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DR. MICHAEL J ZAPPITELLI JR. D.O.
NPI 1740253970
Family Medicine in Limerick, PA

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
410 W LINFIELD TRAPPE RD STE 100, LIMERICK, PA 19468(610) 495-2300(610) 495-2330 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Michael J Zappitelli Jr. D.o. NPPES

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

DR. MICHAEL J ZAPPITELLI JR. D.O. (NPI 1740253970) is an individual family medicine provider in Limerick, Pennsylvania, licensed in Pennsylvania (OS012217L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Philadelphia College Of Osteopathic Medicine (2000).

NPPES Registry Identity

NPI1740253970
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL J ZAPPITELLI JR.Credential: D.O.
Location Address410 W LINFIELD TRAPPE RD STE 100Limerick, PA 19468-4295
Mailing Address410 W Linfield Trappe Rd Ste 100Limerick, PA 19468-4295 · (610) 495-2300 · Fax (610) 495-2330
Phone(610) 495-2300
Fax(610) 495-2330
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2000
Enumeration DateFebruary 8, 2006
Last NPPES UpdateFebruary 11, 2022
NPPES CertifiedFebruary 11, 2022
✔ NPI 1740253970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS012217L
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.
410 W LINFIELD TRAPPE RD STE 100, Limerick, PA 19468
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Other Identifiers 1

Medicaid01960399PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Michael J Zappitelli Jr. 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 ID8123065463
PECOS Enrollment IDI20050408000500
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

5

Medicare enrollment records show Michael Zappitelli reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Penn Medicine-Pma
6.4 mi
Pulmonary Disease
826 MAIN ST STE 100
Phoenixville, PA 19460
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 64 clinicians in this Medicare group
NPI 1457023277 (610) 933-8484
St Luke's Physician Group Inc
8.0 mi
Family Medicine
658 HARLEYSVILLE PIKE STE 120
Harleysville, PA 19438
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
NPI 1184518581 (215) 256-9655
Trinity Health Mid-Atlantic Medical Group
23 mi
Family Medicine
1001 BALTIMORE PIKE STE 109
Springfield, PA 19064
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 646 clinicians in this Medicare group
NPI 1740704667 (610) 690-1776
Pinnacle Health Medical Services
36 mi
Family Medicine
4229 OREGON PIKE
Ephrata, PA 17522
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1043978125 (717) 445-4371
Pinnacle Health Regional Physicians
40 mi
Family Medicine
13 E 2ND ST
Quarryville, PA 17566
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 468 clinicians in this Medicare group
NPI 1881114080 (717) 786-2272

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

Areas of Expertise CMS Part B claims 5

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 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.
259 services190 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.
189 services120 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.
53 services53 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services28 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19468 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
51%41 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
53%91 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
13%23 patients1/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
16%172 patients1/55-star benchmark: 88%
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 5

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
13 suppliers43 claims130 services$6.31 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers19 claims19 services$41.23 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$3.27 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers16 claims1,140 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers18 claims18 services$26.05 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 4

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

MATTHEW NAEGLE M.D.
Internal Medicine (Rheumatology)
410 W LINFIELD TRAPPE RD STE 100
LIMERICK, PA 19468
Montgomery County (610) 495-2300
SOMERA ALI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
410 W LINFIELD TRAPPE RD STE 100
LIMERICK, PA 19468
Montgomery County (610) 495-2300
SARAH IRENE KEELEY-COTOV MSN, FNP-C
Nurse Practitioner (Family)
410 W LINFIELD TRAPPE RD STE 100
LIMERICK, PA 19468
Montgomery County (610) 495-2650
ROGER TOMMY MIDDLETON JR. DNP, CRNP, FNP-BC
Nurse Practitioner (Family)
410 W LINFIELD TRAPPE RD STE 100
LIMERICK, PA 19468
Montgomery County (610) 495-2650

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 Michael Zappitelli's NPI number?

The NPI number for Michael Zappitelli is 1740253970. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Michael Zappitelli located?

Michael Zappitelli practices at 410 W Linfield Trappe Rd Ste 100, Limerick, PA 19468. The listed phone number is (610) 495-2300.

What is Michael Zappitelli's specialty?

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

Is Michael Zappitelli enrolled in Medicare?

Yes. Michael Zappitelli 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 Michael Zappitelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Zappitelli reassigns Medicare benefits to 5 organizations: Penn Medicine-Pma (Phoenixville, PA), St Luke's Physician Group Inc (Harleysville, PA), Trinity Health Mid-Atlantic Medical Group (Springfield, PA), Pinnacle Health Medical Services (Ephrata, PA) and Pinnacle Health Regional Physicians (Quarryville, PA). 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 Michael Zappitelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Zappitelli accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Zappitelli 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 Michael Zappitelli affiliated with any hospitals?

According to CMS data, Michael Zappitelli is affiliated with St Luke's Hospital Bethlehem and Grand View Health.

When was this NPI record last updated?

The NPPES record for Michael Zappitelli was last updated on February 11, 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.