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DR. RANDY S ZELEN M.D.
NPI 1831192145
Internal Medicine - Nephrology in Meadville, PA

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
765 LIBERTY STREET, MEADVILLE, PA 16335(814) 333-3947(814) 333-3947 Get Directions Write a Review

NPPES record last updated: September 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Randy S Zelen M.d. NPPES

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

DR. RANDY S ZELEN M.D. (NPI 1831192145) is an individual nephrology provider in Meadville, Pennsylvania, licensed in Pennsylvania (MD031510E) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Meadville Medical Center, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1831192145
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. RANDY S ZELENCredential: M.D.
Location Address765 LIBERTY STREETMeadville, PA 16335-2567
Mailing Address1034 Grove StreetMeadville, PA 16335-2945 · (814) 333-3945 · Fax (814) 333-3947
Phone(814) 333-3947
Fax(814) 333-3947
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateMay 31, 2005
Last NPPES UpdateSeptember 17, 2016
✔ NPI 1831192145 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 PA · MD031510E
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.
765 LIBERTY STREET, Meadville, PA 16335
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Other Identifiers 13

Medicare PIN093554PA
Other1530398PA · Gateway Health Plan
Other205062PA · Cigna
Other251754199019PA · Medical Mutual Of Ohio
Medicare UPINE55461
Medicaid0009664400003PA
Medicare NSC4235190001PA
Other390003680PA · Palmetto Gba-railroad Medicare
Other902561PA · Highmark Blue Cross Blue Shield
Other205062PA · Upmc Health Plan
Medicaid0837652OH
Other110929PA · Unison Health Plan
OtherE55461PA · Health America

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Randy S Zelen M.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 ID1951307826
PECOS Enrollment IDI20100225000094
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 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 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.
153 services69 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
117 services21 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.
97 services39 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
44 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

Meadville Medical Center

Acute Care Hospitals · Meadville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390113
Location751 Liberty StreetMeadville, PA 16335 · Crawford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16335 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%143 patients5/55-star benchmark: 99%
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.
100%1,423 patients5/55-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
10%470 patients1/55-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…
36%690 patients2/55-star benchmark: 97%
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
13%499 patients1/55-star benchmark: 88%
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: 97% · 434 patients
99%434 patients
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+: 1% · 470 patients
2%470 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 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
1 supplier11 claims495 services$0.31 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims2,760 services$0.56 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims1,440 services$0.18 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
2 suppliers29 claims29 services$18.32 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 7

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

MEADVILLE MEDICAL ASSOCIATES LLC
Internal Medicine
765 LIBERTY STREET, SUITE 309
MEADVILLE, PA 16335
Crawford County (814) 373-2997
MR. NICHOLAS J MULHEARN D.O.
Pediatrics (Adolescent Medicine)
765 LIBERTY STREET, SUITE 111
MEADVILLE, PA 16335
Crawford County (814) 336-6384
MEADVILLE OBSTETRICS AND GYNECOLOGY ASSOCIATES
Obstetrics & Gynecology
765 LIBERTY STREET, SUITE 202
MEADVILLE, PA 16335
Crawford County (814) 333-5888
SIDNEY KWOK-YIN KING MD
Obstetrics & Gynecology
765 LIBERTY STREET, SUITE 202
MEADVILLE, PA 16335
Crawford County (814) 333-5888
SARAH ANN BARCO DO
Obstetrics & Gynecology
765 LIBERTY STREET, SUITE 202
MEADVILLE, PA 16335
Crawford County (814) 333-5888
STACEY PITTNER PA-C
Physician Assistant
765 LIBERTY STREET, SUITE 111
MEADVILLE, PA 16335
Crawford County (814) 336-6384
JODI P MAXFIELD MD
Obstetrics & Gynecology
765 LIBERTY STREET, SUITE 202
MEADVILLE, PA 16335
Crawford County (814) 333-5888

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 Randy Zelen's NPI number?

The NPI number for Randy Zelen is 1831192145. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Randy Zelen located?

Randy Zelen practices at 765 Liberty Street, Meadville, PA 16335. The listed phone number is (814) 333-3947.

What is Randy Zelen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Randy Zelen enrolled in Medicare?

Yes. Randy Zelen 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 Randy Zelen accept?

Health plans from CareSource list Randy Zelen 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 Randy Zelen affiliated with any hospitals?

According to CMS data, Randy Zelen is affiliated with Meadville Medical Center.

When was this NPI record last updated?

The NPPES record for Randy Zelen was last updated on September 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.