DR. THOMAS MARK ZABIEGA MD
NPI 1386755916
Psychiatry & Neurology - Neurology in Palos Heights, IL

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463(708) 923-5869(708) 923-5859 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2023, Mar 3, 2023, Oct 14, 2022 and 8 more (11 updates tracked since 2018).

About Dr. Thomas Mark Zabiega Md NPPES

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

DR. THOMAS MARK ZABIEGA MD (NPI 1386755916) is an individual neurology provider in Palos Heights, Illinois, licensed in Indiana (01059016A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1386755916
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. THOMAS MARK ZABIEGACredential: MD
Location Address12251 S 80TH AVEPalos Heights, IL 60463
Mailing Address12251 S 80th Ave Ste 1630Palos Heights, IL 60463-1256 · (708) 923-5173 · Fax (708) 923-5018
Fax(708) 923-5859
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 31, 202411 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
NPI 1386755916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in IN · 01059016A Licensed in IL · 36106124
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
12251 S 80TH AVE, Palos Heights, IL 60463

Other Identifiers 3

Medicaid201279230IN
Medicaid036106124IL
Medicaid155553AZ

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

Dr. Thomas Mark Zabiega 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 ID7719973601
PECOS Enrollment IDI20040424000405, I20220331000932
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.

Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
58 services58 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.
51 services50 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
28 services28 patients
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
25 services25 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.
23 services18 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Nevada Regional Medical Center

Acute Care Hospitals · Nevada, MO
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260061
Location800 S Ash StNevada, MO 64772 · Vernon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60463 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

Anesthesiology
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Nurse Anesthetist, Certified Registered
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Emergency Medicine
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Social Worker (Clinical)
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Anesthesiology
12251 S 80TH AVE, PALOS COMMUNITY HOSPITAL
PALOS HEIGHTS, IL 60463
Nurse Practitioner
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Hospitalist
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Physical Therapist
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463

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 Zabiega's NPI number?

The NPI number for Thomas Zabiega is 1386755916. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Thomas Zabiega located?

Thomas Zabiega practices at 12251 S 80th Ave, Palos Heights, IL 60463. The listed phone number is (708) 923-5869.

What is Thomas Zabiega's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Thomas Zabiega enrolled in Medicare?

Yes. Thomas Zabiega 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 Zabiega accept?

Health plans from CareSource, Cox HealthPlans and UnitedHealthcare list Thomas Zabiega 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 Zabiega affiliated with any hospitals?

According to CMS data, Thomas Zabiega is affiliated with Decatur Memorial Hospital, Cox Medical Centers and Nevada Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Zabiega was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.