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JOHN C ZONA M.D.
NPI 1497751192
Family Medicine in Sylvania, OH

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
5300 HARROUN RD STE 304, SYLVANIA, OH 43560(419) 824-1100(419) 824-1778 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John C Zona M.d. NPPES

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

JOHN C ZONA M.D. (NPI 1497751192) is an individual family medicine provider in Sylvania, Ohio, licensed in Ohio (35054046) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Grand Lake Health System, and is a graduate of Medical University Of South Carolina College Of Medicine (1980).

NPPES Registry Identity

NPI1497751192
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN C ZONACredential: M.D.
Location Address5300 HARROUN RD STE 304Sylvania, OH 43560-2146
Mailing Address5300 Harroun Rd Ste 304Sylvania, OH 43560-2146 · (419) 824-1100 · Fax (419) 824-1778
Phone(419) 824-1100
Fax(419) 824-1778
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1980
Enumeration DateJune 27, 2005
Last NPPES UpdateDecember 18, 2013
✔ NPI 1497751192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35054046
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.

5300 HARROUN RD STE 304, Sylvania, OH 43560
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Other Identifiers 14

Medicare PINZO7181601OH
Other142080MI · Care Choices
Other344428794003OH · Humana/tricare
Other000000142498OH · Anthem
Other344428794OH · Beech Street
Other344428794030OH · Caresources
Other6791MI · Health Plan Of Mi
OtherO08010OH · Nationwide
Medicare UPINE04389OH
Other2014OH · Paramount
Medicaid0645216OH
Medicare PIN080067771OH
Other4624248OH · Aetna
Medicaid3068190MI

Accepted Insurance

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

John C Zona 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 ID8527125202
PECOS Enrollment IDI20090325000001
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.
58 services44 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.
49 services23 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.
48 services44 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
32 services30 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.
28 services27 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.
22 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

FARZANA N TAUSIF M.D.
Family Medicine (Adult Medicine)
5300 HARROUN RD STE 304
SYLVANIA, OH 43560
Lucas County (419) 824-1100
STEPHEN R THOMAS PHARM.D.
Pharmacist (Pharmacotherapy)
5300 HARROUN RD STE 304
SYLVANIA, OH 43560
Lucas County (419) 824-1100
MISS JACLYN LACHMILLER
Nurse Practitioner (Family)
5300 HARROUN RD STE 304
SYLVANIA, OH 43560
Lucas County (419) 824-1100

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 John Zona's NPI number?

The NPI number for John Zona is 1497751192. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is John Zona located?

John Zona practices at 5300 Harroun Rd Ste 304, Sylvania, OH 43560. The listed phone number is (419) 824-1100.

What is John Zona's specialty?

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

Is John Zona enrolled in Medicare?

Yes. John Zona 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 John Zona accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, McLaren Health Plan Community, MedMutual and Molina Healthcare and 1 other insurer list John Zona 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 John Zona affiliated with any hospitals?

According to CMS data, John Zona is affiliated with Grand Lake Health System, Promedica Toledo Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for John Zona was last updated on December 18, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.