DR. KEITH ZAITOUN MD
NPI 1679567820
Internal Medicine - Nephrology in Portsmouth, VA
Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3235 ACADEMY AVE, SUITE 301, PORTSMOUTH, VA 23703(757) 484-9400(757) 484-8809 Get Directions Write a Review
About Dr. Keith Zaitoun Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KEITH ZAITOUN MD (NPI 1679567820) is an individual nephrology provider in Portsmouth, Virginia, licensed in Virginia (0101039811) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Maryview Medical Center, and is a graduate of University Of Virginia School Of Medicine (1985).
NPPES Registry Identity
NPI1679567820
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. KEITH ZAITOUNCredential: MD
Location Address3235 ACADEMY AVE, SUITE 301Portsmouth, VA 23703-3200
Mailing Address3235 Academy Ave, Suite 301Portsmouth, VA 23703-3200 · (757) 484-9400 · Fax (757) 484-8809
Phone(757) 484-9400
Fax(757) 484-8809
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1985
Enumeration DateSeptember 2, 2005
Last NPPES UpdateMay 11, 20202 updates tracked since enumeration
NPPES CertifiedMay 11, 2020
✔ NPI 1679567820 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in VA · 0101039811
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3235 ACADEMY AVE, Portsmouth, VA 23703
Other Identifiers 3
Medicaid6078354VA
Other390002387Mcare Railroad
Other058150VA · Anthem Bcbs
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. Keith Zaitoun Md 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 ID7911924691
PECOS Enrollment IDI20100917000404
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 13
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
1,578 services99 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
1,213 services89 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
783 services109 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
718 services98 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
656 services89 patients
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.
343 services193 patients
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bon Secours Maryview Medical Center
Acute Care Hospitals · Portsmouth, VAOwnershipVoluntary non-profit - Private
CMS Certification Number490017
Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County
Emergency services
Sentara Obici Hospital
Acute Care Hospitals · Suffolk, VAOwnershipVoluntary non-profit - Other
CMS Certification Number490044
Location2800 Godwin BoulevardSuffolk, VA 23439 · Suffolk City County
Emergency services Birthing friendly
Chesapeake General Hospital
Acute Care Hospitals · Chesapeake, VAOwnershipGovernment - Hospital District or Authority
CMS Certification Number490120
Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County
Emergency services Birthing friendly
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23703 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.
75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scoredReported Quality Measures
Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
97%634 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%4,890 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,025 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
53%739 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
97%739 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
96%240 patients5/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%347 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 93% · 218 patients
93%218 patients
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
96%739 patients4/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
0%634 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
0%739 patients1/55-star benchmark: 75%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 240 patients
0%240 patients5/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
1%739 patients
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.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers26 claims2,692 services$0.34 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers19 claims1,740 services$0.90 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers26 claims26 services$18.97 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
6 suppliers37 claims37 services$12.67 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.
Psychiatry & Neurology (Clinical Neurophysiology)
3235 ACADEMY AVE, STE 305
PORTSMOUTH, VA 23703
PORTSMOUTH, VA 23703
Psychiatry & Neurology (Neurology)
3235 ACADEMY AVE, SUITE 305
PORTSMOUTH, VA 23703
PORTSMOUTH, VA 23703
Internal Medicine (Cardiovascular Disease)
3235 ACADEMY AVE, SUITE 201
PORTSMOUTH, VA 23703
PORTSMOUTH, VA 23703
Colon & Rectal Surgery
3235 ACADEMY AVE, SUITE 100
PORTSMOUTH, VA 23703
PORTSMOUTH, VA 23703
Nurse Practitioner
3235 ACADEMY AVE, SUITE 305
PORTSMOUTH, VA 23703
PORTSMOUTH, VA 23703
Durable Medical Equipment & Medical Supplies
3235 ACADEMY AVE, SUITE 304
PORTSMOUTH, VA 23703
PORTSMOUTH, VA 23703
Colon & Rectal Surgery
3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703
PORTSMOUTH, VA 23703
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679567820, enumerated as an "individual" on September 02, 2005.
The provider is located at 3235 ACADEMY AVE SUITE 301 PORTSMOUTH, VA 23703 and the phone number is (757) 484-9400.
Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.
Keith Zaitoun is affiliated with: BON SECOURS MARYVIEW MEDICAL CENTER, SENTARA OBICI HOSPITAL and CHESAPEAKE GENERAL HOSPITAL.
