NPI registry status
Active
2026 NPPES data Surgical Oncology Physician NPI 1043534936 M.D.
Verify on CMS → Nicole Zern, M.D.
Surgical Oncology Physician in Renton, Washington.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,410 in Surgical Oncology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
61
Medicare Part D claims · 31 beneficiaries · Surgical Oncology Physician avg: 97
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Nicole Zern, M.D. filed 61 Medicare Part D claims in 2023 as a Surgical Oncology Physician in Renton, Washington, prescribing 80% generic.
- 61
- Part D claims, 2023
- 80%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Nicole Zern, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
61 0th percentile higher than 0% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Nicole Zern, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Nicole Zern, M.D.?
Quality data not reportedPrimary specialty
Surgical Oncology Physician
Medicare Part D claims
61 37% vs specialty avg
Specialty distribution in Washington
How Surgical Oncology Physician compares to other specialties among Washington providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Surgical Oncology Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Nicole Zern, M.D. appears in the CMS NPPES registry as a Surgical Oncology Physician provider holding M.D. credentials at 4033 TALBOT RD S STE 530, Renton, WA, 98055, with a listed phone of (425) 690-3433. NPI 1043534936 was issued on 03/21/2010.
Medicare Part D records for calendar year 2023 show 61 prescription claims written by this provider, covering 31 Medicare beneficiaries and totaling roughly $830 in drug spend, split 20% brand-name and 80% generic by claim count, with an opioid prescribing rate of 39.3%.
Surgical Oncology Physician is a narrow specialty nationwide, with 1,410 enrolled providers across 50 states and an average of 97 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1043534936 |
|---|---|
| Specialty | Surgical Oncology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 03/21/2010 |
Hospital and facility affiliations
Facilities where Nicole Zern, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Multicare Health System
Covington, WA
Valley Medical Group-Renton
Renton, WA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Washington WMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 - they are NOT specific to Nicole Zern, M.D.. To verify Nicole Zern, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases
WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Nicole Zern, M.D. - brand share 20.0%
Surgical Oncology Physician average
20% brand-name claims vs 80% generic, on 61 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
61
Total Claims
$830
Total Drug Cost
31
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 68
- Total Day Supply
- 755
- Brand vs Generic
- 20% brand / 80% generic
- Brand Drug Cost
- $644
- Generic Drug Cost
- $186
- Opioid Claims
- 24 (39.3% rate)
Patient Demographics
- Average Patient Age
- 73.7 years
- Avg HCC Risk Score
- 1.34
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 17 |
| Ondansetron Hcl | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgical Oncology Physician Overview
How Nicole Zern, M.D. fits within the Surgical Oncology Physician landscape nationally.
1,410
Surgical Oncology Physician Providers in US
50
States with Surgical Oncology Physician
97
Avg Claims per Provider
Nicole Zern, M.D.'s 61 claims are below the specialty average of 97.
Nearby Surgical Oncology Physician Providers in Washington
Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as Zern.
Dr. Mohamed Alassas
MD
Seattle, WA
Benjamin Anderson
Seattle, WA
Dr. Claire Buchanan
M.D.
Seattle, WA
Kristine Calhoun
Seattle, WA
Dr. Krystle Collins
MD
Seattle, WA
Compare Surgical Oncology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Washington medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgical Oncology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Nicole Zern, M.D.'s specialty? ▼
Nicole Zern, M.D. specializes in Surgical Oncology Physician and practices in Renton, Washington. Credentials: M.D..
How much does Nicole Zern, M.D. prescribe under Medicare Part D? ▼
In 2023, Nicole Zern, M.D. wrote 61 Medicare Part D claims totaling $830 in drug costs for 31 beneficiaries.
Where is Nicole Zern, M.D. located? ▼
Nicole Zern, M.D. is located at 4033 TALBOT RD S STE 530, Renton, WA, 98055. Phone: (425) 690-3433.
What is Nicole Zern, M.D.'s NPI number? ▼
Nicole Zern, M.D.'s National Provider Identifier (NPI) is 1043534936, issued on 03/21/2010.
Does Nicole Zern, M.D. prescribe more brand-name or generic drugs? ▼
Nicole Zern, M.D.'s prescribing is 20% brand-name and 80% generic drugs by claim count, with $644 in brand drug costs.
Does Nicole Zern, M.D. prescribe opioids? ▼
Yes, Nicole Zern, M.D. had 24 opioid claims in 2023 with an opioid prescribing rate of 39.3%.
How many Surgical Oncology Physician providers are there in the US? ▼
There are 1,410 Surgical Oncology Physician providers across 50 states in the US. The average Surgical Oncology Physician provider writes 97 Medicare Part D claims per year.
What drugs does Nicole Zern, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Nicole Zern, M.D.'s most frequently prescribed drugs include Oxycodone Hcl, Ondansetron Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nicole Zern, M.D. accept Medicare? ▼
Nicole Zern, M.D. appears in CMS Medicare data with 61 Part D claims and 31 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicole Zern, M.D.'s credentials? ▼
Nicole Zern, M.D.'s NPI is 1043534936 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.