KATHERINE J ZAPPIA MD, PHD
NPI 1558866277
Pediatrics in Cincinnati, OH

Active since March 26, 2018PECOS EnrolledAccepts Medicare Assignment
CINCINNATI CHILDREN'S HOSPITAL, 3333 BURNET AVE - ML 6015, CINCINNATI, OH 45229(513) 636-0800(513) 813-0823 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 24, 2023, Jun 3, 2021, Aug 27, 2020 and 1 more (4 updates tracked since 2018).

About Katherine J Zappia Md, Phd NPPES

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

KATHERINE J ZAPPIA MD, PHD (NPI 1558866277) is an individual pediatrics provider in Cincinnati, Ohio, licensed in Ohio (35.142146) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2018).

NPPES Registry Identity

NPI1558866277
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKATHERINE J ZAPPIACredential: MD, PHD
Location AddressCINCINNATI CHILDREN'S HOSPITAL, 3333 BURNET AVE - ML 6015Cincinnati, OH 45229
Mailing AddressCincinnati Children's Hospital, 3333 Burnet Ave - Ml 6015Cincinnati, OH 45229 · (513) 636-0800 · Fax (513) 803-0823
Fax(513) 813-0823
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2018
Enumeration DateMarch 26, 2018
Last NPPES UpdateJuly 24, 20234 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
NPI 1558866277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in OH · 35.142146
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 35.142146 (OH)
CINCINNATI CHILDREN'S HOSPITAL, Cincinnati, OH 45229

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

Katherine J Zappia Md, Phd 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 ID8325400351
PECOS Enrollment IDI20230808002888
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45229 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 6

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

Nurse Practitioner
CINCINNATI CHILDREN'S HOSPITAL, 3333 BURNET AVE, ML 4000
CINCINNATI, OH 45229
Nurse Practitioner
CINCINNATI CHILDREN'S HOSPITAL, 3333 BURNET AVE. - ML 6015
CINCINNATI, OH 45229
Psychologist (Clinical Child & Adolescent)
CINCINNATI CHILDREN'S HOSPITAL, 3333 BURNET AVENUE, ML 3015
CINCINNATI, OH 45229
Pediatrics
CINCINNATI CHILDREN'S HOSPITAL, 3333 BURNET AVE. - ML 9016
CINCINNATI, OH 45229
Counselor
CINCINNATI CHILDREN'S HOSPITAL, 2800 WINSLOW AVE. ML 3014 WW
CINCINNATI, OH 45229
Counselor (Professional)
CINCINNATI CHILDREN'S HOSPITAL, 3333 BURNET AVE., ML 3015
CINCINNATI, OH 45229

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 Katherine Zappia's NPI number?

The NPI number for Katherine Zappia is 1558866277. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Katherine Zappia located?

Katherine Zappia practices at Cincinnati Children's Hospital 3333 Burnet Ave - Ml 6015, Cincinnati, OH 45229. The listed phone number is (513) 636-0800.

What is Katherine Zappia's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Katherine Zappia enrolled in Medicare?

Yes. Katherine Zappia 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 Katherine Zappia accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Katherine Zappia 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.

When was this NPI record last updated?

The NPPES record for Katherine Zappia was last updated on July 24, 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.