RIZWAN ZAFAR MBBS
NPI 1497231591
Hospitalist in Camp Hill, PA

Active since July 12, 2018PECOS EnrolledAccepts Medicare Assignment
71.17/100
CMS Quality Rating
503 N 21ST ST, CAMP HILL, PA 17011(717) 972-4448(717) 972-7366 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2022, Jul 12, 2018 (2 updates tracked since 2018).

About Rizwan Zafar Mbbs NPPES

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

RIZWAN ZAFAR MBBS (NPI 1497231591) is an individual hospitalist provider in Camp Hill, Pennsylvania, licensed in Pennsylvania (MD474467) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1497231591
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRIZWAN ZAFARCredential: MBBS
Location Address503 N 21ST STCamp Hill, PA 17011-2204
Mailing Address503 N 21st StCamp Hill, PA 17011-2204 · (717) 972-4448 · Fax (717) 972-7366
Fax(717) 972-7366
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 12, 2018
Last NPPES UpdateOctober 4, 20222 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
NPI 1497231591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in PA · MD474467
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
503 N 21ST ST, Camp Hill, PA 17011

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

Rizwan Zafar Mbbs 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 ID7618215328
PECOS Enrollment IDI20210803000852
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 5

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.

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.
230 services108 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
209 services116 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
139 services134 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
54 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Penn State Health Hampden Medical Center

Acute Care Hospitals · Enola, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390336
Location2200 Good Hope RoadEnola, PA 17025 · Cumberland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17011 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

71.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.05
Promoting Interoperability99
Improvement Activities40
Cost58.7

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers16 claims16 services$17.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers11 claims11 services$90.28 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 20

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

Emergency Medicine
503 N 21ST ST
CAMP HILL, PA 17011
Psychologist
503 N 21ST ST
CAMP HILL, PA 17011
Emergency Medicine
503 N 21ST ST
CAMP HILL, PA 17011
Internal Medicine
503 N 21ST ST
CAMP HILL, PA 17011
Internal Medicine
503 N 21ST ST
CAMP HILL, PA 17011
Nurse Anesthetist, Certified Registered
503 N 21ST ST
CAMP HILL, PA 17011
Psychiatry & Neurology (Child & Adolescent Psychiatry)
503 N 21ST ST
CAMP HILL, PA 17011
Radiology (Diagnostic Radiology)
503 N 21ST ST
CAMP HILL, PA 17011

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 Rizwan Zafar's NPI number?

The NPI number for Rizwan Zafar is 1497231591. It was assigned to this individual provider in the NPPES registry on July 12, 2018.

Where is Rizwan Zafar located?

Rizwan Zafar practices at 503 N 21st St, Camp Hill, PA 17011. The listed phone number is (717) 972-4448.

What is Rizwan Zafar's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Rizwan Zafar enrolled in Medicare?

Yes. Rizwan Zafar 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.

Is Rizwan Zafar affiliated with any hospitals?

According to CMS data, Rizwan Zafar is affiliated with Penn State Health Holy Spirit Medical Center and Penn State Health Hampden Medical Center.

When was this NPI record last updated?

The NPPES record for Rizwan Zafar was last updated on October 4, 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.