Active NPI 1811991219 Individual Practitioner Male Practitioner

Dr. Daniel Francis Zinicola , MD

General Practice • Rocky Point, NC

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Zinicola, MD is a certified General Practice practicing in Rocky Point, NC. With approximately 43 years of clinical experience since completing medical education in 1983, Dr. Zinicola delivers high-quality medical care to the local community at 27 COMMERCE DR.

Dr. Zinicola does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

27 Commerce Dr

Rocky Point, NC 284577871

Telephone 9106758089

Fax 9106758103

Associated Practice Facility / Clinic

🏢 Rocky Point Urgent Care Llc Facility NPI 1265491435

Medicare Profile & Education

Medical School

Other

Graduation Year

1983

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Rocky Point, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs Matches City Avg

City Avg: 43.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

1 Specialists

Practicing in Rocky Point, NC (265 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zinicola (43 Years) 43 Yrs

Rocky Point Specialty Average (43.0 Years) 43.0 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	587	246	$200.00	$122.38
36415 Insertion of needle into vein for collection of blood sample	419	234	$10.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	264	137	$165.00	$86.73
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	163	127	$25.00	$15.95
81002 Urinalysis, manual test	83	59	$15.00	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	30	$50.00	$13.65
90653 Vaccine for influenza for injection into muscle	52	52	$85.00	$77.81
G0008 Administration of influenza virus vaccine	52	52	$40.00	$30.39
83036 Hemoglobin A1C level	31	27	$25.00	$9.52
J1100 Injection, dexamethasone sodium phosphate, 1 mg	27	23	$40.00	$0.11
93000 Routine ekg using at least 12 leads including interpretation and report	26	24	$85.00	$13.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$150.00	$127.24

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	701	267	$200.00	$120.99
36415 Insertion of needle into vein for collection of blood sample	484	278	$10.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	302	153	$164.16	$85.68
81002 Urinalysis, manual test	150	99	$15.00	$3.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	37	$50.00	$13.36
G0008 Administration of influenza virus vaccine	60	60	$32.00	$29.17
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	59	59	$77.03	$74.44
J1885 Injection, ketorolac tromethamine, per 15 mg	57	15	$42.00	$0.55
93000 Routine ekg using at least 12 leads including interpretation and report	51	51	$85.00	$13.66
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	30	17	$60.00	$38.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$150.00	$122.13
J1100 Injection, dexamethasone sodium phosphate, 1 mg	26	22	$40.00	$0.13
83036 Hemoglobin A1C level	24	24	$25.00	$9.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	12	$90.00	$53.53
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$175.00	$156.35
69210 Removal of impacted ear wax	11	11	$69.55	$44.95

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	888	309	$197.54	$122.54
36415 Insertion of needle into vein for collection of blood sample	541	304	$10.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	241	147	$147.78	$87.21
81002 Urinalysis, manual test	131	89	$15.00	$3.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	127	57	$50.00	$13.43
J1885 Injection, ketorolac tromethamine, per 15 mg	98	24	$42.00	$0.55
G0008 Administration of influenza virus vaccine	91	91	$30.00	$27.76
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	86	86	$70.35	$66.84
J1100 Injection, dexamethasone sodium phosphate, 1 mg	79	39	$40.00	$0.11
83036 Hemoglobin A1C level	54	45	$25.00	$9.42
93000 Routine ekg using at least 12 leads including interpretation and report	52	43	$85.00	$13.55
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	34	23	$60.00	$39.10
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	31	$65.00	$22.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$150.00	$125.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$90.00	$54.21
69210 Removal of impacted ear wax	16	13	$65.00	$44.19
G0102 Prostate cancer screening; digital rectal examination	13	13	$30.00	$22.06

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	1,066	360	$195.00	$125.78
36415 Insertion of needle into vein for collection of blood sample	622	350	$10.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	225	149	$145.00	$88.45
81002 Urinalysis, manual test	154	93	$15.00	$3.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	129	53	$50.00	$13.67
G0008 Administration of influenza virus vaccine	124	124	$30.00	$16.26
J1100 Injection, dexamethasone sodium phosphate, 1 mg	71	27	$40.00	$0.15
83036 Hemoglobin A1C level	71	58	$25.00	$9.71
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	71	71	$30.00	$20.53
J1885 Injection, ketorolac tromethamine, per 15 mg	62	18	$42.00	$0.49
93000 Routine ekg using at least 12 leads including interpretation and report	53	50	$85.00	$14.27
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	53	53	$65.00	$65.00
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	49	43	$64.90	$21.79
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	46	26	$60.00	$39.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$150.00	$128.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	16	$90.00	$54.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$185.00	$163.35
69210 Removal of impacted ear wax	16	16	$60.00	$46.20
G0102 Prostate cancer screening; digital rectal examination	12	12	$30.00	$21.79

