DR. XUANJING ZHOU M.D.
NPI 1831489871
Internal Medicine - Cardiovascular Disease in Kirkland, WA

Active since April 11, 2011PECOS EnrolledAccepts Medicare Assignment
94.21/100
CMS Quality Rating
12333 NE 130TH LN STE 320, KIRKLAND, WA 98034(913) 972-3389 Get Directions Write a Review

NPPES record last updated: August 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2020, Nov 27, 2017 (2 updates tracked since 2017).

About Dr. Xuanjing Zhou M.d. NPPES

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

DR. XUANJING ZHOU M.D. (NPI 1831489871) is an individual cardiovascular disease provider in Kirkland, Washington, licensed in Washington (1831489871) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Monroe, and is a graduate of New York Medical College (2011).

NPPES Registry Identity

NPI1831489871
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. XUANJING ZHOUCredential: M.D.
Location Address12333 NE 130TH LN STE 320Kirkland, WA 98034-7467
Mailing Address12333 Ne 130th Ln Ste 320Kirkland, WA 98034-7467 · (425) 899-0555
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2011
Enumeration DateApril 11, 2011
Last NPPES UpdateAugust 4, 20202 updates tracked since enumeration
NPPES CertifiedAugust 4, 2020
NPI 1831489871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in WA · 1831489871
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
12333 NE 130TH LN STE 320, Kirkland, WA 98034

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

Dr. Xuanjing Zhou 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 ID6800161274
PECOS Enrollment IDI20171011001231
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 20

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.
513 services305 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
327 services305 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
203 services202 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
85 services82 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
73 services73 patients
Ultrasound of heart, follow-up 93308
A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.
64 services60 patients

Hospital Affiliations CMS Care Compare 2

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

Evergreenhealth Monroe

Acute Care Hospitals · Monroe, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500084
Location14701 179th Ave SEMonroe, WA 98272 · Snohomish County
Emergency services

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98034 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

94.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.15
Promoting Interoperability100
Improvement Activities40
Cost83.57

Reported Quality Measures

Breast Cancer Screening
74%365 patients4/55-star benchmark: 93%
Cervical Cancer Screening
29%340 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
2%266 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
45%870 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
81%673 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
95%40 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
17%163 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
19%163 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%2,530 patients4/55-star benchmark: 100%
e-Prescribing
98%277 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
45%827 patients2/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%96 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%1,542 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
22%1,229 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
44%932 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 517 patients
Patients screened: 99% · 517 patients
36%28 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%522 patients5/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%843 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 9% · 820 patients
Patients totalRate: 14% · 820 patients
11%820 patients3/55-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.

Nurse Practitioner (Gerontology)
12333 NE 130TH LN STE 320
KIRKLAND, WA 98034
Internal Medicine (Interventional Cardiology)
12333 NE 130TH LN STE 320
KIRKLAND, WA 98034
Internal Medicine (Cardiovascular Disease)
12333 NE 130TH LN STE 320
KIRKLAND, WA 98034
Physician Assistant
12333 NE 130TH LN STE 320
KIRKLAND, WA 98034
Nurse Practitioner (Family)
12333 NE 130TH LN STE 320
KIRKLAND, WA 98034
Internal Medicine (Cardiovascular Disease)
12333 NE 130TH LN STE 320
KIRKLAND, WA 98034
Nurse Practitioner
12333 NE 130TH LN STE 320
KIRKLAND, WA 98034
Internal Medicine (Cardiovascular Disease)
12333 NE 130TH LN STE 320
KIRKLAND, WA 98034

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 Xuanjing Zhou's NPI number?

The NPI number for Xuanjing Zhou is 1831489871. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Xuanjing Zhou located?

Xuanjing Zhou practices at 12333 NE 130th Ln Ste 320, Kirkland, WA 98034. The listed phone number is (913) 972-3389.

What is Xuanjing Zhou's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Xuanjing Zhou enrolled in Medicare?

Yes. Xuanjing Zhou 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 Xuanjing Zhou accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Xuanjing Zhou 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 Xuanjing Zhou affiliated with any hospitals?

According to CMS data, Xuanjing Zhou is affiliated with Evergreenhealth Monroe and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Xuanjing Zhou was last updated on August 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.