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DR. PIOTR ZASADNY DO
NPI 1427615277
Family Medicine in Chicago, IL

Active since May 28, 2019PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
5215 N CALIFORNIA AVE STE F603, CHICAGO, IL 60625(773) 878-3627(773) 878-0985 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2022, Aug 11, 2021, May 28, 2019 (3 updates tracked since 2019).

About Dr. Piotr Zasadny Do NPPES

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

DR. PIOTR ZASADNY DO (NPI 1427615277) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036160502) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1427615277
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PIOTR ZASADNYCredential: DO
Location Address5215 N CALIFORNIA AVE STE F603Chicago, IL 60625-8564
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 982-6715
Phone(773) 878-3627
Fax(773) 878-0985
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 28, 2019
Last NPPES UpdateJuly 13, 20223 updates tracked since enumeration
NPPES CertifiedJuly 13, 2022
✔ NPI 1427615277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036160502✔ Licensed in IL · 125073890
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.
5215 N CALIFORNIA AVE STE F603, Chicago, IL 60625
Open in Google Maps ↗

Other Identifiers 1

Other125073890IL · Idfpr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. Piotr Zasadny Do 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 ID6800278524
PECOS Enrollment IDI20220727003749
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.

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.
113 services82 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.
102 services74 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.
56 services56 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
28 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
20 services18 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.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

GRETCHEN ELIZABETH EIFERT LPC
Counselor (Mental Health)
5215 N CALIFORNIA AVE STE F603
CHICAGO, IL 60625
Cook County (847) 626-8843
CHANG HYUN LIM DO
Family Medicine
5215 N CALIFORNIA AVE STE F603
CHICAGO, IL 60625
Cook County (773) 878-3627
DR. LYNN VO
Family Medicine
5215 N CALIFORNIA AVE STE F603
CHICAGO, IL 60625
Cook County (773) 878-3627

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 Piotr Zasadny's NPI number?

The NPI number for Piotr Zasadny is 1427615277. It was assigned to this individual provider in the NPPES registry on May 28, 2019.

Where is Piotr Zasadny located?

Piotr Zasadny practices at 5215 N California Ave Ste F603, Chicago, IL 60625. The listed phone number is (773) 878-3627.

What is Piotr Zasadny's specialty?

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

Is Piotr Zasadny enrolled in Medicare?

Yes. Piotr Zasadny 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 Piotr Zasadny accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Piotr Zasadny 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 Piotr Zasadny affiliated with any hospitals?

According to CMS data, Piotr Zasadny is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Piotr Zasadny was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.