BEN LOUIS ZARZAUR JR. M.D.
NPI 1396795704
Surgery - Trauma Surgery in Madison, WI
NPI Status: Active since May 10, 2006
- Individual
- Male
- Years of Experience 30
- Surgery
- Trauma Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About BEN ZARZAUR
This page provides the complete NPI Profile along with additional information for Ben Zarzaur, a provider established in Madison, Wisconsin with a medical specialization in Surgery, focusing in trauma surgery and more than 30 years of experience. He graduated from University Of Alabama School Of Medicine in 1996. The healthcare provider is registered in the NPI registry with number 1396795704 assigned on May 2006. The practitioner's primary taxonomy code is 2086S0127X with license number 70988 (WI). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1396795704
- Provider Name
- BEN LOUIS ZARZAUR JR. M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 600 HIGHLAND AVE MADISON, WI 53792
- Location Phone
- (608) 263-7502
- Mailing Address
- 7974 UW HEALTH CT MIDDLETON, WI 53562
- Medical School Name
- UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
- Graduation Year
- 1996
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-10-2006
- Last Update Date
- 01-13-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Trauma Surgery
- Taxonomy Code
- 2086S0127X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 70988
- License State
- WI
- Taxonomy Description
- Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 70988 (WI) |
2 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 01073675A (IN) |
3 | 2086S0102X | Allopathic & Osteopathic Physicians | Surgery | 01073675A (IN) |
4 | 2086S0127X | Allopathic & Osteopathic Physicians | Surgery | 31943 (TN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- Better Together HMO Bronze 6500 Ded/8000 MOOP - HMO
- Better Together HMO Bronze 7500 Ded/9200 MOOP - HMO
- Better Together HMO Bronze No Medical Ded/9200 MOOP - HMO
- Better Together HMO Gold 1000 Ded/6000 MOOP with Vision - HMO
- Better Together HMO Gold 1500 Ded/7800 MOOP - HMO
- Better Together HMO Gold 2900 Ded/2900 MOOP HSA - HMO
- Better Together HMO Platinum 500 Ded/1500 MOOP with Vision - HMO
- Better Together HMO Platinum No Ded/2800 MOOP - HMO
- Better Together HMO Platinum No Ded/4300 MOOP - HMO
- Better Together HMO Silver 4100 Ded/7500 MOOP with Vision - HMO
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- Enrich $1,500 - 25% - HMO
- Enrich $3,500 - 30% - HMO
- Enrich $4,100 HDHP - HMO
- Enrich $5,000 - 40% - HMO
- Enrich $6,200 HDHP - HMO
- Enrich $7,500 - HMO
- Enrich $9,200 - HMO
- Enrich Protection - HMO
- Premier $1,500 - 25% - HMO
- Premier $3,500 - 30% - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
201219990 | MEDICAID (05) | IN |
Medicare Participation & PECOS Enrollment Status
Ben Zarzaur is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Ben Zarzaur is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7517942014
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20190514000995
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Colonoscopy
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Follow-up hospital inpatient care per day, typically 15 minutes
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Hospital discharge day management, 30 minutes or less
Initial hospital inpatient care per day, typically 30 minutes
Initial hospital inpatient care per day, typically 50 minutes
Upper gastrointestinal (GI) endoscopy for acid reflux
A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.
This service was performed for 1-10 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 27 times for 27 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 37 times for 37 patientsFollow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 37 times for 22 patientsFollow-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.
This service was performed 331 times for 134 patientsFollow-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.
This service was performed 15 times for 11 patientsHospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
This service was performed 17 times for 17 patientsInitial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
This service was performed 55 times for 55 patientsInitial 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.
This service was performed 20 times for 20 patientsAn upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.
This service was performed for 1-10 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ben Zarzaur is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY | 600 HIGHLAND AVENUE MADISON, WI 53792 | (608) 263-6400 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 9 | 6 | 7 | 9 | 5 | 7 | 0 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 18 | 6 | 14 | 9 | 10 | 7 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 8 + 6 + 1 + 4 + 9 + 1 + 0 + 7 + 0 + 24 = 66 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 66 = 4 | 4 |
The NPI number 1396795704 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1073595575 | PETER STIER M.D. Individual | Emergency Medicine | 600 HIGHLAND AVE MADISON, WI 53792 (608) 262-2398 |
1730169624 | RALPH M. COLBURN MD Individual | Radiology (Diagnostic Radiology) | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8340 |
1316918758 | DR. A LELAND ALBRIGHT MD Individual | Neurological Surgery | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-9651 |
1568434777 | JOHN O FLEMING MD Individual | Psychiatry & Neurology (Neurology) | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-5442 |
1851363063 | JENNY P LIAO MD Individual | Psychiatry & Neurology (Neurology) | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-5442 |
1629040795 | JENNIFER S WINCHELL NP Individual | Nurse Practitioner | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-7502 |
1265404800 | LOUIS C FISCHER M.D. Individual | Radiology (Diagnostic Radiology) | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8340 |
1871566620 | JOANNE K RASH PA Individual | Physician Assistant | 600 HIGHLAND AVE MADISON, WI 53792 (608) 265-1700 |
1346215233 | TAMARA WILLMAN CRNA Individual | Nurse Anesthetist, Certified Registered | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
1184690836 | PATRICIA ANN BARRETT MD Individual | Radiology (Radiation Oncology) | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8500 |
1013983527 | JAMES H FITZPATRICK MD Individual | Anesthesiology | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
1508832015 | MARK E SCHROEDER MD Individual | Anesthesiology | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
1700852217 | KARL WILLMANN MD Individual | Anesthesiology | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
1871569384 | FRANCES WIEDENHOEFT CRNA Individual | Nurse Anesthetist, Certified Registered | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
1043286560 | REBECCA ANN KONKOL CRNA Individual | Nurse Anesthetist, Certified Registered | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
1700852225 | THOMAS O MONSOOR CRNA Individual | Nurse Anesthetist, Certified Registered | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
1194791590 | KATHRYN F FAHRENKRUG CRNA Individual | Nurse Anesthetist, Certified Registered | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
1265408660 | GIUDITTA ANGELINI MD Individual | Anesthesiology | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
1255307658 | GEORGE M SAVIELLO MD MBA Individual | Anesthesiology | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-8100 |
1376519447 | ROBERT B HOLLAND MD Individual | Internal Medicine (Medical Oncology) | 600 HIGHLAND AVE MADISON, WI 53792 (608) 263-7500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396795704, enumerated in the NPI registry as an "individual" on May 10, 2006
The provider is located at 600 Highland Ave Madison, Wi 53792 and the phone number is (608) 263-7502
The provider's speciality is Surgery with taxonomy code 2086S0127X with a focus in Trauma Surgery
The provider has more than 30 years of experience. He graduated from University Of Alabama School Of Medicine in 1996.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Colonoscopy, Emergency department visit for problem of high severity, Emergency department visit for problem of moderate severity, Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Hospital discharge day management, 30 minutes or less, Initial hospital inpatient care per day, typically 30 minutes, Initial hospital inpatient care per day, typically 50 minutes and Upper gastrointestinal (GI) endoscopy for acid reflux.
The practitioner is affiliated to the following hospital(s): UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on May 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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