DR. GREGORY STANLEY ZOLKOWSKI (DO) – Family Medicine Physician, NPI 1619959145

DR. GREGORY STANLEY ZOLKOWSKI (DO) is a healthcare provider. based in Bolivar, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. E-11776 (AR). The NPI Number for DR. GREGORY STANLEY ZOLKOWSKI (DO) is 1619959145

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. GREGORY STANLEY ZOLKOWSKI (DO)
NPI
1619959145
Phone
(417) 777-4749
Address
910 E SAN MARTIN ST
Enumeration Date
18 November 2005
Last Update Date
13 March 2020

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
5734385451
Graduation Year
1987 (39 years ago)
PAC ID
3375548068
Group Practice PAC ID
0648588541
Professional Enrollment ID
I20080707000288
Address ID
MO636641420PO300XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

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Provider Addresses for DR. GREGORY STANLEY ZOLKOWSKI (DO)

  • San Martin Street, Bolivar, Polk County, Missouri, 65613, United States

    BOLIVAR, MO 656132893

    Phone: (417) 777-4749

    Fax: (417) 777-8041

    Type: Location

  • 1008 N Main St

    Sikeston, MO 638015044

    Phone: (573) 471-1600

    Fax: (573) 472-7606

    Type: Location

  • 611 W Lee Ave

    Osceola, AR 723703001

    Phone: (870) 563-7000

    Fax: (870) 563-7189

    Type: Location

  • 1520 N Division St

    Blytheville, AR 723151448

    Phone: (870) 838-7300

    Fax: (870) 838-7459

    Type: Location

  • PO BOX 536

    BOLIVAR, MO 656130536

    Phone: (417) 777-4749

    Fax: (417) 777-8041

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-07-07

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
I20080707000288IFamily PracticeMOTBD

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
99285Emergency department visit with high level of medical decision making11099$0
99284Emergency department visit with moderate level of medical decision making7966$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5449$0
99291Critical care, first 30-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 65613)

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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: 0648588541View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeMO
Nurse PractitionerMO
Internal Medicine, Emergency MedicineMO
Family Practice, Emergency MedicineIN
Emergency MedicineMO
Emergency Medicine, Family PracticeMO
Emergency MedicineMO
Emergency Medicine, Pediatric MedicineMO
-MO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Is DR. GREGORY STANLEY ZOLKOWSKI (DO) listed with a National Provider Identifier?
Yes — DR. GREGORY STANLEY ZOLKOWSKI (DO) has NPI 1619959145 on file in the registry.
Active or inactive — what applies to DR. GREGORY STANLEY ZOLKOWSKI (DO)?
You should see DR. GREGORY STANLEY ZOLKOWSKI (DO) as active in CMS-hosted NPPES data.
What kind of doctor is DR. GREGORY STANLEY ZOLKOWSKI (DO)?
DR. GREGORY STANLEY ZOLKOWSKI (DO) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. GREGORY STANLEY ZOLKOWSKI (DO) associated with Bolivar?
Public fields place DR. GREGORY STANLEY ZOLKOWSKI (DO) around Bolivar, Missouri. Always confirm the exact site before visiting.
Can I trust this NPI listing for DR. GREGORY STANLEY ZOLKOWSKI (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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