DR. STEVEN A ZUNIGA JR. M.D.
NPI 1639585417
Otolaryngology in Philadelphia, PA

Active since July 01, 2014PECOS EnrolledAccepts Medicare Assignment
82.47/100
CMS Quality Rating
2201 PENNSYLVANIA AVE APT 111, PHILADELPHIA, PA 19130(925) 580-5450 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Steven A Zuniga Jr. M.d. NPPES

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

DR. STEVEN A ZUNIGA JR. M.D. (NPI 1639585417) is an individual otolaryngology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT206734) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2014).

NPPES Registry Identity

NPI1639585417
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. STEVEN A ZUNIGA JR.Credential: M.D.
Location Address2201 PENNSYLVANIA AVE APT 111Philadelphia, PA 19130-3512
Mailing Address2201 Pennsylvania Ave Apt 111Philadelphia, PA 19130-3512 · (925) 580-5450
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2014
Enumeration DateJuly 1, 2014
NPI 1639585417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in PA · MT206734
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.
2201 PENNSYLVANIA AVE APT 111, Philadelphia, PA 19130

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

Dr. Steven A Zuniga Jr. 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 ID7113326935
PECOS Enrollment IDI20210527002963
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 15

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.
1,105 services618 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
590 services396 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.
375 services375 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
368 services289 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.
202 services170 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
184 services182 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19130 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

82.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality68.13
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
98%142 patients
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
0%77 patients5/55-star benchmark: 100%
Advance Care Plan
79%1,245 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
51%4,433 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
38%2,641 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
13%3,003 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
90%858 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
66%112 patients1/55-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 Steven Zuniga's NPI number?

The NPI number for Steven Zuniga is 1639585417. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Steven Zuniga located?

Steven Zuniga practices at 2201 Pennsylvania Ave Apt 111, Philadelphia, PA 19130. The listed phone number is (925) 580-5450.

What is Steven Zuniga's specialty?

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

Is Steven Zuniga enrolled in Medicare?

Yes. Steven Zuniga 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.

When was this NPI record last updated?

The NPPES record for Steven Zuniga was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.