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OMAR A ZWAIN M.D.
NPI 1477816890
Obstetrics & Gynecology in Winter Park, FL

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
100 N EDINBURGH DR STE 102, WINTER PARK, FL 32792(407) 303-4190(407) 303-4192 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2022, Nov 11, 2022, Jul 16, 2018 and 1 more (4 updates tracked since 2016).

About Omar A Zwain M.d. NPPES

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

OMAR A ZWAIN M.D. (NPI 1477816890) is an individual obstetrics & gynecology provider in Winter Park, Florida, licensed in Florida (ME159490) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477816890
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameOMAR A ZWAINCredential: M.D.
Location Address100 N EDINBURGH DR STE 102Winter Park, FL 32792-4125
Mailing Address22255 Greenfield Rd Ste 352Southfield, MI 48075-3712 · (248) 849-3401 · Fax (248) 849-4106
Phone(407) 303-4190
Fax(407) 303-4192
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 20, 2012
Last NPPES UpdateDecember 22, 20224 updates tracked since enumeration
NPPES CertifiedDecember 22, 2022
✔ NPI 1477816890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME159490✔ Licensed in MI · 4301101301
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 4301101301 (MI)
100 N EDINBURGH DR STE 102, Winter Park, FL 32792
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Secondary Practice Locations 2

Location 13990 John R StDetroit, MI 48201-2018 · Phone (313) 993-4030
Location 222255 Greenfield Rd Ste 352Southfield, MI 48075 · Phone (248) 849-3401 · Fax (248) 849-4106

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Omar A Zwain M.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 ID4880992890
PECOS Enrollment IDI20230104002482
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 3

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 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.
12 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32792 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
86%35 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
51%182 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
90%182 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
32%182 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
52%182 patients
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.

Other Providers at the Same Location NPPES 4

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

DEISY RAMIREZ AGUILAR PA-C
Physician Assistant
100 N EDINBURGH DR STE 102
WINTER PARK, FL 32792
Orange County (407) 845-8366
QUYEN NGOC NGUYEN MSN APRN
Nurse Practitioner (Family)
100 N EDINBURGH DR STE 102
WINTER PARK, FL 32792
Orange County (407) 646-7015
MS. KIMBERLY KAY NELSON APRN
Nurse Practitioner (Family)
100 N EDINBURGH DR STE 102
WINTER PARK, FL 32792
Orange County (407) 845-8366
MRS. DIANE ELIZABETH MANCINI ARNP
Nurse Practitioner (Family)
100 N EDINBURGH DR STE 102
WINTER PARK, FL 32792
Orange County (407) 303-4190

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 Omar Zwain's NPI number?

The NPI number for Omar Zwain is 1477816890. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Omar Zwain located?

Omar Zwain practices at 100 N Edinburgh Dr Ste 102, Winter Park, FL 32792. The listed phone number is (407) 303-4190.

What is Omar Zwain's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Omar Zwain enrolled in Medicare?

Yes. Omar Zwain 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 Omar Zwain accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and McLaren Health Plan Community and 3 other insurers list Omar Zwain 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 Omar Zwain affiliated with any hospitals?

According to CMS data, Omar Zwain is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Omar Zwain was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.