Active NPI 1184734402 Individual Practitioner Male Practitioner

Dr. Anthony R Zappia , MD

Surgery • Carmel, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Zappia, MD is a certified Surgery practicing in Carmel, IN. With approximately 35 years of clinical experience since graduating from Indiana University School Of Medicine in 1991, Dr. Zappia delivers high-quality medical care to the local community at 13430 N MERIDIAN ST STE 275.

Dr. Zappia is affiliated with St Vincent Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, repair of groin hernia using an endoscope, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13430 N Meridian St Ste 275

Carmel, IN 460321484

Telephone 3175828810

Associated Practice Facility / Clinic

🏢 Meridian Surgical Group, Inc Facility NPI 1376655613

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Carmel, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +13.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

19 Specialists

Practicing in Carmel, IN (657 Statewide)

Telehealth Adoption Rate

5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zappia (35 Years) 35 Yrs

Carmel Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$180.00	$102.96
49650 Repair of groin hernia using an endoscope	31	31	$3028.48	$373.66
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$120.00	$81.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$270.00	$154.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	21	$170.00	$111.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	12	$320.00	$160.08
49594 Initial repair of entrapped hernia of abdomen, 3-10 cm in length	11	11	$3030.00	$606.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$180.00	$103.89
49650 Repair of groin hernia using an endoscope	23	23	$3121.43	$425.34
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$120.00	$80.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	12	$178.60	$48.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$270.00	$154.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$180.00	$105.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	16	$167.83	$35.98
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$120.00	$85.99
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$225.71	$94.81
49650 Repair of groin hernia using an endoscope	16	16	$2899.31	$452.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$270.00	$158.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$80.00	$53.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	30	$78.22	$38.48
99221 Initial hospital inpatient care per day, typically 30 minutes	42	42	$191.67	$102.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$297.74	$169.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	17	$262.00	$182.90
49650 Repair of groin hernia using an endoscope	11	11	$1944.36	$544.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	98	54	$77.20	$40.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$197.30	$108.96
99221 Initial hospital inpatient care per day, typically 30 minutes	72	71	$191.54	$105.53
99213 Established patient office or other outpatient visit, typically 15 minutes	64	55	$132.00	$75.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$197.82	$107.86
99231 Follow-up hospital inpatient care per day, typically 15 minutes	55	28	$84.24	$40.12
99213 Established patient office or other outpatient visit, typically 15 minutes	48	40	$132.00	$73.31
99221 Initial hospital inpatient care per day, typically 30 minutes	26	26	$188.00	$103.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$79.00	$44.94
49650 Repair of groin hernia using an endoscope	15	15	$1289.73	$416.78
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$195.18	$73.44
47562 Removal of gallbladder using an endoscope	11	11	$1958.73	$595.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$197.00	$106.24
99221 Initial hospital inpatient care per day, typically 30 minutes	30	29	$188.00	$102.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	14	$77.12	$39.56
99213 Established patient office or other outpatient visit, typically 15 minutes	23	20	$132.00	$70.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$179.00	$102.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	45	$71.00	$41.06
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$120.00	$66.52
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$183.24	$100.65
49650 Repair of groin hernia using an endoscope	14	14	$2937.00	$481.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$176.00	$103.80

Medical Specialties & State Licenses

CMS Verified: 2022-05-18

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 01045065A

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License FL ME133717

Hospital & Practice Group Affiliations

St Vincent Medical Group Inc

13430 N Meridian St, Carmel, IN 460321484

Phone: 3175828815

Secondary Practice Locations

2300 E County Road 540a

Lakeland, FL 338133825

Phone: 8636807486

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners

Lindsey Peterson , PA-C

Physician Assistant - Medical

NPI 1003354507

Physician Assistant (Certified)

Dr. Christopher Evanson , MD

Surgery

NPI 1124058045

Doctor of Medicine (M.D.)

Stephanie Stanley , APRN, FNP-C

Nurse Practitioner - Family

NPI 1134544190

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Amareshwar Chiruvella , MD

Surgery

NPI 1154641157

Doctor of Medicine (M.D.)

Tara Wilson , CFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1386886620

Rachael Ramos , FNP-C

Nurse Practitioner - Family

NPI 1396226692

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events

📍

Updated Practice Location May 18, 2022

Registered at 13430 N MERIDIAN ST STE 275, CARMEL, IN 460321484 (Tel: 3175828810)

📍

Updated Business Mailing Address May 18, 2022

Registered at 13430 N MERIDIAN ST STE 275, CARMEL, IN 460321484

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2022

Surgery (License #ME133717 in FL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2021

Surgery (License #01045065A in IN)

📍

Updated Business Mailing Address September 29, 2020

Registered at 1600 LAKELAND HILLS BLVD, LAKELAND, FL 338053019 (Tel: 8636807000)

✅

NPI Profile Active January 29, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2018

Registered at 2300 E COUNTY ROAD 540A, LAKELAND, FL 338133825 (Tel: 8636073333)

📍

Updated Business Mailing Address January 29, 2018

Registered at PO BOX 95004, LAKELAND, FL 338045004 (Tel: 8636807000)

👤

Provider Name / Credentials Updated January 29, 2018

Recorded as ANTHONY ZAPPIA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2018

Surgery (License #ME133717 in FL)

📍

Updated Practice Location December 11, 2017

Registered at 2300 E COUNTY ROAD 540A, LAKELAND, FL 338133825 (Tel: 8636073333)

📍

Updated Business Mailing Address December 11, 2017

Registered at PO BOX 95004, LAKELAND, FL 338045004 (Tel: 8636807000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2017

Surgery (License #01045065A in IN)

✅

NPI Profile Active May 29, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 29, 2014

Registered at 2300 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 611033619 (Tel: 8159712000)

📍

Updated Business Mailing Address May 29, 2014

Registered at 2400 N. ROCKTON AVE, ATT. MED STAFF, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 611033655 (Tel: 8159712000)

👤

Provider Name / Credentials Updated May 29, 2014

Recorded as ANTHONY ZAPPIA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2014

Surgery (License #36104220 in IL)

🟢

Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184734402

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 30, 2006

Last Update: May 18, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

13430 N Meridian St Ste 275

Carmel, IN 460321484

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.