Tom Zhou, MD
NPI 1194106492 · Otolaryngology Physician · Grand Junction, CO
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tom Zhou, MD is a Otolaryngology Physician provider in Grand Junction, CO (NPI 1194106492).
Provider details
- NPI number
- 1194106492
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- DR.0071675 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
495 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 109 | $168 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 72 | $127 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 69 | $91 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 55 | $122 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 54 | $110 |
| Diagnostic Exam of Nasal Passages Using an Endoscope31231 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 54 | 22 |
| Fluticasone Propionate | 50 | 22 |
| Mupirocin | 31 | 22 |
| Ipratropium Bromide | 22 | 13 |
| Ofloxacin | 20 | 17 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 18 | 17 |
| Prednisone | 18 | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,008 across 31 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-06-11
- Last updated
- 2025-10-28
- Certified
- 2025-10-28
Frequently asked questions
- What is Tom Zhou's NPI number?
- Tom Zhou's National Provider Identifier (NPI) is 1194106492, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tom Zhou's specialty?
- Tom Zhou is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Tom Zhou located?
- Tom Zhou's practice location on file with NPPES is 2515 Foresight Cir, Grand Junction, CO 81505-1018.
- What is Tom Zhou's phone number?
- The practice phone number listed in the NPPES registry for Tom Zhou is (970) 245-2400.
- Does Tom Zhou accept Medicare?
- Tom Zhou is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tom Zhou's NPI active?
- Yes — Tom Zhou's NPI (1194106492) is active in the NPPES registry as of the last update on 2025-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.