Stephen Zappala, M.D.
NPI 1215953039 · Specialist · Andover, MA
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Zappala, M.D. is a Specialist provider in Andover, MA (NPI 1215953039).
Provider details
- NPI number
- 1215953039
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 60267 (MA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
1,441 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,047 | $127 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 166 | $166 |
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 103 | $240 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 96 | $90 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 17 | $111 |
| Biopsy of Prostate Gland |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Finasteride | 616 | 198 |
| Tamsulosin Hcl | 323 | 111 |
| Solifenacin Succinate | 127 | 53 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 123 | 77 |
| Cephalexin | 119 | 47 |
| Ciprofloxacin Hcl | 108 | 87 |
| Mirabegronbrand: Myrbetriq | 85 | 24 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$478 across 11 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
- 2006-07-14
- Last updated
- 2007-07-08
Frequently asked questions
- What is Stephen Zappala's NPI number?
- Stephen Zappala's National Provider Identifier (NPI) is 1215953039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Zappala's specialty?
- Stephen Zappala is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Stephen Zappala located?
- Stephen Zappala's practice location on file with NPPES is 140 Haverhill St, Andover, MA 01810-1550.
- What is Stephen Zappala's phone number?
- The practice phone number listed in the NPPES registry for Stephen Zappala is (978) 475-4499.
- Does Stephen Zappala accept Medicare?
- Stephen Zappala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Zappala's NPI active?
- Yes — Stephen Zappala's NPI (1215953039) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.