counselor (Addiction (Substance Use Disorder))
1550 SHERIDAN DR
LANCASTER, OH 43130
Fairfield County (740) 901-3049
COLONNADE MEDICAL GROUP, INC
Internal Medicine
1550 SHERIDAN DR, SUITE 202
LANCASTER, OH 43130
Fairfield County (740) 654-0232
TROY E HAMPTON D.O.
Family Medicine
1550 SHERIDAN DR, STE 202
LANCASTER, OH 43130
Fairfield County (740) 687-5798
REBECCA FOX PSY.D.
Psychologist (Clinical)
1550 SHERIDAN DR
LANCASTER, OH 43130
Fairfield County (740) 653-6145
MARTHA L BUCKLEY MD
Internal Medicine
1550 SHERIDAN DR, SUITE 202
LANCASTER, OH 43130
Fairfield County (740) 654-0232
DR. MARTIN H. HARRIS M.D.
Pediatrics
1550 SHERIDAN DR, SUITE 102
LANCASTER, OH 43130
Fairfield County (740) 687-6386

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 Valerie Zona's NPI number?

The NPI number for Valerie Zona is 1184165227. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Where is Valerie Zona located?

Valerie Zona practices at 1550 Sheridan Dr Suite 203, Lancaster, OH 43130. The listed phone number is (740) 687-8397.

What is Valerie Zona's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Valerie Zona enrolled in Medicare?

Yes. Valerie Zona 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 Valerie Zona accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Oscar Health Insurance list Valerie Zona 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 Valerie Zona affiliated with any hospitals?

According to CMS data, Valerie Zona is affiliated with Fairfield Medical Center and Hocking Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Valerie Zona was last updated on August 25, 2023. 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.