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PIOTR ZIEBA MD
NPI 1265487631
Psychiatry & Neurology - Psychiatry in Florence, KY

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
7388 TURFWAY RD, FLORENCE, KY 41042(859) 301-5901(859) 301-5940 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 7, 2022, Aug 30, 2018, Oct 10, 2016 (3 updates tracked since 2016).

About Piotr Zieba Md NPPES

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

PIOTR ZIEBA MD (NPI 1265487631) is an individual psychiatry provider in Florence, Kentucky, licensed in Kentucky (30318) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1265487631
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NamePIOTR ZIEBACredential: MD
Location Address7388 TURFWAY RDFlorence, KY 41042
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 301-5901 · Fax (859) 301-5940
Phone(859) 301-5901
Fax(859) 301-5940
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 24, 2006
Last NPPES UpdateApril 7, 20223 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1265487631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in KY · 30318
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X · License 30318 (KY)
7388 TURFWAY RD, Florence, KY 41042
Open in Google Maps ↗

Other Identifiers 1

Medicaid64303183KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Piotr Zieba 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 ID8426123662
PECOS Enrollment IDI20080821000678
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 8

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.

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.
713 services169 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.
367 services183 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
191 services190 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
95 services36 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
73 services13 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
65 services32 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
73%93 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
88%84 patients4/55-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%233 patients1/55-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 15

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

ST LUKE HOSPITALS, INC
Internal Medicine (Pulmonary Disease)
7388 TURFWAY RD, STE. 206
FLORENCE, KY 41042
Boone County (859) 212-4893
PATRICIA MILES M.D.
Internal Medicine (Sleep Medicine)
7388 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 301-9140
NITESH GAUTAM MD
Internal Medicine (Cardiovascular Disease)
7388 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 287-3045
DR. ROBERT JERON STRICKMEYER M.D.
Internal Medicine (Cardiovascular Disease)
7388 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 287-3045
DR. JEFFREY DAWSON REICHARD M.D.
Internal Medicine (Cardiovascular Disease)
7388 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 287-3045
ALLIANCE PRIMARY CARE
Family Medicine
7388 TURFWAY RD, SUITE 101
FLORENCE, KY 41042
Boone County (859) 212-4500
SWAPNIL GARG MD
Internal Medicine (Cardiovascular Disease)
7388 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 287-3045
HEATHER J CORN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
7388 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 655-8910

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 Piotr Zieba's NPI number?

The NPI number for Piotr Zieba is 1265487631. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Piotr Zieba located?

Piotr Zieba practices at 7388 Turfway Rd, Florence, KY 41042. The listed phone number is (859) 301-5901.

What is Piotr Zieba's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Piotr Zieba enrolled in Medicare?

Yes. Piotr Zieba 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 Piotr Zieba accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Piotr Zieba 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 Piotr Zieba affiliated with any hospitals?

According to CMS data, Piotr Zieba is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Piotr Zieba was last updated on April 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.