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PHILIP RONALD ZITKO O.D.
NPI 1801903968
Optometrist in Shelby, OH

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
93.92/100
CMS Quality Rating
76 W MAIN ST, SHELBY, OH 44875(419) 347-1445(419) 347-8403 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2022, Jul 1, 2021, Apr 22, 2021 and 1 more (4 updates tracked since 2021).

About Philip Ronald Zitko O.d. NPPES

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

PHILIP RONALD ZITKO O.D. (NPI 1801903968) is an individual optometrist in Shelby, Ohio, licensed in Ohio (4329) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1991).

NPPES Registry Identity

NPI1801903968
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePHILIP RONALD ZITKOCredential: O.D.
Location Address76 W MAIN STShelby, OH 44875-1206
Mailing Address466 S Trimble RdMansfield, OH 44906-3416 · (419) 756-8000 · Fax (419) 756-2601
Phone(419) 347-1445
Fax(419) 347-8403
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 1991
Enumeration DateAugust 24, 2006
Last NPPES UpdateAugust 17, 20224 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1801903968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 4329
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
76 W MAIN ST, Shelby, OH 44875
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Other Identifiers 1

Medicaid0844626OH

Accepted Insurance

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

Philip Ronald Zitko O.d. 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 ID244345619
PECOS Enrollment IDI20111108000397
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 8

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
323 services322 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
66 services65 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.
64 services59 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
55 services55 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.
38 services34 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
30 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44875 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

93.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.85
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DR. THOMAS ANTHONY ZITKO OD
Optometrist
76 W MAIN ST
SHELBY, OH 44875
Richland County (419) 756-8000
WINBIGLER & ZITKO OPTOMETRISTS, LTD.
Optometrist
76 W MAIN ST
SHELBY, OH 44875
Richland County (419) 347-1445
OHIO EYE OPTOMETRIC, LLC
Eyewear Supplier
76 W MAIN ST
SHELBY, OH 44875
Richland County (419) 756-8000

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 Philip Zitko's NPI number?

The NPI number for Philip Zitko is 1801903968. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Philip Zitko located?

Philip Zitko practices at 76 W Main St, Shelby, OH 44875. The listed phone number is (419) 347-1445.

What is Philip Zitko's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Philip Zitko enrolled in Medicare?

Yes. Philip Zitko 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 Philip Zitko accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 7 other insurers list Philip Zitko 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.

When was this NPI record last updated?

The NPPES record for Philip Zitko was last updated on August 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.