KELLY ANN ZBANIC D.O.
NPI 1275703209
Surgery in Kittanning, PA

Active since March 05, 2008PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
500 MEDICAL ARTS BLDG STE 540, KITTANNING, PA 16201(724) 543-4942 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 30, 2023, May 22, 2023 (2 updates tracked since 2023).

About Kelly Ann Zbanic D.o. NPPES

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

KELLY ANN ZBANIC D.O. (NPI 1275703209) is an individual surgery provider in Kittanning, Pennsylvania, licensed in Florida (OS10314) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Acmh Hospital, and maintains a secondary practice location in Kittanning.

NPPES Registry Identity

NPI1275703209
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameKELLY ANN ZBANICCredential: D.O.
Location Address500 MEDICAL ARTS BLDG STE 540Kittanning, PA 16201-7137
Mailing Address25 Heckel RdMc Kees Rocks, PA 15136-1651 · (727) 710-3900
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2005
Enumeration DateMarch 5, 2008
Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
NPI 1275703209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in FL · OS10314 Licensed in PA · OS017098
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
500 MEDICAL ARTS BLDG STE 540, Kittanning, PA 16201

Other Names 1

Former Name (1)Kelly Ann Arblaster D.o.

Secondary Practice Location 1

Location 11 Nolte DrKittanning, PA 16201-7111 · Phone (724) 543-8536 · Fax (724) 543-8802

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

Kelly Ann Zbanic D.o. 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 ID4183843931
PECOS Enrollment IDI20140910001096
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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
30 services30 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
12 services12 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Acmh Hospital

Acute Care Hospitals · Kittanning, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390163
LocationOne Nolte DriveKittanning, PA 16201 · Armstrong County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16201 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Surgery
500 MEDICAL ARTS BLDG STE 540
KITTANNING, PA 16201
Surgery
500 MEDICAL ARTS BLDG STE 540
KITTANNING, PA 16201
Surgery
500 MEDICAL ARTS BLDG STE 540
KITTANNING, PA 16201

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 Kelly Zbanic's NPI number?

The NPI number for Kelly Zbanic is 1275703209. It was assigned to this individual provider in the NPPES registry on March 5, 2008. The provider is also known as Kelly Ann Arblaster D.O..

Where is Kelly Zbanic located?

Kelly Zbanic practices at 500 Medical Arts Bldg Ste 540, Kittanning, PA 16201. The listed phone number is (724) 543-4942.

What is Kelly Zbanic's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kelly Zbanic enrolled in Medicare?

Yes. Kelly Zbanic 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 Kelly Zbanic accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kelly Zbanic 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 Kelly Zbanic affiliated with any hospitals?

According to CMS data, Kelly Zbanic is affiliated with Acmh Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Zbanic was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.