DR. JINSONG ZHANG M.D.
NPI 1215196027
Internal Medicine - Rheumatology in Dover, DE

Active since June 06, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1100 FORREST AVE, DOVER, DE 19904(302) 674-4627(302) 674-4728 Get Directions Write a Review

NPPES record last updated: January 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jinsong Zhang M.d. NPPES

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

DR. JINSONG ZHANG M.D. (NPI 1215196027) is an individual rheumatology provider in Dover, Delaware, licensed in Delaware (C1-0010071) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Md Shore Medical Ctr At Chestertown, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1215196027
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. JINSONG ZHANGCredential: M.D.
Location Address1100 FORREST AVEDover, DE 19904-3309
Mailing Address1100 Forrest AveDover, DE 19904-3309 · (302) 674-4627 · Fax (302) 674-4728
Fax(302) 674-4728
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 6, 2008
Last NPPES UpdateJanuary 30, 2019
NPI 1215196027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in DE · C1-0010071
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1100 FORREST AVE, Dover, DE 19904

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. Jinsong Zhang M.d. 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 ID4183870249
PECOS Enrollment IDI20120807000096
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 21

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
104,000 services39 patients
Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
66,020 services17 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
48,300 services61 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
37,350 services46 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
30,720 services323 patients
Injection, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
15,904 services39 patients

Hospital Affiliations CMS Care Compare 2

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

University Of MD Shore Medical Ctr At Chestertown

Acute Care Hospitals · Chestertown, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210030
Location100 Brown StreetChestertown, MD 21620 · Kent County
Emergency services

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19904 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Family)
1100 FORREST AVE
DOVER, DE 19904
Specialist
1100 FORREST AVE
DOVER, DE 19904
Physician Assistant (Medical)
1100 FORREST AVE
DOVER, DE 19904
Internal Medicine (Rheumatology)
1100 FORREST AVE
DOVER, DE 19904
Nurse Practitioner (Acute Care)
1100 FORREST AVE
DOVER, DE 19904
Internal Medicine (Rheumatology)
1100 FORREST AVE
DOVER, DE 19904
Internal Medicine (Cardiovascular Disease)
1100 FORREST AVE
DOVER, DE 19904
Internal Medicine (Rheumatology)
1100 FORREST AVE
DOVER, DE 19904

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 Jinsong Zhang's NPI number?

The NPI number for Jinsong Zhang is 1215196027. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Jinsong Zhang located?

Jinsong Zhang practices at 1100 Forrest Ave, Dover, DE 19904. The listed phone number is (302) 674-4627.

What is Jinsong Zhang's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Jinsong Zhang enrolled in Medicare?

Yes. Jinsong Zhang 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 Jinsong Zhang accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Jinsong Zhang 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 Jinsong Zhang affiliated with any hospitals?

According to CMS data, Jinsong Zhang is affiliated with University Of MD Shore Medical Ctr At Chestertown and Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Jinsong Zhang was last updated on January 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.