STEPHEN N ZONCA (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1255394482

STEPHEN N ZONCA (M.D.) is a healthcare provider. based in Muskegon, Michigan. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. O65662 (MI). The NPI Number for STEPHEN N ZONCA (M.D.) is 1255394482

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN N ZONCA (M.D.)
NPI
1255394482
Phone
(231) 739-9461
Address
1316 MERCY DR
Enumeration Date
10 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2317399461
Graduation Year
1995 (31 years ago)
PAC ID
6204898166
Group Practice PAC ID
0941262877
Professional Enrollment ID
I20041103000255
Address ID
MI494447807MU1675XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

246 PLASTIC AND RECONSTRUCTIVE SURGERY in MI

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Provider Addresses for STEPHEN N ZONCA (M.D.)

  • 1316, Mercy Drive, Muskegon, Muskegon County, Michigan, 49444, United States

    MUSKEGON, MI 494441835

    Phone: (231) 739-9461

    Fax: (231) 733-8131

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $339.

Total Amount is formed as General ($339) + Research ($0) + Ownership ($0) = $339.

Last reported payment date: 2024-11-09 • Largest payer in this snapshot: Mentor Worldwide LLC ($193).

Total Amount

$339

General + Research + Ownership

Payments

10

Total payment records

General Amount

$339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041103000255IPlastic And Reconstructive SurgeryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes148127$0
99203New patient office or other outpatient visit, 30-44 minutes7979$0
17003Destruction of precancer skin growth, 2-14 growths7326$0
17000Destruction of precancer skin growth, 1 growth4943$0
12032Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm2219$0
View full utilization report →

Insurance plans in this area (ZIP 49444)

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Provider's Procedures

STEPHEN N ZONCA (M.D.) performs procedures in PLASTIC AND RECONSTRUCTIVE SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PLASTIC AND RECONSTRUCTIVE SURGERYMI11042Removal of skin and tissue first 20 sq cm or less7841
PLASTIC AND RECONSTRUCTIVE SURGERYMI17003Destruction of 2-14 skin growths5819

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941262877View full group profile
NameSpecialtyState
Nurse PractitionerMI
General SurgeryMI
General SurgeryMI
Nurse PractitionerMI
Vascular SurgeryMI
Plastic And Reconstructive SurgeryMI
Nurse PractitionerMI
-MI
Plastic And Reconstructive SurgeryMI
Occupational Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Does STEPHEN N ZONCA (M.D.) have a public NPI I can cite?
Public records show STEPHEN N ZONCA (M.D.) under NPI 1255394482.
Should I treat STEPHEN N ZONCA (M.D.) as an active provider?
Patients and plans typically see STEPHEN N ZONCA (M.D.) as active in the national extract.
How should patients interpret STEPHEN N ZONCA (M.D.)'s specialty?
The extract shows Plastic and Reconstructive Surgery Physician for STEPHEN N ZONCA (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit STEPHEN N ZONCA (M.D.) in Muskegon, Michigan?
For routing, start with Muskegon, Michigan for STEPHEN N ZONCA (M.D.), then verify phone and hours locally.
Who maintains STEPHEN N ZONCA (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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