DAVID L. ZIELINSKI MD
NPI 1407895790
Family Medicine in Destin, FL

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
94.06/100
CMS Quality Rating
36500 EMERALD COAST PKWY, DESTIN, FL 32541(850) 837-0032(850) 278-3826 Get Directions Write a Review

NPPES record last updated: November 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David L. Zielinski Md NPPES

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

DAVID L. ZIELINSKI MD (NPI 1407895790) is an individual family medicine provider in Destin, Florida, licensed in Florida (ME76054) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Rush Medical College Of Rush University (1995).

NPPES Registry Identity

NPI1407895790
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID L. ZIELINSKICredential: MD
Location Address36500 EMERALD COAST PKWYDestin, FL 32541-4713
Mailing AddressPo Box 2699Pensacola, FL 32513-2699 · (850) 837-0032 · Fax (850) 278-3826
Fax(850) 278-3826
Sole ProprietorYes
Medical School CMSRush Medical College Of Rush UniversityGraduated 1995
Enumeration DateJune 5, 2006
Last NPPES UpdateNovember 13, 2018
NPI 1407895790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME76054
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.
36500 EMERALD COAST PKWY, Destin, FL 32541

Other Identifiers 1

Medicaid254378800FL

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

David L. Zielinski 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 ID7416149869
PECOS Enrollment IDI20101004001485
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 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 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.
725 services430 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.
641 services330 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.
346 services346 patients
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.
21 services19 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.
19 services19 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

Hca Florida Twin Cities Hospital

Acute Care Hospitals · Niceville, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100054
Location2190 Hwy 85 NNiceville, FL 32578 · Okaloosa County
Emergency services

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32541 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

94.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.01
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
63%643 patients3/55-star benchmark: 93%
Cervical Cancer Screening
51%622 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
23%62 patients
Closing the Referral Loop: Receipt of Specialist Report
41%788 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
67%1,481 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
81%1,008 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
92%25 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
9%220 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%220 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%5,356 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
86%944 patients4/55-star benchmark: 100%
HIV Screening
9%1,534 patients1/55-star benchmark: 60%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
90%1,763 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%2,671 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 1,896 patients
Patients screened: 95% · 1,896 patients
91%221 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 5% · 873 patients
Patients totalRate: 20% · 997 patients
20%997 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 24

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers22 claims50 services$5.53 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers15 claims15 services$32.21 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers14 claims83 services$17.34 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers11 claims61 services$14.08 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers29 claims29 services$48.67 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers20 claims20 services$16.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Medical Specialty)
36500 EMERALD COAST PKWY
DESTIN, FL 32541
Anesthesiology
36500 EMERALD COAST PKWY
DESTIN, FL 32541
Internal Medicine
36500 EMERALD COAST PKWY
DESTIN, FL 32541
Family Medicine
36500 EMERALD COAST PKWY
DESTIN, FL 32541
Family Medicine
36500 EMERALD COAST PKWY
DESTIN, FL 32541
Physician Assistant
36500 EMERALD COAST PKWY
DESTIN, FL 32541
Marriage & Family Therapist
36500 EMERALD COAST PKWY
DESTIN, FL 32541
Family Medicine
36500 EMERALD COAST PKWY
DESTIN, FL 32541

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 David Zielinski's NPI number?

The NPI number for David Zielinski is 1407895790. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is David Zielinski located?

David Zielinski practices at 36500 Emerald Coast Pkwy, Destin, FL 32541. The listed phone number is (850) 837-0032.

What is David Zielinski's specialty?

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

Is David Zielinski enrolled in Medicare?

Yes. David Zielinski 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 David Zielinski accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list David Zielinski 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 David Zielinski affiliated with any hospitals?

According to CMS data, David Zielinski is affiliated with Sacred Heart Hospital, Ascension Sacred Heart Bay, Hca Florida Twin Cities Hospital and Sacred Heart Hospital On The Emerald Coast.

When was this NPI record last updated?

The NPPES record for David Zielinski was last updated on November 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.