ZEBULON FRIEDLY M.D.
NPI 1649703042
Family Medicine in Grand Jct, CO


Quality Rating: 98.44 out of 100 score

NPI Status: Active since April 04, 2017

Contact Information

603 28 1/4 RD
GRAND JCT, CO
ZIP 81506
Phone: (970) 298-2800
Fax: (970) 263-2600

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  • Individual
  • Male
  • Years of Experience 8
  • Family Medicine
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About ZEBULON FRIEDLY

Zebulon Friedly is a primary care provider established in Grand Jct, Colorado and his medical specialization is Family Medicine with more than 8 years of experience. He graduated from University Of Colorado School Of Medicine, Denver in 2017. The healthcare provider is registered in the NPI registry with number 1649703042 assigned on April 2017. The practitioner's primary taxonomy code is 207Q00000X with license number DR.0060872 (CO). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1649703042
Provider Name
ZEBULON FRIEDLY M.D.
Gender
Male
Entity Type
Individual
Location Address
603 28 1/4 RD GRAND JCT, CO 81506
Location Phone
(970) 298-2800
Location Fax
(970) 263-2600
Mailing Address
PO BOX 1727 GRAND JUNCTION, CO 81502
Mailing Phone
(970) 256-6322
Mailing Fax
(970) 263-2600
Medical School Name
UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
04-04-2017
Last Update Date
01-21-2021
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A primary care provider (PCP) like Zebulon Friedly sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Zebulon Friedly is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 98.44, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.01 for a new patient copayment and $26.58 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
DR.0060872
License State
CO
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • University of Utah Health Plans

    • Healthy Premier Bronze HSA - EPO
    • Healthy Premier Bronze w.3 Copays - EPO
    • Healthy Premier Expanded Bronze - EPO
    • Healthy Premier Expanded Bronze Standard - EPO
    • Healthy Premier Expanded Bronze Standard Choice - EPO
    • Healthy Premier Gold Copay - EPO
    • Healthy Premier Gold Standard - EPO
    • Healthy Premier Silver Copay - EPO
    • Healthy Premier Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Zebulon Friedly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2264701036

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20201118001230

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Oxygen and supplies (D1C)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    2 DME suppliers used 20 Medicare Claims 20 Services Paid

  • Oxygen and supplies (D1C)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    2 DME suppliers used 16 Medicare Claims 16 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 81506 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.04
  • Minimum New Patient Price $60.06
  • Maximum New Patient Price $181
  • Average New Patient Copayment $23.01
  • Minimum New Patient Copayment $15.01
  • Maximum New Patient Copayment $45.25

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $106.32
  • Minimum Established Patient Price $18.98
  • Maximum Established Patient Price $148.2
  • Average Established Patient Copayment $26.58
  • Minimum Established Patient Copayment $4.74
  • Maximum Established Patient Copayment $37.05

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 98.44 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 98.16

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Zebulon Friedly is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST MARYS MEDICAL CENTER2635 N 7TH ST
GRAND JUNCTION, CO 81501
(970) 298-1950Acute Care Hospitals
COMMUNITY HOSPITAL2351 'G' RD
GRAND JUNCTION, CO 81505
(970) 644-3020Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1649703042
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689140608
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 4 + 0 + 6 + 0 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1649703042 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528185972DR. DAVID W. TERRY D.O.
Individual
Family Medicine603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2600
1245551316 ROBERT BOYER M.D.
Individual
Family Medicine603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2600
1679591051 JENNIFER M. COPELAND M.D.
Individual
Family Medicine603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2600
1558436618MS. ARIANNA M ANDERSEN FNP
Individual
Nurse Practitioner603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2600
1942252275 RICHARD GREGORY DOYLE M.D.
Individual
Family Medicine603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2600
1811127319 JESSICA L KING PA
Individual
Physician Assistant603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2600
1205239555COLORADO WEST HEALTHCARE SYSTEM
Organization
Plastic Surgery603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2636
1114011863 JAN LEAH LAMB D.O.
Individual
Pediatrics603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2670
1629510979 ANDREA RUSH LIGGETT FNP
Individual
Nurse Practitioner (Family)603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2600
1417068958 JANET L MOORE MD
Individual
Pediatrics603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2670
1962842955DR. RICHARD JOHN ZOGALA M.D.
Individual
Internal Medicine (Rheumatology)603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 644-3840
1205392560MRS. LANDON EIREEN PETTIT A-GNP-C
Individual
Internal Medicine (Geriatric Medicine)603 28 1/4 RD
GRAND JCT, CO 81506
(970) 263-2600
1821632860 CHRISTOPHER LEE BLAIR FNP-BC
Individual
Nurse Practitioner (Family)603 28 1/4 RD
GRAND JCT, CO 81506
(970) 263-2600
1073068532 HEATHER E. F. TOBIN DNP, MSRN
Individual
Nurse Practitioner (Family)603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2600
1285363879 RENAISSANCE ZILLIOUX FNP-BC
Individual
Nurse Practitioner (Family)603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2600
1710416581MRS. LAUREN MURPHY
Individual
Nurse Practitioner (Psychiatric/Mental Health)603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2600
1265898845MS. JULIA ELLIOTT LPC
Individual
Counselor (Professional)603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2600
1558505503COMMUNITY MEDICAL GROUP, LLC
Organization
Family Medicine603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2600
1548807829COMMUNITY MEDICAL GROUP, LLC
Organization
Specialist603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 644-4040
1720843956 DEZIRAE ASHLEY FREEMAN FNP-C
Individual
Nurse Practitioner (Family)603 28 1/4 RD
GRAND JUNCTION, CO 81506
(970) 263-2600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649703042, enumerated in the NPI registry as an "individual" on April 04, 2017

The provider is located at 603 28 1/4 Rd Grand Jct, Co 81506 and the phone number is (970) 298-2800

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 8 years of experience. He graduated from University Of Colorado School Of Medicine, Denver in 2017.

The provider might be accepting Accepts: University of Utah Health Plans. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

Medicare beneficiaries should expect a typical cost of $92.04 with an average copayment of $23.01 for new patient appointments. Established patients should expect a typical charge of $106.32 and an average copayment of 26.58. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): ST MARYS MEDICAL CENTER and COMMUNITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 04, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.