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JOSEPH RAYMOND ZENISEK M.D.
NPI 1255574018
Internal Medicine - Interventional Cardiology in Montgomery, OH

Active since April 09, 2009PECOS EnrolledAccepts Medicare Assignment
10506A MONTGOMERY RD, MONTGOMERY, OH 45242(513) 246-2400(513) 246-4047 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 30, 2020, Jul 8, 2019, Jun 8, 2017 (3 updates tracked since 2017).

About Joseph Raymond Zenisek M.d. NPPES

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

JOSEPH RAYMOND ZENISEK M.D. (NPI 1255574018) is an individual interventional cardiology provider in Montgomery, Ohio, licensed in Ohio (35.155659) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Bethesda North, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1255574018
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameJOSEPH RAYMOND ZENISEKCredential: M.D.
Location Address10506A MONTGOMERY RDMontgomery, OH 45242-4402
Mailing Address10506a Montgomery RdMontgomery, OH 45242-4402 · (513) 246-2400 · Fax (513) 246-4047
Phone(513) 246-2400
Fax(513) 246-4047
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 9, 2009
Last NPPES UpdateJune 9, 20263 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1255574018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses✔ Licensed in OH · 35.155659✔ Licensed in KS · 04-39838
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 01074594A (IN), 04-39838 (KS)
10506A MONTGOMERY RD, Montgomery, OH 45242
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Secondary Practice Location 1

Location 11701 N Senate AveIndianapolis, IN 46202-5306 · Phone (317) 962-0527

Other Identifiers 1

Medicaid7100210180KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, Oscar Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Raymond Zenisek 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 ID9335395656
PECOS Enrollment IDI20260619001102
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Joseph Zenisek reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trihealth H LLC
0.2 mi
Pulmonary Disease
10496 MONTGOMERY RD
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1548695638 (513) 793-2654
Indiana University Health, Inc
104 mi
Cardiovascular Disease
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 148 clinicians in this Medicare group
NPI 1376586719 (317) 962-2000
University Medical Diagnostic Associates, Inc.
104 mi
Internal Medicine
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 358 clinicians in this Medicare group
NPI 1861441537 (317) 274-8660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.
134 services75 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
99 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
70 services66 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
62 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
53 services53 patients
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.
45 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Parkridge Medical Center

Acute Care Hospitals · Chattanooga, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440156
Location2333 Mccallie AveChattanooga, TN 37404 · Hamilton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

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.
99%2,350 patients4/55-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.
99%394 patients5/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
98%802 patients4/55-star benchmark: 99%
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.
100%2,306 patients5/55-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.
99%1,409 patients5/55-star benchmark: 97%
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…
96%1,407 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 842 patients
94%842 patients4/55-star benchmark: 98%
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…
79%2,348 patients4/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 745 patients
0%746 patients5/55-star benchmark: 100%
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.

KAREN NELTNER MMSC
Genetic Counselor, MS
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-5925
JOHN M MASHNY MD
Internal Medicine (Cardiovascular Disease)
10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242
Hamilton County (513) 246-2400
MELISSA LOUIS JAUN PA-C
Physician Assistant
10506A MONTGOMERY RD, STE 301
CINCINNATI, OH 45242
Hamilton County (513) 246-2400
SHIRIN BIGDELIAZARI
Pharmacist
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (859) 285-7221
ALEXANDER NIEHAUS PHARMD
Pharmacist
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 246-7016
DR. SAULIUS K GIRNIUS
Internal Medicine (Hematology & Oncology)
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 853-1300
MRS. LEAH KAY ABATE MS, CGC
Genetic Counselor, MS
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 865-5929
JOSEPH DARBY KIRKPATRICK BENNETT PHARMD
Pharmacist
10506A MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (513) 246-7016

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 Joseph Zenisek's NPI number?

The NPI number for Joseph Zenisek is 1255574018. It was assigned to this individual provider in the NPPES registry on April 9, 2009.

Where is Joseph Zenisek located?

Joseph Zenisek practices at 10506A Montgomery Rd, Montgomery, OH 45242. The listed phone number is (513) 246-2400.

What is Joseph Zenisek's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Joseph Zenisek enrolled in Medicare?

Yes. Joseph Zenisek 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.

Which organizations bill Medicare for Joseph Zenisek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Zenisek reassigns Medicare benefits to 3 organizations: Trihealth H LLC (Cincinnati, OH), Indiana University Health, Inc (Indianapolis, IN) and University Medical Diagnostic Associates, Inc. (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Zenisek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Zenisek accept?

Health plans from CareSource, Molina Healthcare and Oscar Health Insurance list Joseph Zenisek 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 Joseph Zenisek affiliated with any hospitals?

According to CMS data, Joseph Zenisek is affiliated with Bethesda North and Parkridge Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Zenisek was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.