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CHEN ZHAO MD PHD
NPI 1316263213
Pathology - Anatomic Pathology in Cleveland, OH

Active since April 16, 2010PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
10701 EAST BLVD, DEPARTMENT OF PATHOLOGY, CLEVELAND, OH 44106(216) 791-3800(216) 231-3489 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chen Zhao Md Phd NPPES

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

CHEN ZHAO MD PHD (NPI 1316263213) is an individual anatomic pathology provider in Cleveland, Ohio, licensed in Iowa (MD-41928) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1316263213
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameCHEN ZHAOCredential: MD PHD
Location Address10701 EAST BLVD, DEPARTMENT OF PATHOLOGYCleveland, OH 44106
Mailing Address10701 East Blvd., Department Of PathologyCleveland, OH 44106 · (216) 791-3800 · Fax (162) 313-4892
Phone(216) 791-3800
Fax(216) 231-3489
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateApril 16, 2010
Last NPPES UpdateOctober 30, 2023
NPPES CertifiedOctober 27, 2023
✔ NPI 1316263213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
Licenses✔ Licensed in IA · MD-41928✔ Licensed in PA · MD449090
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
10701 EAST BLVD, Cleveland, OH 44106
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.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

Chen Zhao Md Phd 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 ID7214154210
PECOS Enrollment IDI20200812003586
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 7

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
273 services43 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
59 services36 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
46 services42 patients
Flow cytometry technique for dna or cell analysis, 16 or more markers 88189
Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
39 services34 patients
Genetic sequencing localization, initial procedure 88365
Genetic sequencing localization is a process to identify where specific genes are located in your DNA. During the initial procedure, a sample of your cells is collected, usually through a simple swab or blood test. This data is then analyzed to pinpoint the location of certain genes. This can help understand your genetic makeup and potential health risks.
37 services20 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
30 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360123
Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

MRS. RACHEL MICHELLE HERNANDEZ R.N.
Registered Nurse
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
MATTHEW BENICK
Recreation Therapist
10701 EAST BLVD, 5M-690E EUL
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
RONALD LEE DENNEY JR. CNP
Nurse Practitioner (Primary Care)
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
ANTHONY ROSSO MBA, RRT
Respiratory Therapist, Registered
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
SARA ELIZABETH LYNCH RN
Registered Nurse (Emergency)
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
ZOE ROBERS
Student in an Organized Health Care Education/Training Program
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800
DR. SUSAN KIRSH MD
Internal Medicine
10701 EAST BLVD
CLEVELAND, OH 44106
Cuyahoga County (216) 701-0519
DEBORAH KELLER-CATANIA NP
Nurse Practitioner (Adult Health)
10701 EAST BLVD, (W)111
CLEVELAND, OH 44106
Cuyahoga County (216) 791-3800

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 Chen Zhao's NPI number?

The NPI number for Chen Zhao is 1316263213. It was assigned to this individual provider in the NPPES registry on April 16, 2010.

Where is Chen Zhao located?

Chen Zhao practices at 10701 East Blvd Department Of Pathology, Cleveland, OH 44106. The listed phone number is (216) 791-3800.

What is Chen Zhao's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Chen Zhao enrolled in Medicare?

Yes. Chen Zhao 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 Chen Zhao accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Chen Zhao 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 Chen Zhao affiliated with any hospitals?

According to CMS data, Chen Zhao is affiliated with Parma Community General Hospital, Uh Regional Hospitals, Lake Health, Uh St John Medical Center and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Chen Zhao 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.