DR. PHILIP EUGENE ZAPANTA MD
NPI 1528008026
Otolaryngology in Danville, VA

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
159 EXECUTIVE DR STE C, DANVILLE, VA 24541(434) 792-0830(434) 792-0468 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 10, 2022, Jul 6, 2022, May 9, 2018 (3 updates tracked since 2018).

About Dr. Philip Eugene Zapanta Md NPPES

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

DR. PHILIP EUGENE ZAPANTA MD (NPI 1528008026) is an individual otolaryngology provider in Danville, Virginia, licensed in Virginia (0101246172) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Sovah Health Danville, and is a graduate of University Of Virginia School Of Medicine (2000).

NPPES Registry Identity

NPI1528008026
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. PHILIP EUGENE ZAPANTACredential: MD
Location Address159 EXECUTIVE DR STE CDanville, VA 24541-4160
Mailing Address1460 Dodson RdBlairs, VA 24527-3556 · (703) 283-6413
Fax(434) 792-0468
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2000
Enumeration DateJune 7, 2006
Last NPPES UpdateOctober 10, 20223 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
✔ NPI 1528008026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in VA · 0101246172✔ Licensed in DC · MD035071
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
159 EXECUTIVE DR STE C, Danville, VA 24541

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

Dr. Philip Eugene Zapanta 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 ID7214939768
PECOS Enrollment IDI20220318001723
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 Reassignments

3

Medicare enrollment records show Philip Zapanta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
125 EXECUTIVE DR STE H
Danville, VA 24541
  • Reassigned Medicare billing, Virginia enrollment
  • 204 clinicians in this Medicare group
Rural Health
319 HOSPITAL DR STE 202
Martinsville, VA 24112
  • Reassigned Medicare billing, Virginia enrollment
  • 87 clinicians in this Medicare group
Anesthesiology
2150 PENNSYLVANIA AVE NW, SUITE 10-409A
Washington, DC 20037
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,275 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 10

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.
277 services162 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
200 services15 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
154 services42 patients
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.
91 services91 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
75 services60 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
33 services24 patients

Hospital Affiliations CMS Care Compare

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

Sovah Health Danville

Acute Care Hospitals · Danville, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490075
Location142 South Main StreetDanville, VA 24541 · Danville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24541 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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.

Internal Medicine (Pulmonary Disease)
159 EXECUTIVE DR STE C
DANVILLE, VA 24541
Nurse Practitioner (Family)
159 EXECUTIVE DR STE C
DANVILLE, VA 24541
Otolaryngology (Facial Plastic Surgery)
159 EXECUTIVE DR STE C
DANVILLE, VA 24541

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 Philip Zapanta's NPI number?

The NPI number for Philip Zapanta is 1528008026. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Philip Zapanta located?

Philip Zapanta practices at 159 Executive Dr Ste C, Danville, VA 24541. The listed phone number is (434) 792-0830.

What is Philip Zapanta's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Philip Zapanta enrolled in Medicare?

Yes. Philip Zapanta 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 organizations bill Medicare for Philip Zapanta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Zapanta reassigns Medicare benefits to 3 organizations: Danville Physician Practices LLC (Danville, VA), Martinsville Physician Practices LLC (Martinsville, VA) and Medical Faculty Associates, Inc (Washington, DC). Each 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 Philip Zapanta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Philip Zapanta affiliated with any hospitals?

According to CMS data, Philip Zapanta is affiliated with Sovah Health Danville.

When was this NPI record last updated?

The NPPES record for Philip Zapanta was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.