ALEXANDER ZEMTSOV MD
NPI 1811901184
Dermatology in Muncie, IN

Active since July 29, 2006PECOS EnrolledAccepts Medicare Assignment
90.17/100
CMS Quality Rating
3500 W PURDUE AVE, MUNCIE, IN 47304(765) 747-6090(765) 747-5069 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2021, Dec 20, 2018, Dec 12, 2018 (3 updates tracked since 2018).

About Alexander Zemtsov Md NPPES

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

ALEXANDER ZEMTSOV MD (NPI 1811901184) is an individual dermatology provider in Muncie, Indiana, licensed in Indiana (01042745A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1986).

NPPES Registry Identity

NPI1811901184
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameALEXANDER ZEMTSOVCredential: MD
Location Address3500 W PURDUE AVEMuncie, IN 47304-6357
Mailing Address3500 W Purdue AveMuncie, IN 47304-6357 · (765) 747-6090 · Fax (765) 747-5069
Fax(765) 747-5069
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1986
Enumeration DateJuly 29, 2006
Last NPPES UpdateFebruary 19, 20243 updates tracked since enumeration
NPPES CertifiedMarch 11, 2021
NPI 1811901184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IN · 01042745A
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3500 W PURDUE AVE, Muncie, IN 47304

Accepted 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

Alexander Zemtsov 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 ID1759332570
PECOS Enrollment IDI20050329000487
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 28

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
3,104 services1,629 patients
Superficial and/or low voltage radiation treatment delivery 77401
Superficial and/or low voltage radiation treatment delivery is a non-invasive procedure used to treat certain diseases like skin cancer. It uses low energy radiation to target and destroy abnormal cells, aiding in halting disease progression.
1,190 services200 patients
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280
This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.
792 services163 patients
Ultrasonic guidance for placement of radiation therapy fields G6001
Ultrasonic guidance for radiation therapy fields involves using sound waves to create images of the treatment area. This helps to precisely locate the area needing radiation therapy, ensuring the treatment is directed accurately, minimizing harm to healthy tissues.
743 services173 patients
Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas 77285
This procedure involves collecting necessary information to create the best radiation treatment plan for two distinct areas. Advanced imaging techniques are used to map the areas, ensuring precise targeting during treatment, minimizing harm to healthy tissues.
396 services71 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
322 services192 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47304 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

90.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.13
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
93%481 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
0%36 patients1/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
9%767 patients1/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%55 patients
One-Time Screening for Hepatitis C Virus (HCV) for all Patients
0%383 patients1/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%626 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%580 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%581 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 58% · 195 patients
56%195 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 67% · 118 patients
53%118 patients
Provide Patients Electronic Access to Their Health Information
99%1,408 patients4/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
0%208 patients1/55-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.

Other Providers at the Same Location NPPES 8

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

Specialist
3500 W PURDUE AVE
MUNCIE, IN 47304
Nurse Practitioner (Adult Health)
3500 W PURDUE AVE
MUNCIE, IN 47304
Dermatology
3500 W PURDUE AVE
MUNCIE, IN 47304
Physician Assistant
3500 W PURDUE AVE
MUNCIE, IN 47304
Physician Assistant (Medical)
3500 W PURDUE AVE
MUNCIE, IN 47304
Nurse Practitioner (Family)
3500 W PURDUE AVE
MUNCIE, IN 47304
Dermatology (Dermatopathology)
3500 W PURDUE AVE
MUNCIE, IN 47304
Dermatology
3500 W PURDUE AVE
MUNCIE, IN 47304

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 Alexander Zemtsov's NPI number?

The NPI number for Alexander Zemtsov is 1811901184. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Alexander Zemtsov located?

Alexander Zemtsov practices at 3500 W Purdue Ave, Muncie, IN 47304. The listed phone number is (765) 747-6090.

What is Alexander Zemtsov's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Alexander Zemtsov enrolled in Medicare?

Yes. Alexander Zemtsov 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 Alexander Zemtsov accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Alexander Zemtsov 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 Alexander Zemtsov was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.