Active NPI 1215953039 Individual Practitioner Male Practitioner

Dr. Stephen Michael Zappala , MD

Specialist • Andover, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Zappala, MD is a certified Specialist practicing in Andover, MA. With approximately 43 years of clinical experience since graduating from University Of Massachusetts Medical School in 1983, Dr. Zappala delivers high-quality medical care to the local community at 140 HAVERHILL ST.

Dr. Zappala accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

140 Haverhill St
Doctors Park I

Andover, MA 018101550

Telephone 9784754499

Fax 9787499585

Associated Practice Facility / Clinic

🏢 Essex Orthopaedics Inc. Facility NPI 1750373635

Medicare Profile & Education

Medical School

University Of Massachusetts Medical School

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Andover, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +12.0 yrs vs City Avg

City Avg: 31.0 Yrs

State Avg: 37.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Andover, MA (1181 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zappala (43 Years) 43 Yrs

Andover Specialty Average (31.0 Years) 31.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,047	708	$282.54	$127.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	166	166	$316.29	$165.79
52000 Diagnostic exam of bladder and urethra using an endoscope	103	90	$939.93	$240.40
99213 Established patient office or other outpatient visit, typically 15 minutes	96	81	$203.52	$90.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$248.90	$111.02
55700 Biopsy of prostate gland	12	12	$846.27	$126.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	997	673	$282.54	$130.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$316.29	$168.12
99213 Established patient office or other outpatient visit, typically 15 minutes	137	116	$203.52	$92.02
52000 Diagnostic exam of bladder and urethra using an endoscope	118	106	$939.93	$248.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$248.90	$114.57
55700 Biopsy of prostate gland	18	18	$846.27	$127.56
55700 Biopsy of prostate gland	12	12	$846.27	$249.53
76872 Ultrasound scan of pelvic region through rectum	12	12	$361.67	$32.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	975	687	$282.54	$132.88
99213 Established patient office or other outpatient visit, typically 15 minutes	224	179	$203.52	$94.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	134	134	$316.29	$172.10
52000 Diagnostic exam of bladder and urethra using an endoscope	96	84	$939.93	$262.58
55700 Biopsy of prostate gland	16	16	$846.27	$129.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$248.90	$116.39
55700 Biopsy of prostate gland	16	16	$846.27	$256.44
50590 Shock wave crushing of kidney stones	15	13	$4576.83	$576.64
76872 Ultrasound scan of pelvic region through rectum	15	15	$361.67	$33.49
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$4507.98	$725.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,116	728	$282.54	$135.64
99213 Established patient office or other outpatient visit, typically 15 minutes	221	181	$203.52	$95.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	173	173	$316.29	$173.77
52000 Diagnostic exam of bladder and urethra using an endoscope	105	92	$939.93	$250.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$248.90	$117.59
76872 Ultrasound scan of pelvic region through rectum	22	22	$361.67	$32.97
55700 Biopsy of prostate gland	22	22	$846.27	$248.55
50590 Shock wave crushing of kidney stones	19	16	$4576.83	$584.56
55700 Biopsy of prostate gland	16	16	$846.27	$132.41
52356 Crushing of stone of ureter with insertion of stent using an endoscope	13	12	$2000.00	$421.54
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	12	12	$4507.98	$737.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	984	653	$282.54	$115.20
99213 Established patient office or other outpatient visit, typically 15 minutes	226	192	$203.52	$79.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$316.29	$172.86
52000 Diagnostic exam of bladder and urethra using an endoscope	106	92	$939.93	$227.62
81001 Manual urinalysis test with examination using microscope, automated	46	41	$45.38	$3.12
76872 Ultrasound scan of pelvic region through rectum	20	20	$361.67	$35.50
55700 Biopsy of prostate gland	20	20	$846.27	$268.33
55700 Biopsy of prostate gland	19	19	$846.27	$138.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$248.90	$108.41
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$338.20	$208.67
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	13	$2000.00	$451.66
50590 Shock wave crushing of kidney stones	11	11	$4576.83	$600.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	996	693	$282.54	$112.98
81001 Manual urinalysis test with examination using microscope, automated	417	382	$45.38	$3.43
99213 Established patient office or other outpatient visit, typically 15 minutes	299	224	$203.52	$77.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$316.29	$170.26
52000 Diagnostic exam of bladder and urethra using an endoscope	129	110	$939.93	$201.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$248.90	$113.25
55700 Biopsy of prostate gland	24	23	$846.27	$136.05
50590 Shock wave crushing of kidney stones	14	12	$4576.83	$556.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,136	738	$282.54	$108.49
81001 Manual urinalysis test with examination using microscope, automated	854	641	$45.38	$3.82
99213 Established patient office or other outpatient visit, typically 15 minutes	308	226	$203.52	$73.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	155	155	$316.29	$165.99
52000 Diagnostic exam of bladder and urethra using an endoscope	125	108	$939.93	$170.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$248.90	$109.68
55700 Biopsy of prostate gland	23	23	$846.27	$132.27
51703 Complicated insertion of bladder tube	20	12	$471.42	$130.31
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	20	20	$4507.98	$695.51
55700 Biopsy of prostate gland	14	14	$846.27	$257.68
76872 Ultrasound scan of pelvic region through rectum	14	14	$361.67	$34.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81001 Manual urinalysis test with examination using microscope, automated	998	701	$45.38	$4.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	949	702	$282.54	$110.38
99213 Established patient office or other outpatient visit, typically 15 minutes	408	304	$203.52	$75.40
52000 Diagnostic exam of bladder and urethra using an endoscope	169	150	$939.93	$172.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	133	133	$316.29	$168.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$248.90	$111.63
55700 Biopsy of prostate gland	23	22	$846.27	$135.36
51703 Complicated insertion of bladder tube	17	14	$471.42	$130.61
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	17	11	$4125.86	$298.82
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$4507.98	$864.15
76872 Ultrasound scan of pelvic region through rectum	13	13	$361.67	$34.47
55700 Biopsy of prostate gland	13	13	$846.27	$259.62
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	11	$1878.40	$254.54
81000 Manual urinalysis test with examination using microscope, non-automated	12	12	$45.38	$4.26

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 60267

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

9772863 (MA)

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Earl Gonzales , MD

Surgery

NPI 1215134390

Doctor of Medicine (M.D.)

Dr. Andrea Polonsky , MD

Obstetrics & Gynecology

NPI 1245316389

Doctor of Medicine (M.D.)

Gregory Christie , PA-C

Physician Assistant

NPI 1255323135

Physician Assistant (Certified)

Dr. Kathleen Devaney , MD

Pediatrics

NPI 1336147214

Doctor of Medicine (M.D.)

Christine Lotterhand , NP

Nurse Practitioner - Family

NPI 1437211059

Nurse Practitioner

Grace Clancy , PNP

Nurse Practitioner - Pediatrics

NPI 1447383054

Pediatric Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 140 HAVERHILL ST, DOCTORS PARK I, ANDOVER, MA 018101550 (Tel: 9784754499)

📍

Updated Business Mailing Address July 08, 2007

Registered at 140 HAVERHILL ST, DOCTORS PARK I, ANDOVER, MA 018101550 (Tel: 9784754499)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN ZAPPALA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #60267 in MA)

🟢

Initial NPI Registration & Enumeration July 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215953039

Entity Type:

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

Enumeration Date: July 14, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

140 Haverhill St, Doctors Park I

Andover, MA 018101550

Phone: 9784754499

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.