DR. DAVID R ZEMAN MD
NPI 1447327036
Orthopaedic Surgery in Champaign, IL

NPI Status: Active since November 29, 2006

Contact Information

2300 S 1ST ST
CHAMPAIGN, IL
ZIP 61820
Phone: (217) 383-9400
Fax: (217) 383-9691

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  • Individual
  • Male
  • Orthopaedic Surgery
  • PECOS Enrolled
  • Medicare Quality Reporting

About DAVID ZEMAN

This page provides the complete NPI Profile along with additional information for David Zeman, a provider established in Champaign, Illinois with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1447327036 assigned on November 2006. The practitioner's primary taxonomy code is 207X00000X with license number 036064467 (IL). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1447327036
Provider Name
DR. DAVID R ZEMAN MD
Gender
Male
Entity Type
Individual
Location Address
2300 S 1ST ST CHAMPAIGN, IL 61820
Location Phone
(217) 383-9400
Location Fax
(217) 383-9691
Mailing Address
611 W PARK ST BWPC URBANA, IL 61801
Mailing Phone
(217) 383-6792
Is Sole Proprietor?
No
Enumeration Date
11-29-2006
Last Update Date
03-20-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
036064467
License State
IL
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

24837-020 (WI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
30456100MEDICAID (05)WI 
P00364661MEDICARE PIN (08)WI 
60649OTHER (01)WIDEAN HEALTH INSURANCE
B57827MEDICARE UPIN (02) 
034A74150MEDICARE PIN (08)WI 

Medicare Participation & PECOS Enrollment Status

David Zeman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 113 times for 84 patients

Established patient office or other outpatient visit, 10-19 minutes

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

This service was performed 59 times for 55 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 56 times for 54 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

This service was performed 178 times for 14 patients

New patient office or other outpatient visit, 15-29 minutes

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

This service was performed 59 times for 59 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 61820 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.71
  • Minimum New Patient Price $54.8
  • Maximum New Patient Price $168.44
  • Average New Patient Copayment $21.42
  • Minimum New Patient Copayment $13.7
  • Maximum New Patient Copayment $42.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.64
  • Minimum Established Patient Price $17.16
  • Maximum Established Patient Price $136.56
  • Average Established Patient Copayment $17.16
  • Minimum Established Patient Copayment $4.29
  • Maximum Established Patient Copayment $34.14

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

Reviews for DR. DAVID R ZEMAN MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1447327036, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 8 + 7 + 6 + 2 + 1 + 4 + 0 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1447327036.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
2300 S 1ST ST
CHAMPAIGN, IL 61820
Physical Therapist
2300 S 1ST ST
CHAMPAIGN, IL 61820
Physical Therapist
2300 S 1ST ST
CHAMPAIGN, IL 61820
Physical Therapist
2300 S 1ST ST
CHAMPAIGN, IL 61820
Specialist/Technologist (Athletic Trainer)
2300 S 1ST ST
CHAMPAIGN, IL 61820
Orthopaedic Surgery (Sports Medicine)
2300 S 1ST ST
CHAMPAIGN, IL 61820
Podiatrist (Foot & Ankle Surgery)
2300 S 1ST ST
CHAMPAIGN, IL 61820
Occupational Therapist
2300 S 1ST ST
CHAMPAIGN, IL 61820
Orthopaedic Surgery (Hand Surgery)
2300 S 1ST ST
CHAMPAIGN, IL 61820
Specialist/Technologist (Athletic Trainer)
2300 S 1ST ST
CHAMPAIGN, IL 61820
Physician Assistant
2300 S 1ST ST
CHAMPAIGN, IL 61820
Specialist/Technologist (Athletic Trainer)
2300 S 1ST ST
CHAMPAIGN, IL 61820
Specialist/Technologist (Athletic Trainer)
2300 S 1ST ST
CHAMPAIGN, IL 61820
Specialist/Technologist (Athletic Trainer)
2300 S 1ST ST
CHAMPAIGN, IL 61820
Specialist/Technologist (Athletic Trainer)
2300 S 1ST ST
CHAMPAIGN, IL 61820
Specialist/Technologist (Athletic Trainer)
2300 S 1ST ST
CHAMPAIGN, IL 61820
Physical Therapist
2300 S 1ST ST
CHAMPAIGN, IL 61820
Podiatrist (Foot & Ankle Surgery)
2300 S 1ST ST
CHAMPAIGN, IL 61820
Orthopaedic Surgery
2300 S 1ST ST
CHAMPAIGN, IL 61820
Podiatrist (Foot & Ankle Surgery)
2300 S 1ST ST
CHAMPAIGN, IL 61820

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447327036, enumerated as an "individual" on November 29, 2006.

The provider is located at 2300 S 1ST ST CHAMPAIGN, IL 61820 and the phone number is (217) 383-9400.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.