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THOMAS ZAIZ PA
NPI 1639223571
Physician Assistant - Surgical in Glen Carbon, IL

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
4804 S STATE ROUTE 159 STE 10, GLEN CARBON, IL 62034(618) 391-5080(618) 205-3569 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Zaiz Pa NPPES

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

THOMAS ZAIZ PA (NPI 1639223571) is an individual surgical provider in Glen Carbon, Illinois, licensed in Illinois (085001534) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1639223571
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameTHOMAS ZAIZCredential: PA
Location Address4804 S STATE ROUTE 159 STE 10Glen Carbon, IL 62034-1904
Mailing Address6810 State Route 162, Box 215Maryville, IL 62062 · (618) 391-6495
Phone(618) 391-5080
Fax(618) 205-3569
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 22, 2007
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1639223571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 085001534
4804 S STATE ROUTE 159 STE 10, Glen Carbon, IL 62034
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Thomas Zaiz Pa 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 ID2163485624
PECOS Enrollment IDI20041105000934
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 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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
445 services96 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
153 services89 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.
131 services97 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
81 services77 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
46 services38 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.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Community Hospital Of Staunton

Critical Access Hospitals · Staunton, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141306
Location400 N Caldwell StStaunton, IL 62088 · Macoupin County
Emergency services

Other Providers at the Same Location NPPES 2

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

PETER J ANDERSON MD
Orthopaedic Surgery
4804 S STATE ROUTE 159 STE 10
GLEN CARBON, IL 62034
Madison County (618) 391-5080
PAUL J SCHERER MD
Orthopaedic Surgery
4804 S STATE ROUTE 159 STE 10
GLEN CARBON, IL 62034
Madison County (618) 391-5080

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 Thomas Zaiz's NPI number?

The NPI number for Thomas Zaiz is 1639223571. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Thomas Zaiz located?

Thomas Zaiz practices at 4804 S State Route 159 Ste 10, Glen Carbon, IL 62034. The listed phone number is (618) 391-5080.

What is Thomas Zaiz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Thomas Zaiz enrolled in Medicare?

Yes. Thomas Zaiz 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 Thomas Zaiz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Thomas Zaiz 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 Thomas Zaiz affiliated with any hospitals?

According to CMS data, Thomas Zaiz is affiliated with Anderson Hospital and Community Hospital Of Staunton.

When was this NPI record last updated?

The NPPES record for Thomas Zaiz was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.