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DR. AMELIA BRUCE ZELNAK MD
NPI 1679697791
Internal Medicine - Hematology & Oncology in Cumming, GA

Active since March 16, 2007PECOS EnrolledAccepts Medicare Assignment
67.73/100
CMS Quality Rating
1505 NORTHSIDE BLVD, SUITE 4600, CUMMING, GA 30041(770) 205-5292(770) 205-5291 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Amelia Bruce Zelnak Md NPPES

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

DR. AMELIA BRUCE ZELNAK MD (NPI 1679697791) is an individual hematology & oncology provider in Cumming, Georgia, licensed in Georgia (53634) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Emory University School Of Medicine (2001).

NPPES Registry Identity

NPI1679697791
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. AMELIA BRUCE ZELNAKCredential: MD
Location Address1505 NORTHSIDE BLVD, SUITE 4600Cumming, GA 30041-7623
Mailing Address1505 Northside Blvd Ste 4600Cumming, GA 30041-7658 · (770) 205-5292 · Fax (770) 205-5291
Phone(770) 205-5292
Fax(770) 205-5291
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2001
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 27, 2020
NPPES CertifiedAugust 27, 2020
✔ NPI 1679697791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in GA · 53634
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedSpecialistTaxonomy 174400000X · License BZ9881360 (GA)
1505 NORTHSIDE BLVD, Cumming, GA 30041
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Dr. Amelia Bruce Zelnak 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 ID2466552401
PECOS Enrollment IDI20070705000376
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 10

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.
381 services237 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.
274 services149 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services24 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.
31 services30 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.
24 services23 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

67.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.42
Improvement Activities40
Cost33.85

Reported Quality Measures

Breast Cancer Screening
64%1,146 patients3/55-star benchmark: 93%
Colorectal Cancer Screening
88%1,448 patients5/55-star benchmark: 88%
Controlling High Blood Pressure
48%73 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%4,335 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
96%809 patients4/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
99%1,326 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims330 services$2.38 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims6,337 services$0.25 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier89 claims6,230 services$0.70 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
4 suppliers36 claims105 services$34.03 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
3 suppliers11 claims16 services$273.45 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
1 supplier64 claims64 services$18.05 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.

KRISTIN GREGORY PA
Physician Assistant
1505 NORTHSIDE BLVD, SUITE 1500
CUMMING, GA 30041
Forsyth County (770) 781-5077
NORTH GEORGIA DIABETES AND ENDOCRINOLOGY
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1505 NORTHSIDE BLVD, SUITE 2800
CUMMING, GA 30041
Forsyth County (678) 749-2131
CATALIN HARBUZARIU M.D.
Surgery (Vascular Surgery)
1505 NORTHSIDE BLVD, STE 2400
CUMMING, GA 30041
Forsyth County (770) 292-3490
DR. BYRON THOMAS COOK III MD
Ophthalmology
1505 NORTHSIDE BLVD, SUITE 1200
CUMMING, GA 30041
Forsyth County (678) 845-0466
DIGESTIVE CARE SPECIALIST, LLC
Internal Medicine (Gastroenterology)
1505 NORTHSIDE BLVD
CUMMING, GA 30041
Forsyth County (770) 227-2222
JAMES RONALD STEPHENS M.D.
Preventive Medicine (Undersea and Hyperbaric Medicine)
1505 NORTHSIDE BLVD, SUITE 1300
CUMMING, GA 30041
Forsyth County (404) 686-2288
NSH CANCER INSTITUTE PROFESSIONAL SERVICES G LLC
Durable Medical Equipment & Medical Supplies
1505 NORTHSIDE BLVD, SUITE 4300
CUMMING, GA 30041
Forsyth County (770) 205-1331
GEETHA REDDY SOODINI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1505 NORTHSIDE BLVD, SUITE 2800
CUMMING, GA 30041
Forsyth County (770) 886-3842

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 Amelia Zelnak's NPI number?

The NPI number for Amelia Zelnak is 1679697791. It was assigned to this individual provider in the NPPES registry on March 16, 2007.

Where is Amelia Zelnak located?

Amelia Zelnak practices at 1505 Northside Blvd Suite 4600, Cumming, GA 30041. The listed phone number is (770) 205-5292.

What is Amelia Zelnak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Amelia Zelnak enrolled in Medicare?

Yes. Amelia Zelnak 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 Amelia Zelnak accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Amelia Zelnak 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 Amelia Zelnak affiliated with any hospitals?

According to CMS data, Amelia Zelnak is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Amelia Zelnak was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.