PROF. PATRICIA M ZYLMAN M.D.
NPI 1518953348
Obstetrics & Gynecology - Gynecology in Melbourne, FL

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
89.67/100
CMS Quality Rating
1674 W HIBISCUS BLVD, MELBOURNE, FL 32901(321) 473-4647(321) 821-4917 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prof. Patricia M Zylman M.d. NPPES

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

PROF. PATRICIA M ZYLMAN M.D. (NPI 1518953348) is an individual gynecology provider in Melbourne, Florida, licensed in Florida (ME66236) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1990).

NPPES Registry Identity

NPI1518953348
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NamePROF. PATRICIA M ZYLMANCredential: M.D.
Location Address1674 W HIBISCUS BLVDMelbourne, FL 32901-2631
Mailing Address1674 W Hibiscus BlvdMelbourne, FL 32901-2631 · (321) 473-4647 · Fax (321) 821-4917
Fax(321) 821-4917
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1990
Enumeration DateSeptember 27, 2005
Last NPPES UpdateMarch 29, 2025
NPPES CertifiedMarch 29, 2025
NPI 1518953348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in FL · ME66236
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 66236 (FL)
1674 W HIBISCUS BLVD, Melbourne, FL 32901

Other Identifiers 4

Other66236FL · Me
Other25166FL · Blue Cross Blue Shield
Other0381797FL · Acog
Medicaid375843500FL

Accepted 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

Prof. Patricia M Zylman 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 ID547217457
PECOS Enrollment IDI20050404000232
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
64 services64 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.
32 services26 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.
17 services16 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.
16 services16 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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.

89.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.86
Promoting Interoperability100
Improvement Activities40
Cost67.71

Reported Quality Measures

Breast Cancer Screening
73%800 patients4/55-star benchmark: 93%
Cervical Cancer Screening
86%1,466 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
25%166 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
8%1,088 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
49%35 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
87%23 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,685 patients5/55-star benchmark: 100%
e-Prescribing
98%557 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%2,028 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%2,187 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 71% · 1,580 patients
Patients screened: 78% · 1,580 patients
9%110 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%605 patients4/55-star benchmark: 100%
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 3

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

Nurse Practitioner (Family)
1674 W HIBISCUS BLVD
MELBOURNE, FL 32901
Dentist (General Practice)
1674 W HIBISCUS BLVD
MELBOURNE, FL 32901
Obstetrics & Gynecology
1674 W HIBISCUS BLVD
MELBOURNE, FL 32901

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 Patricia Zylman's NPI number?

The NPI number for Patricia Zylman is 1518953348. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Patricia Zylman located?

Patricia Zylman practices at 1674 W Hibiscus Blvd, Melbourne, FL 32901. The listed phone number is (321) 473-4647.

What is Patricia Zylman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Patricia Zylman enrolled in Medicare?

Yes. Patricia Zylman 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 Patricia Zylman accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and UnitedHealthcare list Patricia Zylman 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 Patricia Zylman affiliated with any hospitals?

According to CMS data, Patricia Zylman is affiliated with Holmes Regional Medical Center and Viera Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Zylman was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.