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DR. ZONGXIAN CAO M.D., PH.D.
NPI 1407171184
Pathology - Anatomic Pathology & Clinical Pathology in Wilkes Barre, PA

Active since April 06, 2010PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
1000 EAST MOUNTAIN BLVD, WILKES BARRE, PA 18711(570) 808-7830(570) 808-6039 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 3, 2021, Nov 15, 2018 (2 updates tracked since 2018).

About Dr. Zongxian Cao M.d., Ph.d. NPPES

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

DR. ZONGXIAN CAO M.D., PH.D. (NPI 1407171184) is an individual anatomic pathology & clinical pathology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD463788) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and maintains a secondary practice location in Hackensack.

NPPES Registry Identity

NPI1407171184
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. ZONGXIAN CAOCredential: M.D., PH.D.
Location Address1000 EAST MOUNTAIN BLVDWilkes Barre, PA 18711-0027
Mailing Address100 North Academy AveDanville, PA 17822-9800 · (570) 271-6144
Phone(570) 808-7830
Fax(570) 808-6039
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateApril 6, 2010
Last NPPES UpdateMarch 11, 20242 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
✔ NPI 1407171184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in PA · MD463788✔ Licensed in NJ · 25MA10534900
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X · License P10059 (NY)
1000 EAST MOUNTAIN BLVD, Wilkes Barre, PA 18711
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Secondary Practice Location 1

Location 130 Prospect AveHackensack, NJ 07601-1915 · Phone (551) 996-4890

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Zongxian Cao M.d., Ph.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 ID2264776756
PECOS Enrollment IDI20240307000350
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 8

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,139 services548 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
282 services46 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
160 services152 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
125 services33 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
67 services53 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
56 services54 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger-Bloomsburg Hospital

Acute Care Hospitals · Bloomsburg, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390003
Location549 East Fair StreetBloomsburg, PA 17815 · Columbia County
Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390048
Location400 Highland AvenueLewistown, PA 17044 · Mifflin County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.8
Improvement Activities40

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.

PASSANG DOLMA M.D.
Hospitalist
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7399
HEATHER CATHERINE PUGLIESE LCSW
Social Worker (Clinical)
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7908
KOUSHIK PAUL
Student in an Organized Health Care Education/Training Program
1000 EAST MOUNTAIN BLVD
WILKES-BARRE, PA 18711
Luzerne County (570) 808-3746
DR. MICHAEL TRAKAS M.D.
Anesthesiology
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-7850
THAIS PRATA MIRANDA
Student in an Organized Health Care Education/Training Program
1000 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18711
Luzerne County (570) 808-5967
DARIUSZ PIOTR BULCZAK MD
Radiology (Diagnostic Radiology)
1000 EAST MOUNTAIN BLVD
WILKES-BARRE, PA 18711
Luzerne County (570) 808-7779
DR. NATHAN MARK OLSON DO
Student in an Organized Health Care Education/Training Program
1000 EAST MOUNTAIN BLVD, ATT:GME-VALLY MEDICAL BUILDING
WILKES BARRE, PA 18711
Luzerne County (570) 808-7300
DR. BOGDAN PROTYNIAK MD, FACS, FASCRS
Colon & Rectal Surgery
1000 EAST MOUNTAIN BLVD, MC: 37-62
WILKES-BARRE, PA 18711
Luzerne County (570) 808-2340

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 Zongxian Cao's NPI number?

The NPI number for Zongxian Cao is 1407171184. It was assigned to this individual provider in the NPPES registry on April 6, 2010.

Where is Zongxian Cao located?

Zongxian Cao practices at 1000 East Mountain Blvd, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7830.

What is Zongxian Cao's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Zongxian Cao enrolled in Medicare?

Yes. Zongxian Cao 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.

Is Zongxian Cao affiliated with any hospitals?

According to CMS data, Zongxian Cao is affiliated with Geisinger-Community Medical Center, Geisinger-Bloomsburg Hospital, Geisinger Medical Center, Geisinger-Lewistown Hospital and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Zongxian Cao was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.