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DR. STEPHEN MICHAEL ZAPPALA M.D.
NPI 1215953039
Specialist in Andover, MA

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
140 HAVERHILL ST, DOCTORS PARK I, ANDOVER, MA 01810(978) 475-4499(978) 749-9585 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Stephen Michael Zappala M.d. NPPES

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

DR. STEPHEN MICHAEL ZAPPALA M.D. (NPI 1215953039) is an individual specialist in Andover, Massachusetts, licensed in Massachusetts (60267) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of University Of Massachusetts Medical School (1983).

NPPES Registry Identity

NPI1215953039
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. STEPHEN MICHAEL ZAPPALACredential: M.D.
Location Address140 HAVERHILL ST, DOCTORS PARK IAndover, MA 01810-1550
Mailing Address140 Haverhill St, Doctors Park IAndover, MA 01810-1550 · (978) 475-4499 · Fax (978) 749-9585
Phone(978) 475-4499
Fax(978) 749-9585
Sole ProprietorYes
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1983
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215953039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MA · 60267
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

140 HAVERHILL ST, Andover, MA 01810
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Other Identifiers 3

Medicaid9772863MA
Medicare UPINA57166MA
Medicare ID-Type UnspecifiedJ04040MA

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. Stephen Michael Zappala 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 ID1052367448
PECOS Enrollment IDI20050329000818
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 11

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, 30-39 minutes 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.
975 services687 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
224 services179 patients
New patient office or other outpatient visit, 45-59 minutes 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.
134 services134 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
96 services84 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
16 services16 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

Holy Family Hospital

Acute Care Hospitals · Methuen, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220080
Location70 East StreetMethuen, MA 01844 · Essex County
Emergency services Birthing friendly

Parkland Medical Center

Acute Care Hospitals · Derry, NH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number300017
Location1 Parkland DriveDerry, NH 03038 · Rockingham County
Emergency services

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%787 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,898 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
35%372 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
69%981 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
8%742 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%833 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
99%987 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
24%742 patients1/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
90%104 patients4/55-star benchmark: 100%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months
17%36 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. ROBERT PETER NELKEN M.D.
Pediatrics
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 475-4522
DR. KATHLEEN FERGUSON DEVANEY M.D.
Pediatrics
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 475-4522
GREGORY JASON CHRISTIE PA-C
Physician Assistant
140 HAVERHILL ST, SUITE 1
ANDOVER, MA 01810
Essex County (978) 470-0707
ANTHONY E TURIANO MD
Family Medicine
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 269-0030
LGH HEALTH ENTERPRISES INC.
Clinic/Center (Radiology)
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 475-5213
PAUL J GEMIS M.D.
Surgery
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 475-4202
JOCELYN C DUFFY MD
Family Medicine
140 HAVERHILL ST, NEW ENGLAND MEDICAL GROUP
ANDOVER, MA 01810
Essex County (978) 269-0030
ANDOVER SURGICAL ASSOCIATES, INC.
Surgery
140 HAVERHILL ST
ANDOVER, MA 01810
Essex County (978) 475-4202

Frequently Asked Questions

What is Stephen Zappala's NPI number?

The NPI number assigned to this healthcare provider is 1215953039, enumerated as an "individual" on July 14, 2006.

Where is the provider located?

The provider is located at 140 HAVERHILL ST DOCTORS PARK I ANDOVER, MA 01810 and the phone number is (978) 475-4499.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.

What insurance does Stephen Zappala accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Is Stephen Zappala affiliated with any hospitals?

Stephen Zappala is affiliated with: LAWRENCE GENERAL HOSPITAL, ANNA JAQUES HOSPITAL, HOLY FAMILY HOSPITAL, PARKLAND MEDICAL CENTER and WENTWORTH-DOUGLASS HOSPITAL.