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DR. CHARLES J ZELNICK MD
NPI 1912986712
Family Medicine in Stonington, ME

Active since January 11, 2006PECOS Enrolled
96.65/100
CMS Quality Rating
354 AIRPORT ROAD, STONINGTON, ME 04681(207) 367-2311(207) 367-2805 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Charles J Zelnick Md NPPES

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

DR. CHARLES J ZELNICK MD (NPI 1912986712) is an individual family medicine provider in Stonington, Maine, licensed in Maine (MD17540) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912986712
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHARLES J ZELNICKCredential: MD
Location Address354 AIRPORT ROADStonington, ME 04681
Mailing Address354 Airport RoadStonington, ME 04681 · (207) 367-2311 · Fax (207) 367-2805
Phone(207) 367-2311
Fax(207) 367-2805
Sole ProprietorNo
Enumeration DateJanuary 11, 2006
Last NPPES UpdateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
✔ NPI 1912986712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · MD17540
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
354 AIRPORT ROAD, Stonington, ME 04681
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Other Identifiers 3

Other200249Anthem
OtherAA104234Harvard Pilgrim
Medicaid1912986712ME

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles J Zelnick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Zelnick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Blue Hill Memorial Hospital
16 mi
Critical Access
57 WATER STREET
Blue Hill, ME 04614
  • Reassigned Medicare billing, Maine enrollment
  • 125 clinicians in this Medicare group
NPI 1023057809 (207) 374-3400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04681 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

96.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.91
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier20 claims20 services$42.87 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims27 services$42.96 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$59.67 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers15 claims15 services$20.44 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers24 claims122 services$2.54 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$20.40 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 2

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

MS. HELEN DEUSCHLE LCSW
Social Worker (Clinical)
354 AIRPORT ROAD
STONINGTON, ME 04681
Hancock County (207) 367-2311
DR. ELYSIA IRWIN KAPSHA D.O.
Family Medicine
354 AIRPORT ROAD
STONINGTON, ME 04681
Hancock County (207) 367-2311

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 Charles Zelnick's NPI number?

The NPI number for Charles Zelnick is 1912986712. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Charles Zelnick located?

Charles Zelnick practices at 354 Airport Road, Stonington, ME 04681. The listed phone number is (207) 367-2311.

What is Charles Zelnick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Zelnick enrolled in Medicare?

Yes. Charles Zelnick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Charles Zelnick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Zelnick reassigns Medicare benefits to The Blue Hill Memorial Hospital (Blue Hill, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Zelnick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Zelnick accept?

Health plans from Anthem Blue Cross and Blue Shield list Charles Zelnick 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 Charles Zelnick was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.