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DAVID J. ZOELLER MD
NPI 1194708776
Family Medicine in Elizabethtown, KY

Active since November 28, 2005PECOS EnrolledAccepts Medicare Assignment
2413 RING RD STE 110, ELIZABETHTOWN, KY 42701(270) 765-4535(270) 763-1901 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, Nov 17, 2022, Feb 9, 2021 and 1 more (4 updates tracked since 2020).

About David J. Zoeller Md NPPES

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

DAVID J. ZOELLER MD (NPI 1194708776) is an individual family medicine provider in Elizabethtown, Kentucky, licensed in Kentucky (26429) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of University Of Louisville School Of Medicine (1986).

NPPES Registry Identity

NPI1194708776
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID J. ZOELLERCredential: MD
Location Address2413 RING RD STE 110Elizabethtown, KY 42701-5924
Mailing Address2413 Ring Rd Ste 110Elizabethtown, KY 42701-5924 · (270) 765-4535 · Fax (270) 763-1901
Phone(270) 765-4535
Fax(270) 763-1901
Sole ProprietorYes
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1986
Enumeration DateNovember 28, 2005
Last NPPES UpdateDecember 10, 20244 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1194708776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 26429
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 26429 (KY)
2413 RING RD STE 110, Elizabethtown, KY 42701
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Other Identifiers 4

Medicaid4047817TN
Medicaid6426429400KY
Other000000050365KY · Anthem Bcbs
Medicaid1510590TN

Accepted Insurance

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

David J. Zoeller 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 ID1557355567
PECOS Enrollment IDI20040413000508
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.

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.
629 services224 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.
195 services123 patients
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.
85 services11 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.
20 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services18 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42701 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 7

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
5 suppliers15 claims39 services$6.23 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers12 claims12 services$50.70 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers14 claims14 services$15.80 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims90 services$2.24 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 supplier14 claims14 services$17.42 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
2 suppliers19 claims19 services$88.39 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 2

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

PRIMECARE PSC
Family Medicine
2413 RING RD STE 110
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-4535
LINDSEY M. MONIN
Nurse Practitioner
2413 RING RD STE 110
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-4535

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 David Zoeller's NPI number?

The NPI number for David Zoeller is 1194708776. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is David Zoeller located?

David Zoeller practices at 2413 Ring Rd Ste 110, Elizabethtown, KY 42701. The listed phone number is (270) 765-4535.

What is David Zoeller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is David Zoeller enrolled in Medicare?

Yes. David Zoeller 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 David Zoeller accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list David Zoeller 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 David Zoeller affiliated with any hospitals?

According to CMS data, David Zoeller is affiliated with Baptist Health Hardin.

When was this NPI record last updated?

The NPPES record for David Zoeller was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.