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	1,112	369	$187.58	$106.22
36415 Insertion of needle into vein for collection of blood sample	718	370	$10.00	$2.97
99213 Established patient office or other outpatient visit, typically 15 minutes	269	161	$141.34	$73.01
81002 Urinalysis, manual test	165	112	$15.00	$3.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	129	48	$50.00	$13.84
G0008 Administration of influenza virus vaccine	124	119	$30.00	$16.07
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	104	99	$25.00	$18.78
J1885 Injection, ketorolac tromethamine, per 15 mg	60	22	$42.00	$0.56
93000 Routine ekg using at least 12 leads including interpretation and report	59	55	$85.00	$16.47
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	49	29	$60.00	$39.61
83036 Hemoglobin A1C level	45	44	$25.00	$9.68
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	33	31	$63.94	$22.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	22	$150.00	$112.19
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	20	20	$65.00	$61.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$185.00	$161.28
20552 Injections of trigger points in 1 or 2 muscles	17	11	$200.00	$54.71
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	16	13	$50.00	$6.32
J1100 Injection, dexamethasone sodium phosphate, 1 mg	14	13	$40.00	$0.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$160.00	$105.14
G0102 Prostate cancer screening; digital rectal examination	11	11	$30.00	$21.93

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	850	379	$160.00	$104.24
36415 Insertion of needle into vein for collection of blood sample	533	334	$10.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	404	246	$130.00	$70.91
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	136	52	$50.00	$15.82
81002 Urinalysis, manual test	103	75	$15.00	$3.41
G0008 Administration of influenza virus vaccine	82	81	$30.00	$15.79
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	81	80	$25.00	$17.48
J1885 Injection, ketorolac tromethamine, per 15 mg	68	19	$42.00	$0.48
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	40	25	$60.00	$39.30
83036 Hemoglobin A1C level	27	26	$25.00	$10.57
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	24	21	$50.00	$6.48
93000 Routine ekg using at least 12 leads including interpretation and report	22	20	$85.00	$16.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$160.00	$103.58

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	1,519	468	$160.00	$97.61
36415 Insertion of needle into vein for collection of blood sample	746	425	$10.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	394	228	$130.00	$66.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	247	101	$50.00	$18.57
J1885 Injection, ketorolac tromethamine, per 15 mg	211	45	$42.00	$0.57
G0008 Administration of influenza virus vaccine	163	157	$30.00	$19.38
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	133	51	$60.00	$37.87
81002 Urinalysis, manual test	131	98	$15.00	$3.33
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	129	129	$25.00	$17.48
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	50	43	$50.00	$6.53
83036 Hemoglobin A1C level	47	44	$25.00	$11.50
20552 Injections of trigger points in 1 or 2 muscles	37	22	$200.00	$50.31
J1100 Injection, dexamethasone sodium phosphate, 1 mg	35	23	$40.00	$0.12
93000 Routine ekg using at least 12 leads including interpretation and report	35	34	$85.00	$15.11
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	29	29	$25.00	$17.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$160.00	$98.26
G0009 Administration of pneumococcal vaccine	15	15	$30.00	$19.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$150.00	$106.03
82962 Blood glucose (sugar) test performed by hand-held instrument	14	13	$15.00	$3.21
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$125.00	$105.59

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	1,612	490	$160.00	$96.15
36415 Insertion of needle into vein for collection of blood sample	850	451	$10.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	526	296	$130.00	$64.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	313	127	$50.00	$22.51
J1885 Injection, ketorolac tromethamine, per 15 mg	224	55	$42.00	$0.63
81002 Urinalysis, manual test	202	132	$15.00	$3.38
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	200	200	$25.00	$17.34
G0008 Administration of influenza virus vaccine	198	198	$30.00	$23.92
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	133	60	$60.00	$36.89
83036 Hemoglobin A1C level	83	73	$25.00	$12.58
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg	73	59	$50.00	$5.65
J0696 Injection, ceftriaxone sodium, per 250 mg	53	13	$25.00	$0.64
93000 Routine ekg using at least 12 leads including interpretation and report	46	43	$85.00	$15.11
G0009 Administration of pneumococcal vaccine	45	45	$30.00	$23.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$160.00	$96.80
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	45	45	$108.89	$96.48
J1100 Injection, dexamethasone sodium phosphate, 1 mg	43	33	$40.00	$0.12
20552 Injections of trigger points in 1 or 2 muscles	36	23	$200.00	$49.36
69210 Removal of impacted ear wax	32	30	$60.00	$43.93
82962 Blood glucose (sugar) test performed by hand-held instrument	29	25	$15.00	$3.15
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	21	$40.00	$15.40
94640 Inhalation treatment for airway obstruction or sputum production	18	15	$40.00	$16.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$150.00	$102.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$65.00	$17.96
11042 Removal of skin and tissue, 20.0 sq cm or less	12	11	$183.33	$103.56
93272 Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional	11	11	$75.00	$23.19

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NC 32605

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Family Medicine - Geriatric Medicine

NUCC Taxonomy Code: 207QG0300X

State License NC 32605

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7989945 (NC)

Commercial Insurance / Payer ID Medicare

211831F (NC)

Commercial Insurance / Payer ID Nc Blue Cross Blue Shield

89945 (NC)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 08, 2013

Registered at 27 COMMERCE DR, ROCKY POINT, NC 284577871 (Tel: 9106758089)

📍

Updated Business Mailing Address January 08, 2013

Registered at 27 COMMERCE DRIVE, ROCKY POINT, NC 28457 (Tel: 9106758089)

👤

Provider Name / Credentials Updated January 08, 2013

Recorded as DANIEL ZINICOLA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2013

Family Medicine (License #32605 in NC)

🟢

Initial NPI Registration & Enumeration June 13, 2005

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: 1811991219

Entity Type:

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

Enumeration Date: June 13, 2005

Last Update: January 08, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

27 Commerce Drive

Rocky Point, NC 28457

Phone: 9106758089

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.