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DR. ANTHONY R ZAPPIA MD
NPI 1184734402
Surgery in Carmel, IN

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
13430 N MERIDIAN ST STE 275, CARMEL, IN 46032(317) 582-8810 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2022, Jun 15, 2021, Feb 2, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Anthony R Zappia Md NPPES

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

DR. ANTHONY R ZAPPIA MD (NPI 1184734402) is an individual surgery provider in Carmel, Indiana, licensed in Indiana (01045065A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Hospital, and maintains a secondary practice location in Lakeland.

NPPES Registry Identity

NPI1184734402
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ANTHONY R ZAPPIACredential: MD
Location Address13430 N MERIDIAN ST STE 275Carmel, IN 46032-1484
Mailing Address13430 N Meridian St Ste 275Carmel, IN 46032-1484
Phone(317) 582-8810
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1991
Enumeration DateAugust 30, 2006
Last NPPES UpdateMay 18, 20226 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1184734402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in IN · 01045065A✔ Licensed in FL · ME133717
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
13430 N MERIDIAN ST STE 275, Carmel, IN 46032
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Secondary Practice Location 1

Location 12300 E County Road 540ALakeland, FL 33813-3825 · Phone (863) 680-7486 · Fax (866) 264-8519

Accepted Insurance

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

Dr. Anthony R Zappia Md 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 ID3375435977
PECOS Enrollment IDI20040329000155
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 6

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.

Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
31 services31 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
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.
30 services28 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.
27 services27 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
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Ascension St Vincent Carmel

Acute Care Hospitals · Carmel, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150157
Location13500 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Ascension St Vincent Fishers

Acute Care Hospitals · Fishers, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150181
Location13861 Olio RoadFishers, IN 46037 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 5

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

LINDSEY BRADSHAW PETERSON PA-C
Physician Assistant (Medical)
13430 N MERIDIAN ST STE 275
CARMEL, IN 46032
Hamilton County (317) 582-8810
MRS. STEPHANIE MICHELE STANLEY APRN, FNP-C
Nurse Practitioner (Family)
13430 N MERIDIAN ST STE 275
CARMEL, IN 46032
Hamilton County (317) 582-8810
MR. AMARESHWAR CHIRUVELLA M.D.
Surgery
13430 N MERIDIAN ST STE 275
CARMEL, IN 46032
Hamilton County (317) 582-8810
RACHAEL KRISTINE RAMOS FNP-C
Nurse Practitioner (Family)
13430 N MERIDIAN ST STE 275
CARMEL, IN 46032
Hamilton County (317) 582-8810
DR. CHRISTOPHER BRIAN CRAWFORD M.D.
Surgery
13430 N MERIDIAN ST STE 275
CARMEL, IN 46032
Hamilton County (317) 582-8810

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 Anthony Zappia's NPI number?

The NPI number for Anthony Zappia is 1184734402. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Anthony Zappia located?

Anthony Zappia practices at 13430 N Meridian St Ste 275, Carmel, IN 46032. The listed phone number is (317) 582-8810.

What is Anthony Zappia's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Anthony Zappia enrolled in Medicare?

Yes. Anthony Zappia 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 Anthony Zappia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Anthony Zappia 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 Anthony Zappia affiliated with any hospitals?

According to CMS data, Anthony Zappia is affiliated with Ascension St Vincent Hospital, Ascension St Vincent Carmel and Ascension St Vincent Fishers.

When was this NPI record last updated?

The NPPES record for Anthony Zappia was last updated on May 18, 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.