QIAN ZHOU MD
NPI 1518315456
Internal Medicine in Bellevue, WA

Active since June 01, 2016PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
1035 116TH AVE NE, BELLEVUE, WA 98004(425) 688-5072 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 7, 2023, Nov 4, 2019 (2 updates tracked since 2019).

About Qian Zhou Md NPPES

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

QIAN ZHOU MD (NPI 1518315456) is an individual internal medicine provider in Bellevue, Washington, licensed in Washington (MD61456063) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1518315456
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameQIAN ZHOUCredential: MD
Location Address1035 116TH AVE NEBellevue, WA 98004-4604
Mailing Address1035 116th Ave NeBellevue, WA 98004-4604
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2016
Enumeration DateJune 1, 2016
Last NPPES UpdateSeptember 7, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1518315456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WA · MD61456063✔ Licensed in OR · MD194706
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1035 116TH AVE NE, Bellevue, WA 98004

Other Names 1

Other Name (5)Lucy Zhou

Secondary Practice Location 1

Location 19205 SW Barnes RdPortland, OR 97225-6603 · Phone (503) 216-2621

Other Identifiers 1

Medicaid500751136OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Qian Zhou Md 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 ID6204128002
PECOS Enrollment IDI20230913003576
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.

Medicare Billing Reassignment

Medicare enrollment records show Qian Zhou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
1135 116TH AVE NE, SUITE 110
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 566 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.
549 services180 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.
130 services127 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.
90 services46 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.
64 services62 patients

Hospital Affiliations CMS Care Compare

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

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.

Physical Therapist
1035 116TH AVE NE
BELLEVUE, WA 98004
Anesthesiology
1035 116TH AVE NE
BELLEVUE, WA 98004
Physician Assistant (Medical)
1035 116TH AVE NE
BELLEVUE, WA 98004
Physician Assistant
1035 116TH AVE NE
BELLEVUE, WA 98004
Nurse's Aide
1035 116TH AVE NE
BELLEVUE, WA 98004
Nurse Practitioner (Family)
1035 116TH AVE NE
BELLEVUE, WA 98004
Pharmacist (Pharmacotherapy)
1035 116TH AVE NE
BELLEVUE, WA 98004
Emergency Medicine
1035 116TH AVE NE
BELLEVUE, WA 98004

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 Qian Zhou's NPI number?

The NPI number for Qian Zhou is 1518315456. It was assigned to this individual provider in the NPPES registry on June 1, 2016. The provider is also known as Lucy Zhou.

Where is Qian Zhou located?

Qian Zhou practices at 1035 116th Ave NE, Bellevue, WA 98004. The listed phone number is (425) 688-5072.

What is Qian Zhou's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Qian Zhou enrolled in Medicare?

Yes. Qian Zhou 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.

Which organization bills Medicare for Qian Zhou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Qian Zhou reassigns Medicare benefits to Overlake Medical Clinics, LLC (Bellevue, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Qian Zhou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Qian Zhou accept?

Health plans from Ambetter Health list Qian Zhou 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 Qian Zhou affiliated with any hospitals?

According to CMS data, Qian Zhou is affiliated with Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Qian Zhou was last updated on September 7, 2023. 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.