DR. TOM C ZHOU MD
NPI 1194106492
Otolaryngology in Grand Junction, CO

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment
87.09/100
CMS Quality Rating
2515 FORESIGHT CIR, SUITE 200, GRAND JUNCTION, CO 81505(970) 245-2400(970) 242-9092 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2024, Sep 4, 2020 (2 updates tracked since 2020).

About Dr. Tom C Zhou Md NPPES

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

DR. TOM C ZHOU MD (NPI 1194106492) is an individual otolaryngology provider in Grand Junction, Colorado, licensed in Colorado (DR.0071675) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2015).

NPPES Registry Identity

NPI1194106492
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. TOM C ZHOUCredential: MD
Location Address2515 FORESIGHT CIR, SUITE 200Grand Junction, CO 81505-1018
Mailing Address2515 Foresight Cir Unit 200Grand Junction, CO 81505-1156 · (970) 245-2400 · Fax (970) 242-9092
Fax(970) 242-9092
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2015
Enumeration DateJune 11, 2015
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
NPI 1194106492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in CO · DR.0071675
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2515 FORESIGHT CIR, Grand Junction, CO 81505

Other Identifiers 1

Medicaid1194106492CO

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

Dr. Tom C Zhou 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 ID1052621539
PECOS Enrollment IDI20231011001667
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 12

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.

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.
109 services109 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.
72 services62 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.
69 services58 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
55 services41 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.
54 services54 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
38 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81505 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.43
Promoting Interoperability100
Improvement Activities40
Cost62.86

Other Providers at the Same Location NPPES 7

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

Clinic/Center (Medical Specialty)
2515 FORESIGHT CIR
GRAND JUNCTION, CO 81505
Audiologist
2515 FORESIGHT CIR, SUITE 200
GRAND JUNCTION, CO 81505
Physician Assistant
2515 FORESIGHT CIR, SUITE 100
GRAND JUNCTION, CO 81505
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2515 FORESIGHT CIR, SUITE 200
GRAND JUNCTION, CO 81505
Physician Assistant
2515 FORESIGHT CIR, SUITE 200
GRAND JUNCTION, CO 81505
Ophthalmology
2515 FORESIGHT CIR
GRAND JUNCTION, CO 81505
Otolaryngology
2515 FORESIGHT CIR, SUITE 200
GRAND JUNCTION, CO 81505

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 Tom Zhou's NPI number?

The NPI number for Tom Zhou is 1194106492. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Tom Zhou located?

Tom Zhou practices at 2515 Foresight Cir Suite 200, Grand Junction, CO 81505. The listed phone number is (970) 245-2400.

What is Tom Zhou's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Tom Zhou enrolled in Medicare?

Yes. Tom Zhou 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 Tom Zhou accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and University of Utah Health Plans list Tom Zhou 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 Tom Zhou was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.