DR. ROSS DENNIS ZAFONTE DO
NPI 1871569145
Physical Medicine & Rehabilitation - Brain Injury Medicine in Columbia, MO
NPI Status: Active since February 27, 2006
Contact Information
315 W BUSINESS LOOP 70
COLUMBIA, MO
ZIP 65203
Phone: (573) 882-3101
Fax: (573) 884-4540
- Individual
- Male
- Years of Experience 41
- Physical Medicine & Rehabilitation
- Brain Injury Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ROSS ZAFONTE
This page provides the complete NPI Profile along with additional information for Ross Zafonte, a provider established in Columbia, Missouri with a medical specialization in Physical Medicine & Rehabilitation, focusing in brain injury medicine and more than 41 years of experience. The healthcare provider is registered in the NPI registry with number 1871569145 assigned on February 2006. The practitioner's primary taxonomy code is 2081P0301X with license number R8N91 (MO). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1871569145
- Provider Name
- DR. ROSS DENNIS ZAFONTE DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 315 W BUSINESS LOOP 70 COLUMBIA, MO 65203
- Location Phone
- (573) 882-3101
- Location Fax
- (573) 884-4540
- Mailing Address
- PO BOX 843966 KANSAS CITY, MO 64184
- Mailing Phone
- (573) 884-3300
- Mailing Fax
- (573) 884-4540
- Medical School Name
- OTHER
- Graduation Year
- 1985
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-27-2006
- Last Update Date
- 09-19-2024
- 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
Physical Medicine & Rehabilitation Brain Injury Medicine
- Taxonomy Code
- 2081P0301X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R8N91
- License State
- MO
- Taxonomy Description
- A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
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 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | R8N91 (MO) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
- Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
- Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
- Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
- Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
- Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
- Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
- Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
- Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
- Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
- Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
- Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
- Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ross Zafonte 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.
Ross Zafonte 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: 2062304009
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: I20071120000051
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
Reviews for DR. ROSS DENNIS ZAFONTE DO
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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 | 8 | 7 | 1 | 5 | 6 | 9 | 1 | 4 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 14 | 1 | 10 | 6 | 18 | 1 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 4 + 1 + 1 + 0 + 6 + 1 + 8 + 1 + 8 + 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 1871569145 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 11 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1609491513 | KOTOMI OBAYASHI DO Individual | Physical Medicine & Rehabilitation | 315 W BUSINESS LOOP 70 COLUMBIA, MO 65203 (573) 882-0406 |
1306583315 | HANNAH FISHER SLP-CCC Individual | Speech-Language Pathologist | 315 W BUSINESS LOOP 70 COLUMBIA, MO 65203 (573) 817-2780 |
1164479531 | JANE ANNE EMERSON M.D. Individual | Physical Medicine & Rehabilitation | 315 W BUSINESS LOOP 70 COLUMBIA, MO 65203 (573) 884-0033 |
1508061359 | CHAMELLE JAN MARCH G.N.P. Individual | Nurse Practitioner (Gerontology) | 315 W BUSINESS LOOP 70 COLUMBIA, MO 65203 (573) 884-0033 |
1528097722 | REZA S FARID M.D. Individual | Physical Medicine & Rehabilitation | 315 W BUSINESS LOOP 70 COLUMBIA, MO 65203 (573) 884-0033 |
1679676860 | KATHERINE FRANCIS EDWARDS M.D. Individual | Physical Medicine & Rehabilitation | 315 W BUSINESS LOOP 70 COLUMBIA, MO 65203 (573) 884-0033 |
1831519230 | DR. VOVANTI TIVOLI JONES M.D. Individual | Physical Medicine & Rehabilitation | 315 W BUSINESS LOOP 70 COLUMBIA, MO 65203 (573) 882-3101 |
1093744690 | JOSEPH E BURRIS MD Individual | Physical Medicine & Rehabilitation | 315 W BUSINESS LOOP 70 COLUMBIA, MO 65203 (573) 882-3101 |
1710570890 | SARAH ELIZABETH HEETER FNP Individual | Nurse Practitioner (Family) | 315 W BUSINESS LOOP 70 COLUMBIA, MO 65203 (573) 817-2703 |
1427437789 | RYAN JACK CASTORO D.O. Individual | Physical Medicine & Rehabilitation (Neuromuscular Medicine) | 315 W BUSINESS LOOP 70 COLUMBIA, MO 65203 (573) 882-3101 |
1497067250 | CHRISSA MCCLELLAN M.D. Individual | Electrodiagnostic Medicine | 315 W BUSINESS LOOP 70 COLUMBIA, MO 65203 (573) 884-0033 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871569145, enumerated in the NPI registry as an "individual" on February 27, 2006
The provider is located at 315 W Business Loop 70 Columbia, Mo 65203 and the phone number is (573) 882-3101
The provider's speciality is Physical Medicine & Rehabilitation with taxonomy code 2081P0301X with a focus in Brain Injury Medicine
The provider has more than 41 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. 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.
This NPI record was last updated on February 27, 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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