DR. THOMAS MARK ZABIEGA MD
NPI 1386755916
Psychiatry & Neurology - Neurology in Palos Heights, IL
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 maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 5
Other Identifiers 3
Accepted 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
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.
Medicare Billing Reassignments
11Medicare enrollment records show Thomas Zabiega reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mishawaka, IN 46544
- Reassigned Medicare billing, Indiana enrollment
- 1,396 clinicians in this Medicare group
Decatur, IL 62526
- Reassigned Medicare billing, Illinois enrollment
- 166 clinicians in this Medicare group
Mattoon, IL 61938
- Reassigned Medicare billing, Illinois enrollment
- 652 clinicians in this Medicare group
Bloomington, IN 47408
- Reassigned Medicare billing, Indiana enrollment
- 783 clinicians in this Medicare group
Nevada, MO 64772
- Reassigned Medicare billing, Missouri enrollment
- 115 clinicians in this Medicare group
State College, PA 16803
- Reassigned Medicare billing, Pennsylvania enrollment
- 393 clinicians in this Medicare group
Carlisle, PA 17013
- Reassigned Medicare billing, Pennsylvania enrollment
- 994 clinicians in this Medicare group
Reading, PA 19605
- Reassigned Medicare billing, Pennsylvania enrollment
- 251 clinicians in this Medicare group
Boca Raton, FL 33431
- Reassigned Medicare billing, Indiana enrollment
- 50 clinicians in this Medicare group
Boca Raton, FL 33431
- Reassigned Medicare billing, Alaska, Florida and Missouri enrollments
- 8 clinicians in this Medicare group
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 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.
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, ILCox Medical Centers
Acute Care Hospitals · Springfield, MONevada Regional Medical Center
Acute Care Hospitals · Nevada, MOPhysician 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.
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.
PALOS HEIGHTS, IL 60463
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.
Which organizations bill Medicare for Thomas Zabiega's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Zabiega reassigns Medicare benefits to 11 organizations: Franciscan Physician Network (Mishawaka, IN), Decatur Memorial Hospital (Decatur, IL), Sarah Bush Lincoln Health Center (Mattoon, IL), Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN), Nevada City Hospital (Nevada, MO) and 6 more organizations, listed in the Medicare section above. Each 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 Thomas Zabiega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Zabiega accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, CareSource, CommunityCare 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 23 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.
# Dr. Thomas Mark Zabiega, MD · NPI 1386755916
Neurology physician in Palos Heights, Illinois. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1386755916 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 01059016A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 12251 S 80TH AVE, Palos Heights, IL 60463
- **Phone:** (708) 923-5869 · **Fax:** (708) 923-5859
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Franciscan Physician Network (NPI 1366879009, Mishawaka, IN); Decatur Memorial Hospital (NPI 1164477725, Decatur, IL); Sarah Bush Lincoln Health Center (NPI 1568581379, Mattoon, IL); Indiana University Health Southern Indiana Physicians, LLC (NPI 1013953983, Bloomington, IN); Nevada City Hospital (NPI 1164754859, Nevada, MO); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** October 31, 2024
- **Other identifiers:** Medicaid 201279230 (IN); Medicaid 036106124 (IL); Medicaid 155553 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1386755916) · Data from the CMS NPPES public registry.