JABBAR BEN ZAFAR D.O.
NPI 1649214495
Family Medicine in Newtown, PA

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
95.77/100
CMS Quality Rating
3 PENNS TRL, NEWTOWN, PA 18940(215) 504-1761 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 27, 2022, Aug 15, 2022 (2 updates tracked since 2022).

About Jabbar Ben Zafar D.o. NPPES

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

JABBAR BEN ZAFAR D.O. (NPI 1649214495) is an individual family medicine provider in Newtown, Pennsylvania, licensed in Pennsylvania (OS15416) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1990).

NPPES Registry Identity

NPI1649214495
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJABBAR BEN ZAFARCredential: D.O.
Location Address3 PENNS TRLNewtown, PA 18940-1812
Mailing Address3 Penns TrlNewtown, PA 18940-1812 · (215) 504-1761
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1990
Enumeration DateJune 15, 2006
Last NPPES UpdateOctober 27, 20222 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
NPI 1649214495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in PA · OS15416 Licensed in NJ · MB57866
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 PENNS TRL, Newtown, PA 18940

Other Identifiers 1

Medicaid6225209NJ

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

Jabbar Ben Zafar D.o. 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 ID4183752686
PECOS Enrollment IDI20220826001531
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 3

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.
169 services121 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.
114 services99 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients

Hospital Affiliations CMS Care Compare 3

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18940 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.75
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims21 services$5.04 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims11 services$0.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner
3 PENNS TRL
NEWTOWN, PA 18940
Family Medicine
3 PENNS TRL
NEWTOWN, PA 18940
Nurse Practitioner (Family)
3 PENNS TRL
NEWTOWN, PA 18940
Internal Medicine
3 PENNS TRL
NEWTOWN, PA 18940
Family Medicine
3 PENNS TRL
NEWTOWN, PA 18940
Family Medicine
3 PENNS TRL
NEWTOWN, PA 18940
Psychiatry & Neurology (Psychiatry)
3 PENNS TRL
NEWTOWN, PA 18940
Internal Medicine
3 PENNS TRL
NEWTOWN, PA 18940

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 Jabbar Zafar's NPI number?

The NPI number for Jabbar Zafar is 1649214495. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Jabbar Zafar located?

Jabbar Zafar practices at 3 Penns Trl, Newtown, PA 18940. The listed phone number is (215) 504-1761.

What is Jabbar Zafar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jabbar Zafar enrolled in Medicare?

Yes. Jabbar Zafar 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 Jabbar Zafar accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Jabbar Zafar 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 Jabbar Zafar affiliated with any hospitals?

According to CMS data, Jabbar Zafar is affiliated with Capital Health Medical Center - Hopewell, Hospital Of Univ Of Pennsylvania and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Jabbar Zafar was last updated on October 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.