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RALPH G. ZINNER M.D.
NPI 1326132457
Internal Medicine - Medical Oncology in Lexington, KY

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
HEAD, NECK AND RESPIRATORY CLINIC, 800 ROSE STREET, 2ND FLOOR, LEXINGTON, KY 40536(859) 257-4488 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 7, 2020, Dec 17, 2019, Mar 31, 2016 and 1 more (4 updates tracked since 2015).

About Ralph G. Zinner M.d. NPPES

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

RALPH G. ZINNER M.D. (NPI 1326132457) is an individual medical oncology provider in Lexington, Kentucky, licensed in Kentucky (TP846) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1326132457
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameRALPH G. ZINNERCredential: M.D.
Location AddressHEAD, NECK AND RESPIRATORY CLINIC, 800 ROSE STREET, 2ND FLOORLexington, KY 40536-0293
Mailing Address800 Rose StLexington, KY 40536-7001
Phone(859) 257-4488
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 7, 20204 updates tracked since enumeration
✔ NPI 1326132457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in KY · TP846
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
HEAD, NECK AND RESPIRATORY CLINIC, Lexington, KY 40536
Open in Google Maps ↗

Other Identifiers 5

Medicaid0486337NJ
Medicaid103069127 0001PA
Medicaid37439901TX
Other84690XTX · Bcbs
Other900002762TX · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ralph G. Zinner 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 ID3274727383
PECOS Enrollment IDI20200110002557
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.

Medicare Billing Reassignment

Medicare enrollment records show Ralph Zinner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentucky Medical Services Foundation, Inc
3.5 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
209 services57 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.
82 services43 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
24 services24 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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

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 Ralph Zinner's NPI number?

The NPI number for Ralph Zinner is 1326132457. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Ralph Zinner located?

Ralph Zinner practices at Head, Neck And Respiratory Clinic 800 Rose Street, 2nd Floor, Lexington, KY 40536. The listed phone number is (859) 257-4488.

What is Ralph Zinner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Ralph Zinner enrolled in Medicare?

Yes. Ralph Zinner 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.

Which organization bills Medicare for Ralph Zinner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ralph Zinner reassigns Medicare benefits to Kentucky Medical Services Foundation, Inc (Lexington, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ralph Zinner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ralph Zinner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Ralph Zinner 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 Ralph Zinner affiliated with any hospitals?

According to CMS data, Ralph Zinner is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Ralph Zinner was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.