DR. THERESA ZESIEWICZ MD
NPI 1265455315
Psychiatry & Neurology - Neurology in Tampa, FL

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
12901 BRUCE B DOWNS BLVD, MDC 55, TAMPA, FL 33612(813) 974-5909(813) 974-8032 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theresa Zesiewicz Md NPPES

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

DR. THERESA ZESIEWICZ MD (NPI 1265455315) is an individual neurology provider in Tampa, Florida, licensed in Florida (ME64808) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1265455315
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. THERESA ZESIEWICZCredential: MD
Location Address12901 BRUCE B DOWNS BLVD, MDC 55Tampa, FL 33612-4742
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 974-2201 · Fax (813) 974-4325
Fax(813) 974-8032
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 26, 2006
Last NPPES UpdateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
NPI 1265455315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in FL · ME64808
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
12901 BRUCE B DOWNS BLVD, Tampa, FL 33612

Other Identifiers 2

Other27176FL · Blue Cross Blue Shield
Medicaid378463100FL

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. Theresa Zesiewicz 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 ID9537297346
PECOS Enrollment IDI20100514000056
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 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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
7,269 services22 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.
210 services160 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
59 services59 patients
Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box 64616
This procedure involves injecting a chemical into specific neck muscles, causing temporary paralysis. It's designed to alleviate symptoms related to nerve disorders. The voice box isn't affected, ensuring normal speech post-procedure.
41 services18 patients
Punch biopsy, each additional skin growth 11105
A punch biopsy is a procedure where a small, circular tool removes a sample of your skin growth. This allows for testing to identify the nature of the growth. If there are multiple growths, each additional one may also need a biopsy.
36 services18 patients
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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Tampa General Hospital

Acute Care Hospitals · Tampa, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100128
Location1 Tampa General CirTampa, FL 33606 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%169 patients5/55-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…
31%301 patients2/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier12 claims12 services$37.58 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$17.70 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.

Urology
12901 BRUCE B DOWNS BLVD, MDC 41
TAMPA, FL 33612
Pediatrics (Pediatric Endocrinology)
12901 BRUCE B DOWNS BLVD, MDC 15
TAMPA, FL 33612
Obstetrics & Gynecology
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Psychiatry & Neurology (Psychiatry)
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Specialist/Technologist (Athletic Trainer)
12901 BRUCE B DOWNS BLVD, MDC 77
TAMPA, FL 33612
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Dermatology
12901 BRUCE B DOWNS BLVD, MDC 79
TAMPA, FL 33612
Dietitian, Registered
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612

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 Theresa Zesiewicz's NPI number?

The NPI number for Theresa Zesiewicz is 1265455315. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Theresa Zesiewicz located?

Theresa Zesiewicz practices at 12901 Bruce B Downs Blvd Mdc 55, Tampa, FL 33612. The listed phone number is (813) 974-5909.

What is Theresa Zesiewicz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Theresa Zesiewicz enrolled in Medicare?

Yes. Theresa Zesiewicz 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 Theresa Zesiewicz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Theresa Zesiewicz 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 Theresa Zesiewicz affiliated with any hospitals?

According to CMS data, Theresa Zesiewicz is affiliated with Tampa General Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Zesiewicz was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.