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XIAO MING ZHOU M.D.
NPI 1285605576
Internal Medicine in Rockville, MD

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
26.55/100
CMS Quality Rating
932 HUNGERFORD DR, SUITE 11A, ROCKVILLE, MD 20850(301) 838-8551(833) 559-1054 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Xiao Ming Zhou M.d. NPPES

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

XIAO MING ZHOU M.D. (NPI 1285605576) is an individual internal medicine provider in Rockville, Maryland, licensed in Maryland (D0053642) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1285605576
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameXIAO MING ZHOUCredential: M.D.
Location Address932 HUNGERFORD DR, SUITE 11ARockville, MD 20850-1750
Mailing Address932 Hungerford Dr, Suite 11aRockville, MD 20850-1750 · (301) 838-8551 · Fax (301) 838-8556
Phone(301) 838-8551
Fax(833) 559-1054
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJanuary 27, 2006
Last NPPES UpdateOctober 13, 2021
NPPES CertifiedOctober 13, 2021
✔ NPI 1285605576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0053642
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
932 HUNGERFORD DR, Rockville, MD 20850
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Other Identifiers 1

Medicaid296602600MD

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

Xiao Ming Zhou 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 ID3173577954
PECOS Enrollment IDI20050303001015
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 5

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 low level od decision making, if using time, 20 minutes or more 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.
730 services167 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.
244 services158 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
207 services113 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
113 services113 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
19 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20850 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

26.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost88.51

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
65%43 patients3/55-star benchmark: 99%
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.
42%1,509 patients1/55-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.
94%4,283 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…
46%282 patients2/55-star benchmark: 97%
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…
1%282 patients1/55-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+: 2% · 272 patients
6%272 patients3/55-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 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers149 claims314 services$5.77 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers137 claims143 services$0.98 avg. paid by Medicare
Walker, with trunk support, adjustable or fixed height, any type E0140
DME-Other DME · category DE000N
1 supplier12 claims12 services$12.90 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims21 services$13.30 avg. paid by Medicare
Home blood glucose monitor E0607
DME-Other DME · category DE017N
3 suppliers12 claims12 services$47.93 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier21 claims21 services$65.31 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.

MR. FREYDUN FRED GOUDARZNIA MA LCPC
Counselor (Mental Health)
932 HUNGERFORD DR
ROCKVILLE, MD 20850
Montgomery County (240) 393-6720
JIE HE, M.D., LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
932 HUNGERFORD DR, 9A
ROCKVILLE, MD 20850
Montgomery County (301) 251-0876
BARBARA TAHLER LCSW-C
Counselor (Mental Health)
932 HUNGERFORD DR, SUITE 2A
ROCKVILLE, MD 20850
Montgomery County (301) 762-5797
DR. GRACE PARK M.A., PH.D.
Speech-Language Pathologist
932 HUNGERFORD DR, SUITE 29A
ROCKVILLE, MD 20850
Montgomery County (301) 424-7701
DR. JIE HE M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
932 HUNGERFORD DR, 9A
ROCKVILLE, MD 20850
Montgomery County (301) 251-0876
DR. AMANDA KATE THOMPSON D.C.
Chiropractor
932 HUNGERFORD DR, SUITE 12A
ROCKVILLE, MD 20850
Montgomery County (301) 637-9248
DR. CAROL A BLIMLINE PH.D.
Psychologist
932 HUNGERFORD DR, SUITE 39
ROCKVILLE, MD 20850
Montgomery County (301) 340-1646
VICENTE FIGUEROA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
932 HUNGERFORD DR, SUITE 1-A
ROCKVILLE, MD 20850
Montgomery County (301) 221-2090

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 Xiao Zhou's NPI number?

The NPI number for Xiao Zhou is 1285605576. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Xiao Zhou located?

Xiao Zhou practices at 932 Hungerford Dr Suite 11A, Rockville, MD 20850. The listed phone number is (301) 838-8551.

What is Xiao Zhou's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Xiao Zhou enrolled in Medicare?

Yes. Xiao Zhou 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.

When was this NPI record last updated?

The NPPES record for Xiao Zhou was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.