DR. CHRISANTHY ZOWTIAK MD
NPI 1952566895
Family Medicine in Edgewood, KY

Active since July 21, 2008PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
413 SOUTH LOOP ROAD, ST. ELIZABETH HEALTHCARE CENTER FOR FAMILY MEDICINE, EDGEWOOD, KY 41017(859) 301-3800(859) 301-3987 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2022, Sep 19, 2018, Sep 13, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Chrisanthy Zowtiak Md NPPES

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

DR. CHRISANTHY ZOWTIAK MD (NPI 1952566895) is an individual family medicine provider in Edgewood, Kentucky, licensed in Kentucky (47655) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Georgetown University School Of Medicine (2008).

NPPES Registry Identity

NPI1952566895
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHRISANTHY ZOWTIAKCredential: MD
Location Address413 SOUTH LOOP ROAD, ST. ELIZABETH HEALTHCARE CENTER FOR FAMILY MEDICINEEdgewood, KY 41017-5446
Mailing Address413 S Loop RdEdgewood, KY 41017-5446 · (859) 301-3800 · Fax (859) 301-3820
Fax(859) 301-3987
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2008
Enumeration DateJuly 21, 2008
Last NPPES UpdateJanuary 23, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2024
NPI 1952566895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in KY · 47655 Licensed in OR · LL17963 Licensed in KY · TP002
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.
413 SOUTH LOOP ROAD, Edgewood, KY 41017

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. Chrisanthy Zowtiak 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 ID3870752322
PECOS Enrollment IDI20141009001796
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 6

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.

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.
95 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services30 patients
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.
33 services31 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
16 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers16 claims16 services$14.06 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers16 claims16 services$58.74 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 6

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

Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Family Medicine
413 SOUTH LOOP ROAD, ST ELIZABETH FAMILY PRACTICE CENTER
EDGEWOOD, KY 41017
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017
Family Medicine
413 SOUTH LOOP ROAD
EDGEWOOD, KY 41017

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 Chrisanthy Zowtiak's NPI number?

The NPI number for Chrisanthy Zowtiak is 1952566895. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Chrisanthy Zowtiak located?

Chrisanthy Zowtiak practices at 413 South Loop Road St. Elizabeth Healthcare Center For Family Medicine, Edgewood, KY 41017. The listed phone number is (859) 301-3800.

What is Chrisanthy Zowtiak's specialty?

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

Is Chrisanthy Zowtiak enrolled in Medicare?

Yes. Chrisanthy Zowtiak 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 Chrisanthy Zowtiak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Chrisanthy Zowtiak 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 Chrisanthy Zowtiak affiliated with any hospitals?

According to CMS data, Chrisanthy Zowtiak is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Chrisanthy Zowtiak was last updated on January 23, 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.