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DR. JONATHAN D ZONCA MD
NPI 1396850277
Family Medicine in Denver, CO

Active since August 20, 2006Opted out of Medicare · through Jan 6, 2028
4500 E 9TH AVE, SUITE 320, DENVER, CO 80220(303) 322-0212(303) 322-0208 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jonathan D Zonca Md NPPES

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

DR. JONATHAN D ZONCA MD (NPI 1396850277) is an individual family medicine provider in Denver, Colorado, licensed in Colorado (38973) and active in the NPI registry since August 2006. He has opted out of Medicare through January 6, 2028 and remains eligible to order and refer and is a graduate of Michigan State University College Of Human Medicine (1999).

NPPES Registry Identity

NPI1396850277
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JONATHAN D ZONCACredential: MD
Location Address4500 E 9TH AVE, SUITE 320Denver, CO 80220-3911
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (303) 713-8016 · Fax (303) 763-5495
Phone(303) 322-0212
Fax(303) 322-0208
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1999
Enumeration DateAugust 20, 2006
Last NPPES UpdateNovember 18, 2024
NPPES CertifiedNovember 18, 2024
✔ NPI 1396850277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · 38973
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4500 E 9TH AVE, Denver, CO 80220
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Other Identifiers 1

Medicaid20103841CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jonathan D Zonca Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 6, 2026 through January 6, 2028.

Opt-Out Effective DateJanuary 6, 2026
Opt-Out In Effect ThroughJanuary 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 6

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 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.
68 services43 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.
25 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
13 services13 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
12 services12 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80220 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

MOLLY E GILPIN PA
Physician Assistant
4500 E 9TH AVE, SUITE 740
DENVER, CO 80220
Denver County (720) 941-1778
BRIDGET M WALSH MD
Obstetrics & Gynecology
4500 E 9TH AVE, SUITE 200
DENVER, CO 80220
Denver County (303) 399-0055
ERICA L LIESMAKI MD
Family Medicine
4500 E 9TH AVE, STE #320
DENVER, CO 80220
Denver County (303) 322-0212
DR. DONALD APTEKAR M.D.
Obstetrics & Gynecology
4500 E 9TH AVE, #700S
DENVER, CO 80220
Denver County (303) 399-3315
SARAH CARD HUMPHREYS M.D.
Pediatrics
4500 E 9TH AVE, STE 740
DENVER, CO 80220
Denver County (720) 941-1778
MRS. LAURA WOLFE M.D.
Internal Medicine (Gastroenterology)
4500 E 9TH AVE, SUITE 720S
DENVER, CO 80220
Denver County (303) 355-3525
MANDI PHILLIPS NP-C
Nurse Practitioner (Family)
4500 E 9TH AVE, #615
DENVER, CO 80220
Denver County (720) 475-8750
FRANCA SOFIA SAMOILOVICH MD
Internal Medicine
4500 E 9TH AVE
DENVER, CO 80220
Denver County (303) 394-9355

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 Jonathan Zonca's NPI number?

The NPI number for Jonathan Zonca is 1396850277. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Jonathan Zonca located?

Jonathan Zonca practices at 4500 E 9th Ave Suite 320, Denver, CO 80220. The listed phone number is (303) 322-0212.

What is Jonathan Zonca's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jonathan Zonca enrolled in Medicare?

No. Jonathan Zonca has opted out of Medicare through January 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jonathan Zonca accept?

Health plans from UnitedHealthcare list Jonathan Zonca 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.

When was this NPI record last updated?

The NPPES record for Jonathan Zonca was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.