JOHN E ZVIJAC MD
NPI 1316913163
Orthopaedic Surgery in Coral Gables, FL

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
71.98/100
CMS Quality Rating
1150 CAMPO SANO AVE, CORAL GABLES, FL 33146(786) 268-6200(786) 533-9978 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2022, Apr 14, 2021 (2 updates tracked since 2021).

About John E Zvijac Md NPPES

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

JOHN E ZVIJAC MD (NPI 1316913163) is an individual orthopaedic surgery provider in Coral Gables, Florida, licensed in Florida (ME0055439) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of State University Of New York At Buffalo School Of Medicine (1986).

NPPES Registry Identity

NPI1316913163
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN E ZVIJACCredential: MD
Location Address1150 CAMPO SANO AVECoral Gables, FL 33146-1174
Mailing AddressPo Box 100905Atlanta, GA 30384-0905 · (786) 268-6200 · Fax (786) 533-9978
Fax(786) 533-9978
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1986
Enumeration DateFebruary 23, 2006
Last NPPES UpdateFebruary 2, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2022
NPI 1316913163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in FL · ME0055439
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1150 CAMPO SANO AVE, Coral Gables, FL 33146

Other Identifiers 2

Other225845FL · Avmed
Other14988FL · Blue Cross Blue Shield

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

John E Zvijac 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 ID7214940840
PECOS Enrollment IDI20080612000184
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 10

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.
134 services87 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
131 services91 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.
31 services28 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
30 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
18 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Coral Gables, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100296
Location5000 University DrCoral Gables, FL 33146 · Miami-Dade County
Emergency services

Mariners Hospital

Critical Access Hospitals · Tavernier, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101313
Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33146 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

71.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.9
Promoting Interoperability99
Improvement Activities40
Cost46.55

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.77 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 supplier12 claims12 services$78.83 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.

Orthopaedic Surgery
1150 CAMPO SANO AVE
CORAL GABLES, FL 33146
Specialist/Technologist (Athletic Trainer)
1150 CAMPO SANO AVE, SUITE 200
CORAL GABLES, FL 33146
Specialist/Technologist (Athletic Trainer)
1150 CAMPO SANO AVE
CORAL GABLES, FL 33146
Physician Assistant
1150 CAMPO SANO AVE
CORAL GABLES, FL 33146
Physician Assistant
1150 CAMPO SANO AVE
CORAL GABLES, FL 33146
Nurse Practitioner (Family)
1150 CAMPO SANO AVE
CORAL GABLES, FL 33146
Specialist/Technologist (Athletic Trainer)
1150 CAMPO SANO AVE
CORAL GABLES, FL 33146
Internal Medicine (Geriatric Medicine)
1150 CAMPO SANO AVE, SUITE 410
CORAL GABLES, FL 33146

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 John Zvijac's NPI number?

The NPI number for John Zvijac is 1316913163. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is John Zvijac located?

John Zvijac practices at 1150 Campo Sano Ave, Coral Gables, FL 33146. The listed phone number is (786) 268-6200.

What is John Zvijac's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Zvijac enrolled in Medicare?

Yes. John Zvijac 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 John Zvijac accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list John Zvijac 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 John Zvijac affiliated with any hospitals?

According to CMS data, John Zvijac is affiliated with Baptist Hospital Of Miami, South Miami Hospital, Doctors Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for John Zvijac was last updated on February 2, 2022. 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.