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ALBERT R. ZODA JR. M.D.
NPI 1891758041
Internal Medicine - Interventional Cardiology in State College, PA

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
72.57/100
CMS Quality Rating
1850 E PARK AVE, SUITE 201, STATE COLLEGE, PA 16803(814) 234-8800(814) 235-1133 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Albert R. Zoda Jr. M.d. NPPES

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

ALBERT R. ZODA JR. M.D. (NPI 1891758041) is an individual interventional cardiology provider in State College, Pennsylvania, licensed in Pennsylvania (MD070064L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Nittany Medical Center, and is a graduate of Hahnemann University College Of Medicine (1982).

NPPES Registry Identity

NPI1891758041
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameALBERT R. ZODA JR.Credential: M.D.
Location Address1850 E PARK AVE, SUITE 201State College, PA 16803-6706
Mailing Address1850 E Park Ave, Suite 201State College, PA 16803-6706 · (814) 234-8800 · Fax (814) 235-1133
Phone(814) 234-8800
Fax(814) 235-1133
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1982
Enumeration DateApril 10, 2006
Last NPPES UpdateAugust 14, 2013
✔ NPI 1891758041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in PA · MD070064L
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD070064L (PA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD070064L (PA)
1850 E PARK AVE, State College, PA 16803
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Albert R. Zoda Jr. 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 ID6204843634
PECOS Enrollment IDI20060309000606
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 9

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.
171 services120 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services52 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.
66 services64 patients
Injection, perflutren lipid microspheres, per ml Q9957
Perflutren lipid microspheres injection, per ml, is a diagnostic tool used to enhance ultrasound images. It contains tiny gas-filled bubbles that improve the clarity of the images, aiding in a more accurate diagnosis.
49 services21 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
32 services28 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
22 services14 patients

Hospital Affiliations CMS Care Compare

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

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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.

72.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.12
Promoting Interoperability98
Improvement Activities40
Cost55.13

Other Providers at the Same Location NPPES 20

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

PETER F. PEPE M.D.
Internal Medicine (Rheumatology)
1850 E PARK AVE, SUITE 201
STATE COLLEGE, PA 16803
Centre County (814) 234-8800
LYNN E DIVEN RD LD CDE
Dietitian, Registered
1850 E PARK AVE, STE 312
STATE COLLEGE, PA 16803
Centre County (814) 689-3156
LAURA L. STEPHENSON M.D.
Obstetrics & Gynecology
1850 E PARK AVE, SUITE 301
STATE COLLEGE, PA 16803
Centre County (814) 237-3470
KIMBERLY ANNE HANDEL MSN, CRNP
Nurse Practitioner (Adult Health)
1850 E PARK AVE, SUITE 310
STATE COLLEGE, PA 16803
Centre County (814) 863-8492
DR. DOV A BADER MD
Orthopaedic Surgery (Sports Medicine)
1850 E PARK AVE, SUITE 112
STATE COLLEGE, PA 16803
Centre County (814) 865-3566
ANDREW J RENAUD DPT
Physical Therapist
1850 E PARK AVE, SUITE 112
STATE COLLEGE, PA 16803
Centre County (814) 865-3566
BRIAN W SCHULZ PT
Physical Therapist
1850 E PARK AVE, STE 112
STATE COLLEGE, PA 16803
Centre County (800) 243-1455
JEFFREY W. PRO M.D.
Internal Medicine
1850 E PARK AVE, SUITE 302
STATE COLLEGE, PA 16803
Centre County (814) 278-4680

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 Albert Zoda's NPI number?

The NPI number for Albert Zoda is 1891758041. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Albert Zoda located?

Albert Zoda practices at 1850 E Park Ave Suite 201, State College, PA 16803. The listed phone number is (814) 234-8800.

What is Albert Zoda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Albert Zoda enrolled in Medicare?

Yes. Albert Zoda 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 Albert Zoda accept?

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

According to CMS data, Albert Zoda is affiliated with Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Albert Zoda was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.