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THOMAS ALAN ZUMBAUGH DPM
NPI 1427582923
Podiatrist - Foot & Ankle Surgery in Orange, CT

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
7.5/100
CMS Quality Rating
235 BOSTON POST RD, ORANGE, CT 06477(203) 795-4784(203) 799-1179 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2026, Feb 8, 2023, Jun 10, 2021 and 1 more (4 updates tracked since 2017).

About Thomas Alan Zumbaugh Dpm NPPES

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

THOMAS ALAN ZUMBAUGH DPM (NPI 1427582923) is an individual foot & ankle surgery provider in Orange, Connecticut, licensed in Connecticut (1201) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Indianapolis, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1427582923
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameTHOMAS ALAN ZUMBAUGHCredential: DPM
Location Address235 BOSTON POST RDOrange, CT 06477-3229
Mailing Address2 Barnes Industrial Rd SWallingford, CT 06492-2486 · (203) 626-0160 · Fax (203) 294-6734
Phone(203) 795-4784
Fax(203) 799-1179
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2017
Enumeration DateApril 12, 2017
Last NPPES UpdateAugust 3, 20264 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1427582923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in CT · 1201✔ Licensed in IN · 07001409A
235 BOSTON POST RD, Orange, CT 06477
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11800 Post Rd EWestport, CT 06880-5607 · Phone (203) 254-1354 · Fax (203) 672-0840
Location 21262 Post RdFairfield, CT 06824-6010 · Phone (203) 254-1354 · Fax (203) 672-0840
Location 3888 White Plains Rd Ste 105&106Trumbull, CT 06611-4552 · Phone (203) 268-2882 · Fax (203) 452-3099
Location 4330 Bridgeport AveShelton, CT 06484-3861 · Phone (203) 538-0020 · Fax (203) 538-0023
Location 51055 Post Rd Ste 4Fairfield, CT 06824-6019 · Phone (203) 254-1055 · Fax (203) 601-8599

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Thomas Alan Zumbaugh Dpm 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 ID8729493606
PECOS Enrollment IDI20230209002340
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Zumbaugh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Connecticut Orthopaedic Specialists, PC
0.5 mi
Orthopaedic Surgery
330 BOSTON POST RD
Orange, CT 06477
  • Reassigned Medicare billing, Connecticut enrollment
  • 146 clinicians in this Medicare group
NPI 1992909915 (203) 795-4784
Indy Wound Center For Limb Preservation & Reconstruction LLC
698 mi
Foot & Ankle Surgery
8325 S EMERSON AVE STE B1
Indianapolis, IN 46237
  • Reassigned Medicare billing, Indiana enrollment
  • 3 clinicians in this Medicare group
NPI 1326763491 (317) 742-6575

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 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.

Membrane graft or membrane wrap, per square centimeter Q4205
A membrane graft or wrap is a surgical procedure where a special material is used to replace or support damaged tissue. This material, measured per square centimeter, acts like a scaffold, helping your body to regenerate healthy tissue in the affected area.
2,078 services14 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
121 services20 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
119 services22 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.
78 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.
43 services18 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.
24 services22 patients

Hospital Affiliations CMS Care Compare

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

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

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.

7.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability0
Improvement Activities20

Other Providers at the Same Location NPPES 10

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

JACK THOMAS POST PT, DPT
Physical Therapist
235 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 799-8370
NICOLE ROSE VICTOR DPT
Physical Therapist
235 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 799-8370
CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC
Orthopaedic Surgery
235 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 795-4784
JENNA A ZABANEH OTR/L
Occupational Therapist
235 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 799-8370
MICHAEL L. CASINELLI DPT
Physical Therapist
235 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 799-8370
ALEXANDER D. STANTON MD
Physical Medicine & Rehabilitation
235 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 795-4784
WILLIAM J DEGRAZIA MSPT
Physical Therapist
235 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 799-8370
CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC
Physical Therapist
235 BOSTON POST RD
ORANGE, CT 06477
South Central Connecticut Planning Region (203) 799-8370

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 Zumbaugh's NPI number?

The NPI number for Thomas Zumbaugh is 1427582923. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Thomas Zumbaugh located?

Thomas Zumbaugh practices at 235 Boston Post Rd, Orange, CT 06477. The listed phone number is (203) 795-4784.

What is Thomas Zumbaugh's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Thomas Zumbaugh enrolled in Medicare?

Yes. Thomas Zumbaugh 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 Zumbaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Zumbaugh reassigns Medicare benefits to 2 organizations: Connecticut Orthopaedic Specialists, PC (Orange, CT) and Indy Wound Center For Limb Preservation & Reconstruction LLC (Indianapolis, IN). 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 Zumbaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Zumbaugh accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Thomas Zumbaugh 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 Zumbaugh affiliated with any hospitals?

According to CMS data, Thomas Zumbaugh is affiliated with Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Thomas Zumbaugh was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.