NICOLA MARIO ZETOLA
NPI 1952803157
Internal Medicine - Critical Care Medicine in Augusta, GA

Active since March 03, 2018PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
1120 15TH STREET, AUGUSTA, GA 30912(706) 721-8623(706) 721-1459 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2021, May 22, 2020, Mar 3, 2018 (3 updates tracked since 2018).

About Nicola Mario Zetola NPPES

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

NICOLA MARIO ZETOLA (NPI 1952803157) is an individual critical care medicine provider in Augusta, Georgia, licensed in Georgia (85992) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Au Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1952803157
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameNICOLA MARIO ZETOLA
Location Address1120 15TH STREETAugusta, GA 30912-0004
Mailing Address110 S Paca StBaltimore, MD 21201-1642 · (410) 328-4409
Fax(706) 721-1459
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 3, 2018
Last NPPES UpdateNovember 22, 20213 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
NPI 1952803157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in GA · 85992 Licensed in MD · D88446
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 00000 (PA)
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 00000 (PA)
1120 15TH STREET, Augusta, GA 30912

Secondary Practice Locations 3

Location 112500 Willowbrook RdCumberland, MD 21502-6393 · Phone (240) 964-8750 · Fax (240) 964-8699
Location 2110 S Paca StBaltimore, MD 21201-1642 · Phone (410) 328-4409
Location 312502 Willowbrook Rd Ste 280Cumberland, MD 21502-6494 · Phone (240) 964-8750 · Fax (240) 964-8699

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

Nicola Mario Zetola 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 ID9537406780
PECOS Enrollment IDI20210324002187
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 7

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
158 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
78 services47 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.
35 services25 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
21 services21 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
14 services14 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Au Medical Center

Acute Care Hospitals · Augusta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110034
Location1120 15th StreetAugusta, GA 30912 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

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.

Internal Medicine (Cardiovascular Disease)
1120 15TH STREET
AUGUSTA, GA 30912
Pathology (Anatomic Pathology)
1120 15TH STREET
AUGUSTA, GA 30912
Nurse Anesthetist, Certified Registered
1120 15TH STREET
AUGUSTA, GA 30912
Anesthesiology
1120 15TH STREET
AUGUSTA, GA 30912
Nurse Anesthetist, Certified Registered
1120 15TH STREET
AUGUSTA, GA 30912
Physician Assistant
1120 15TH STREET
AUGUSTA, GA 30912
Pathology (Anatomic Pathology & Clinical Pathology)
1120 15TH STREET
AUGUSTA, GA 30912
Family Medicine
1120 15TH STREET
AUGUSTA, GA 30912

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 Nicola Zetola's NPI number?

The NPI number for Nicola Zetola is 1952803157. It was assigned to this individual provider in the NPPES registry on March 3, 2018.

Where is Nicola Zetola located?

Nicola Zetola practices at 1120 15th Street, Augusta, GA 30912. The listed phone number is (706) 721-8623.

What is Nicola Zetola's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Nicola Zetola enrolled in Medicare?

Yes. Nicola Zetola 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 Nicola Zetola accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Nicola Zetola 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 Nicola Zetola affiliated with any hospitals?

According to CMS data, Nicola Zetola is affiliated with Au Medical Center.

When was this NPI record last updated?

The NPPES record for Nicola Zetola was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.