Carmine Zelaya, PA
NPI 1760166276 · Physician Assistant · Vienna, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carmine Zelaya, PA is a Physician Assistant provider in Vienna, VA (NPI 1760166276).
Provider details
- NPI number
- 1760166276
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
404 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 | 122 | $86 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 90 | $105 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 41 | $41 |
| Automated Urinalysis Test81003 | 39 | $2 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 36 | $16 |
| Detection Test By Immunoassay With Direct Visual Observation for Streptococcus, Group a (strep)87880 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cephalexin | 22 | 22 |
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 18 | 18 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 17 | 17 |
| Doxycycline Hyclate | 17 | 17 |
| Azithromycin | 16 | 16 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 12 | — |
| Prednisone | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$34 across 1 record (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
- 2023-06-14
- Last updated
- 2026-04-08
- Certified
- 2026-04-08
Frequently asked questions
- What is Carmine Zelaya's NPI number?
- Carmine Zelaya's National Provider Identifier (NPI) is 1760166276, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carmine Zelaya's specialty?
- Carmine Zelaya is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Carmine Zelaya located?
- Carmine Zelaya's practice location on file with NPPES is 180 Maple Ave W, Vienna, VA 22180-5727.
- What is Carmine Zelaya's phone number?
- The practice phone number listed in the NPPES registry for Carmine Zelaya is (571) 363-3539.
- Does Carmine Zelaya accept Medicare?
- Carmine Zelaya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carmine Zelaya's NPI active?
- Yes — Carmine Zelaya's NPI (1760166276) is active in the NPPES registry as of the last update on 2026-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.