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EDWARD D ZDOBYLAK M.D.
NPI 1558384545
Psychiatry & Neurology - Neurology in Elk City, OK

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
1901 W 3RD, SUITEA, ELK CITY, OK 73644(580) 225-2513(580) 303-5863 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 3, 2023, May 6, 2022, Nov 17, 2020 and 2 more (5 updates tracked since 2019).

About Edward D Zdobylak M.d. NPPES

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

EDWARD D ZDOBYLAK M.D. (NPI 1558384545) is an individual neurology provider in Elk City, Oklahoma, licensed in Indiana (01051068A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Great Plains Regional Medical Center, and is a graduate of Indiana University School Of Medicine (1998).

NPPES Registry Identity

NPI1558384545
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameEDWARD D ZDOBYLAKCredential: M.D.
Location Address1901 W 3RD, SUITEAElk City, OK 73644-7364
Mailing AddressPo Box 2339Elk City, OK 73648-2339 · (805) 225-2513 · Fax (580) 303-5863
Phone(580) 225-2513
Fax(580) 303-5863
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1998
Enumeration DateJuly 25, 2006
Last NPPES UpdateMay 3, 20235 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1558384545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IN · 01051068A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1901 W 3RD, Elk City, OK 73644
Open in Google Maps ↗

Other Identifiers 2

Other000000939921IN · Anthem Legacy #
Medicaid200377800IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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

Edward D Zdobylak 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 ID3072588961
PECOS Enrollment IDI20230201000771
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 Edward Zdobylak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Farmers Union Hospital Association
Same address
General Acute Care Hospital
1801 W 3RD ST
Elk City, OK 73644
  • Reassigned Medicare billing, Oklahoma enrollment
  • 59 clinicians in this Medicare group
NPI 1184639122 (580) 225-2511

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

Hospital Affiliations CMS Care Compare

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

Great Plains Regional Medical Center

Acute Care Hospitals · Elk City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370019
Location1801 West 3rd StreetElk City, OK 73644 · Beckham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73644 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
5%381 patients1/55-star benchmark: 100%
Dementia: Functional Status Assessment
Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months
2%45 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
88%1,628 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
23%183 patients1/55-star benchmark: 99%
MEDICATION PRESCRIBED FOR ACUTE MIGRAINE ATTACK
Percentage of patients age 12 years and older with a diagnosis of migraine who were prescribed a guideline recommended medication for acute migraine attacks within the 12 month measurement period.
71%980 patients4/55-star benchmark: 90%
Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease
Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for psychiatric symptoms** in the past 12 months
16%25 patients1/55-star benchmark: 100%
Screening for Psychiatric or Behavioral Health Disorders
Percent of all visits for patients with a diagnosis of epilepsy where the patient was screened for psychiatric or behavioral disorders.
28%137 patients2/55-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.

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 Edward Zdobylak's NPI number?

The NPI number for Edward Zdobylak is 1558384545. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Edward Zdobylak located?

Edward Zdobylak practices at 1901 W 3rd Suitea, Elk City, OK 73644. The listed phone number is (580) 225-2513.

What is Edward Zdobylak's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Edward Zdobylak enrolled in Medicare?

Yes. Edward Zdobylak 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 Edward Zdobylak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Zdobylak reassigns Medicare benefits to Farmers Union Hospital Association (Elk City, OK). 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 Edward Zdobylak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Zdobylak accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Edward Zdobylak 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 Edward Zdobylak affiliated with any hospitals?

According to CMS data, Edward Zdobylak is affiliated with Great Plains Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Edward Zdobylak was last updated on May 3, 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.