THOMAS CARL ZIOLKOWSKI D.O.
NPI 1295975068
Surgery in Greenville, MI

Active since March 05, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
707 S GREENVILLE WEST DR, GREENVILLE, MI 48838(616) 754-3001 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 23, 2021, Mar 1, 2018 (2 updates tracked since 2018).

About Thomas Carl Ziolkowski D.o. NPPES

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

THOMAS CARL ZIOLKOWSKI D.O. (NPI 1295975068) is an individual surgery provider in Greenville, Michigan, licensed in Michigan (5101021507) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1295975068
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTHOMAS CARL ZIOLKOWSKICredential: D.O.
Location Address707 S GREENVILLE WEST DRGreenville, MI 48838-2102
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2006
Enumeration DateMarch 5, 2009
Last NPPES UpdateFebruary 23, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
NPI 1295975068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 5101021507
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.

707 S GREENVILLE WEST DR, Greenville, MI 48838

Secondary Practice Location 1

Location 1421 S Baldwin StGreenville, MI 48838-2102 · Phone (616) 225-8667

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

Thomas Carl Ziolkowski 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 ID3577706837
PECOS Enrollment IDI20150528001311
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 2

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.

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
16 services16 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48838 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
Internal Medicine
707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
Orthopaedic Surgery
707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
Durable Medical Equipment & Medical Supplies
707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
Surgery
707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
Internal Medicine
707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
Internal Medicine
707 S GREENVILLE WEST DR
GREENVILLE, MI 48838
Social Worker (Clinical)
707 S GREENVILLE WEST DR
GREENVILLE, MI 48838

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 Thomas Ziolkowski's NPI number?

The NPI number for Thomas Ziolkowski is 1295975068. It was assigned to this individual provider in the NPPES registry on March 5, 2009.

Where is Thomas Ziolkowski located?

Thomas Ziolkowski practices at 707 S Greenville West Dr, Greenville, MI 48838. The listed phone number is (616) 754-3001.

What is Thomas Ziolkowski's specialty?

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

Is Thomas Ziolkowski enrolled in Medicare?

Yes. Thomas Ziolkowski 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 Thomas Ziolkowski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Thomas Ziolkowski 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 Thomas Ziolkowski affiliated with any hospitals?

According to CMS data, Thomas Ziolkowski is affiliated with Spectrum Health United Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Ziolkowski was last updated on February 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.