RACHEL LEIGH GIRATA PA-C
NPI 1578078085
Physician Assistant in Zanesville, OH
NPI Status: Active since December 06, 2017
Contact Information
955 BETHESDA DR
ZANESVILLE, OH
ZIP 43701
Phone: (740) 586-6828
Fax: (740) 586-6828
- Individual
- Female
- Physician Assistant
- PECOS Enrolled
- Medicare Quality Reporting
About RACHEL GIRATA
This page provides the complete NPI Profile along with additional information for Rachel Girata, a primary care provider established in Zanesville, Ohio with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1578078085 assigned on December 2017. The practitioner's primary taxonomy code is 363A00000X with license number 50.005299RX (OH). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1578078085
- Provider Name
- RACHEL LEIGH GIRATA PA-C
- Other Name
- RACHEL LEIGH HILTZ
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 955 BETHESDA DR ZANESVILLE, OH 43701
- Location Phone
- (740) 586-6828
- Location Fax
- (740) 586-6828
- Mailing Address
- 328 MEADOW ASH DR LEWIS CENTER, OH 43035
- Mailing Phone
- (614) 935-9541
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-06-2017
- Last Update Date
- 12-06-2017
- Code Navigator
A primary care provider (PCP) like Rachel Girata sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 50.005299RX
- License State
- OH
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare Participation & PECOS Enrollment Status
Rachel Girata 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
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
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 43701 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Colorectal Cancer Screening | 59% | 27 |
| Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
| Pneumococcal Vaccination Status for Older Adults | 58% | 26 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 43% | 44 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
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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 | 5 | 7 | 8 | 0 | 7 | 8 | 0 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 0 | 7 | 16 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 0 + 7 + 1 + 6 + 0 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1578078085 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1740633494 | CRYSTAL COLLEEN MORGAN NP-C Individual | Nurse Practitioner (Family) | 955 BETHESDA DR FIRST FLOOR ZANESVILLE, OH 43701 (740) 454-0804 |
| 1871579854 | JOHN E VANGILDER MD Individual | Internal Medicine (Cardiovascular Disease) | 955 BETHESDA DR 1ST FLOOR ZANESVILLE, OH 43701 (740) 454-0804 |
| 1972044667 | CHRISTY ZIGO CRNP Individual | Nurse Practitioner | 955 BETHESDA DR ZANESVILLE, OH 43701 (740) 454-0804 |
| 1548791072 | DANIELLE HARMON Individual | Nurse Practitioner (Family) | 955 BETHESDA DR 1ST FLOOR ZANESVILLE, OH 43701 (740) 454-0804 |
| 1982139630 | KRISTEN BUCKEY CNP Individual | Nurse Practitioner (Family) | 955 BETHESDA DR ZANESVILLE, OH 43701 (740) 454-5000 |
| 1013430446 | LESLIE HUBER CNP Individual | Nurse Practitioner (Family) | 955 BETHESDA DR ZANESVILLE, OH 43701 (740) 454-7725 |
| 1083043616 | RONI LYNN MASTERS PA-C Individual | Physician Assistant (Surgical) | 955 BETHESDA DR ZANESVILLE, OH 43701 (419) 522-0320 |
| 1801355631 | MICHELE TAYLOR Individual | Nurse Practitioner (Family) | 955 BETHESDA DR ZANESVILLE, OH 43701 (740) 454-5000 |
| 1871102194 | GENESIS MEDICAL GROUP, LLC Organization | Durable Medical Equipment & Medical Supplies | 955 BETHESDA DR ZANESVILLE, OH 43701 (740) 586-6828 |
| 1902407927 | MEKONNEN DENEKEW PA-C Individual | Physician Assistant | 955 BETHESDA DR ZANESVILLE, OH 43701 (740) 454-0804 |
| 1962003657 | LYNDSEY LEIGH BATESON NP-C Individual | Nurse Practitioner | 955 BETHESDA DR ZANESVILLE, OH 43701 (740) 454-0804 |
| 1881251858 | MATTHEW HUFFMAN APRN-CNP, ACNPC-AG Individual | Nurse Practitioner (Acute Care) | 955 BETHESDA DR ZANESVILLE, OH 43701 (740) 454-4077 |
| 1992394035 | KATEY KHUNE Individual | Nurse Practitioner (Family) | 955 BETHESDA DR ZANESVILLE, OH 43701 (740) 454-0804 |
| 1427647817 | MARISSA ARIN EVANCHO Individual | Nurse Practitioner (Family) | 955 BETHESDA DR ZANESVILLE, OH 43701 (740) 454-4966 |
| 1114269180 | PETER RHEAM UNKOVIC D.O. Individual | Internal Medicine (Advanced Heart Failure and Transplant Cardiology) | 955 BETHESDA DR ZANESVILLE, OH 43701 (740) 454-0804 |
| 1346072618 | SHERRY A MCBRIDE CNP Individual | Nurse Practitioner (Family) | 955 BETHESDA DR ZANESVILLE, OH 43701 (740) 454-0804 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578078085, enumerated in the NPI registry as an "individual" on December 06, 2017
The provider is located at 955 Bethesda Dr Zanesville, Oh 43701 and the phone number is (740) 586-6828
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
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.
Medicare beneficiaries should expect a typical cost of $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on December 06, 2017. 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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