MOHAMED Y ZEATER MD
NPI 1285690958
Internal Medicine - Pulmonary Disease in Rockford, IL

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
1401 E STATE ST, ROCKFORD, IL 61104(815) 315-6102(815) 315-6026 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 18, 2021, Jul 23, 2018 (2 updates tracked since 2018).

About Mohamed Y Zeater Md NPPES

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

MOHAMED Y ZEATER MD (NPI 1285690958) is an individual pulmonary disease provider in Rockford, Illinois, licensed in Illinois (036-131070) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1285690958
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMOHAMED Y ZEATERCredential: MD
Location Address1401 E STATE STRockford, IL 61104
Mailing AddressPo Box 78866Milwaukee, WI 53278-8866 · (779) 696-7150
Fax(815) 315-6026
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 21, 2006
Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
NPI 1285690958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in IL · 036-131070 Licensed in KY · 41054
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 32311 (AZ)
1401 E STATE ST, Rockford, IL 61104

Other Identifiers 2

OtherP00454689Railroad - Medicare
OtherP01114425IL · Railroad Pin

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

Mohamed Y Zeater 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 ID6800885369
PECOS Enrollment IDI20120919000730
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 18

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
278 services213 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.
133 services133 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
111 services104 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
104 services97 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
65 services63 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services24 patients

Hospital Affiliations CMS Care Compare

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.92
Promoting Interoperability78
Improvement Activities40
Cost55.01

Referred Medical Equipment & Supplies CMS DME claims 28

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
17 suppliers664 claims664 services$36.86 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers21 claims42 services$1.37 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
5 suppliers17 claims17 services$12.37 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers394 claims394 services$89.06 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
15 suppliers388 claims1,090 services$35.54 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers268 claims1,495 services$19.00 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.

Radiology (Diagnostic Radiology)
1401 E STATE ST
ROCKFORD, IL 61104
Radiology (Diagnostic Radiology)
1401 E STATE ST
ROCKFORD, IL 61104
Radiology (Diagnostic Radiology)
1401 E STATE ST
ROCKFORD, IL 61104
Pediatrics (Neonatal-Perinatal Medicine)
1401 E STATE ST
ROCKFORD, IL 61104
Radiology (Diagnostic Radiology)
1401 E STATE ST
ROCKFORD, IL 61104
Radiology (Diagnostic Radiology)
1401 E STATE ST
ROCKFORD, IL 61104
Radiology (Diagnostic Radiology)
1401 E STATE ST
ROCKFORD, IL 61104
Radiology (Radiation Oncology)
1401 E STATE ST
ROCKFORD, IL 61104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285690958, enumerated as an "individual" on April 21, 2006.

The provider is located at 1401 E STATE ST ROCKFORD, IL 61104 and the phone number is (815) 315-6102.

Internal Medicine with taxonomy code 207RP1001X and a focus in Pulmonary Disease.

The provider might be accepting Accepts: Aspirus Health Plan, Quartz, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Mohamed Zeater is affiliated with: UW HEALTH.