ZANE A DARNELL MD
NPI 1356330732
Internal Medicine - Cardiovascular Disease in Ashland, KY

Q: What is Zane Darnell's NPI number?

The NPI number for Zane Darnell is 1356330732. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Q: What is Zane Darnell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Zane Darnell was last updated on March 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment

82.94/100

CMS Quality Rating

613 23RD ST, STE 230, ASHLAND, KY 41101(606) 324-4745(606) 324-4941 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Zane A Darnell Md NPPES

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

ZANE A DARNELL MD (NPI 1356330732) is an individual cardiovascular disease provider in Ashland, Kentucky, licensed in Kentucky (36725) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1356330732

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameZANE A DARNELLCredential: MD

Location Address613 23RD ST, STE 230Ashland, KY 41101-2876

Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 324-4745 · Fax (606) 324-4941

Phone(606) 324-4745

Fax(606) 324-4941

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1995

Enumeration DateOctober 18, 2005

Last NPPES UpdateMarch 3, 2022

NPPES CertifiedMarch 3, 2022

✔ NPI 1356330732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in KY · 36725

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

613 23RD ST, Ashland, KY 41101

Open in Google Maps ↗

Secondary Practice Location 1

Location 11729 Kinneys Ln Ste 202Portsmouth, OH 45662-3167 · Phone (740) 353-8100 · Fax (740) 353-8908

Other Identifiers 5

Medicaid2268111OH

Other000000196732KY · Anthem Bcbs

Medicaid64037245KY

Other001723552WV · Mt State Bcbs

Medicaid0082178000WV

Accepted Insurance

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

Zane A Darnell 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 ID2567554330

PECOS Enrollment IDI20070824000078, I20081204000368

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 30

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,825 services1,356 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.

1,144 services723 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

709 services225 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

574 services562 patients

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.

319 services288 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

271 services271 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

235 services163 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

228 services228 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

185 services160 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

116 services107 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

106 services105 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

81 services79 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

80 services80 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

74 services71 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

73 services73 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

60 services55 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

57 services56 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.

55 services55 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

53 services47 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

53 services52 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

42 services42 patients

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional 93272

An Electrocardiogram (ECG) is a test that records the electrical activity of your heart. For up to 30 days, a device will continuously monitor your heart's rhythm, noting any symptoms. The data is sent to a healthcare professional who reviews it and provides a report on your heart health.

35 services35 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

32 services29 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

23 services23 patients

Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist 93459

This procedure involves placing a tube into your left lower heart chamber, coronary artery, and bypass graft. It's done for diagnostic purposes and is carefully reviewed by a radiologist. This helps determine the health of your heart and arteries, aiding in future treatment plans.

23 services23 patients

Heart muscle strain imaging 93356

16 services16 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

13 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

13 services13 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.

13 services13 patients

Evaluation of heart function using tilt table 93660

A tilt table test evaluates how your heart and blood pressure respond to gravity and position changes. While lying flat, you'll be tilted at different angles. This helps determine if you have a condition causing faintness or lightheadedness.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180009

Location2201 Lexington AvenueAshland, KY 41101 · Boyd County

Emergency services

Three Rivers Medical Center

Acute Care Hospitals · Louisa, KY

3/5 CMS rating

OwnershipProprietary

CMS Certification Number180128

Location2485 Highway 644Louisa, KY 41230 · Lawrence County

Emergency services

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360008

Location1805 27th StreetPortsmouth, OH 45662 · Scioto County

Emergency services Birthing friendly

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number360361

Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County

Emergency services

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510007

Location2900 1st AvenueHuntington, WV 25702 · Cabell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

82.94/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.01

Promoting Interoperability

100

Improvement Activities

Cost

65.57

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606

DME-Other DME · category DE013N

1 supplier40 claims40 services$2,139.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

CUMBERLAND CARDIOLOGY PSC

Internal Medicine (Cardiovascular Disease)

613 23RD ST, STE 230
ASHLAND, KY 41101

Boyd County (606) 324-4745

KENTUCKY HEART INSTITUTE

Internal Medicine (Cardiovascular Disease)

613 23RD ST, SUITE G-10
ASHLAND, KY 41101

Boyd County (606) 329-1997

MS. DIANA SUE KING ARNP

Nurse Practitioner (Family)

613 23RD ST, SUITE 230
ASHLAND, KY 41101

Boyd County (606) 408-3712

MARDINI & ASSOCIATES MD, PSC

Internal Medicine (Gastroenterology)

613 23RD ST, SUITE 120
ASHLAND, KY 41101

Boyd County (859) 684-6964

KENTUCKY HEART INSTITUTE INC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

613 23RD ST, SUITE 210
ASHLAND, KY 41101

Boyd County (606) 326-9847

DR. ERIC H BRONSTEIN M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

613 23RD ST, SUITE 210
ASHLAND, KY 41101

Boyd County (606) 326-9847

RODERICK J. TOMPKINS JR. M.D.

Surgery

613 23RD ST, SUITE 440
ASHLAND, KY 41101

Boyd County (606) 329-2888

KENTUCKY HEART INSTITUTE

Surgery (Vascular Surgery)

613 23RD ST, SUITE 140
ASHLAND, KY 41101

Boyd County (606) 326-1675

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 Zane Darnell's NPI number?

The NPI number for Zane Darnell is 1356330732. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Zane Darnell located?

Zane Darnell practices at 613 23rd St Ste 230, Ashland, KY 41101. The listed phone number is (606) 324-4745.

What is Zane Darnell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Zane Darnell enrolled in Medicare?

Yes. Zane Darnell 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 Zane Darnell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and Ambetter of Tennessee and 2 other insurers list Zane Darnell 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 Zane Darnell affiliated with any hospitals?

According to CMS data, Zane Darnell is affiliated with King's Daughters' Medical Center, Three Rivers Medical Center, Southern Ohio Medical Center, Kings Daughters Medical Center Ohio and St Mary's Medical Center.

When was this NPI record last updated?

The NPPES record for Zane Darnell was last updated on March 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.