Stephen Zonca, M.D.
NPI 1255394482 · Plastic and Reconstructive Surgery Physician · Muskegon, MI
Enrolled with Medicare as Practitioner - Plastic and Reconstructive Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stephen Zonca, M.D. is a Plastic and Reconstructive Surgery Physician provider in Muskegon, MI (NPI 1255394482).
Provider details
- NPI number
- 1255394482
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- O65662 (MI)
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
20 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
544 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 113 | $84 |
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 95 | $6 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 70 | $51 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 69 | $63 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 35 | $104 |
| Biopsy of Related Skin Growth, First Growth |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluorouracil | 141 | 91 |
| Cephalexin | 111 | 99 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 98 | 74 |
| Silver Sulfadiazinebrand: Ssd | 80 | 61 |
| Ibuprofen | 50 | 45 |
| Doxycycline Monohydrate | 48 | 39 |
| Doxycycline Hyclate | 43 | 37 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$156 across 4 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
- 2006-04-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Stephen Zonca's NPI number?
- Stephen Zonca's National Provider Identifier (NPI) is 1255394482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stephen Zonca's specialty?
- Stephen Zonca is listed in the NPPES registry with a primary specialty of Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Stephen Zonca located?
- Stephen Zonca's practice location on file with NPPES is 1316 Mercy Dr, Muskegon, MI 49444-1835.
- What is Stephen Zonca's phone number?
- The practice phone number listed in the NPPES registry for Stephen Zonca is (231) 739-9461.
- Does Stephen Zonca accept Medicare?
- Stephen Zonca is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stephen Zonca's NPI active?
- Yes — Stephen Zonca's NPI (1255394482) 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.