JUSTIN ZELENKA MD
NPI 1215314679
Internal Medicine in Rochester, NY

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
2400 S CLINTON AVE, BUILDING H, SUITE 230, ROCHESTER, NY 14618(585) 341-7220(585) 325-6051 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin Zelenka Md NPPES

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

JUSTIN ZELENKA MD (NPI 1215314679) is an individual internal medicine provider in Rochester, New York, licensed in New York (291652) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1215314679
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUSTIN ZELENKACredential: MD
Location Address2400 S CLINTON AVE, BUILDING H, SUITE 230Rochester, NY 14618
Mailing Address2400 S Clinton Ave, Building H, Suite 230Rochester, NY 14618 · (585) 341-7220
Fax(585) 325-6051
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 5, 2015
Last NPPES UpdateJune 28, 2023
NPI 1215314679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 291652
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.

2400 S CLINTON AVE, Rochester, NY 14618

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

Justin Zelenka 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 ID7012262124
PECOS Enrollment IDI20180613002002
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 3

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.
51 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.
36 services25 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.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14618 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

Referred Medical Equipment & Supplies CMS DME claims

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
3 suppliers16 claims32 services$6.18 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 20

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

Internal Medicine
2400 S CLINTON AVE, BLDG H SUITE 210
ROCHESTER, NY 14618
Internal Medicine
2400 S CLINTON AVE, BLDG G-2
ROCHESTER, NY 14618
Internal Medicine
2400 S CLINTON AVE, BLDG H STE 230
ROCHESTER, NY 14618
Internal Medicine
2400 S CLINTON AVE, BLDG H SUITE 110
ROCHESTER, NY 14618
Internal Medicine
2400 S CLINTON AVE, BLDG G-2
ROCHESTER, NY 14618
Internal Medicine
2400 S CLINTON AVE, BLDG H SUITE 210
ROCHESTER, NY 14618
Internal Medicine
2400 S CLINTON AVE, BLDG H SUITE 210
ROCHESTER, NY 14618
Internal Medicine
2400 S CLINTON AVE, BLDG G-2
ROCHESTER, NY 14618

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 Justin Zelenka's NPI number?

The NPI number for Justin Zelenka is 1215314679. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Where is Justin Zelenka located?

Justin Zelenka practices at 2400 S Clinton Ave Building H, Suite 230, Rochester, NY 14618. The listed phone number is (585) 341-7220.

What is Justin Zelenka's specialty?

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

Is Justin Zelenka enrolled in Medicare?

Yes. Justin Zelenka 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.

Is Justin Zelenka affiliated with any hospitals?

According to CMS data, Justin Zelenka is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Justin Zelenka was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.