PHILLIP ANDREW ZAPPONE FNP-C
NPI 1679120570
Nurse Practitioner - Family in Pagosa Springs, CO

Active since August 25, 2019PECOS EnrolledAccepts Medicare Assignment
85.4/100
CMS Quality Rating
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147(970) 731-3700(970) 731-0511 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 6, 2022, Dec 26, 2019, Oct 1, 2019 and 1 more (4 updates tracked since 2019).

About Phillip Andrew Zappone Fnp-c NPPES

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

PHILLIP ANDREW ZAPPONE FNP-C (NPI 1679120570) is an individual family provider in Pagosa Springs, Colorado, licensed in Colorado (0994964) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679120570
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePHILLIP ANDREW ZAPPONECredential: FNP-C
Location Address95 S PAGOSA BLVDPagosa Springs, CO 81147-8329
Mailing Address95 S Pagosa BlvdPagosa Springs, CO 81147-8329 · (970) 731-3700 · Fax (970) 731-0511
Fax(970) 731-0511
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 25, 2019
Last NPPES UpdateApril 6, 20224 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1679120570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · 0994964
95 S PAGOSA BLVD, Pagosa Springs, CO 81147

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Phillip Andrew Zappone Fnp-c 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 ID9436481769
PECOS Enrollment IDI20200603002446
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Phillip Zappone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
95 S PAGOSA BLVD
Pagosa Springs, CO 81147
  • Reassigned Medicare billing, Colorado enrollment
  • Also billed through NPI 1245401561 (Colorado)
  • 56 clinicians in this Medicare group
General Acute Care Hospital
6 ROAD 7586
Bloomfield, NM 87413
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81147 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

85.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.01
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$17.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$118.68 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$38.18 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 20

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

Emergency Medicine
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Internal Medicine (Pulmonary Disease)
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Emergency Medicine
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Nurse Practitioner
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
General Acute Care Hospital (Critical Access)
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Orthopaedic Surgery
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Psychiatry & Neurology (Neurology)
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147
Emergency Medicine
95 S PAGOSA BLVD
PAGOSA SPRINGS, CO 81147

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 Phillip Zappone's NPI number?

The NPI number for Phillip Zappone is 1679120570. It was assigned to this individual provider in the NPPES registry on August 25, 2019.

Where is Phillip Zappone located?

Phillip Zappone practices at 95 S Pagosa Blvd, Pagosa Springs, CO 81147. The listed phone number is (970) 731-3700.

What is Phillip Zappone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Phillip Zappone enrolled in Medicare?

Yes. Phillip Zappone 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.

Which organizations bill Medicare for Phillip Zappone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Zappone reassigns Medicare benefits to 2 organizations: Upper San Juan Health Service District (Pagosa Springs, CO) and Dhhs, Phs, Naihs, Shiprock Hospital (Bloomfield, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phillip Zappone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Phillip Zappone was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.