NPPES file of Aug 9, 2026

Zachary Paul Fleming, MD

Emergency Medicine Physician · Columbia, MO

Zachary Paul Fleming, MD is an emergency medicine physician with a practice address in Columbia, Missouri, and NPI 1760008353, issued on Jun 19, 2020. Check the license (Missouri 2022029517, as entered in NPPES) on the Missouri Board of Registration for the Healing Arts; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1760008353
Name
Zachary Paul Fleming
Credential
MD
Primary taxonomy
Emergency Medicine Physician 207P00000X
License number
2022029517 MO
Self-reported in NPPES; status is on the state search
Practice location
1 Hospital Dr, Columbia, MO 65212
Phone
(573) 882-8091
Enumerated
Jun 19, 2020
Record last updated
Aug 11, 2023
Fax
(573) 884-1902
Medicare enrollment
Enrolled (PECOS I20221122001279); accepts Medicare assignment
Medical or professional school
University Of Missouri, Columbia School Of Medicine, 2020
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1 Hospital Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Gani Abazi, MD, MPHChild & Adolescent Psychiatry Physician1568203263
  2. Amr Abdelaziz, M.D.Diagnostic Radiology Physician1568718443
  3. Hilal Abdessamad, MDInfectious Disease Physician1669265344
  4. Mehamed Abdi, MDPsychiatry Physician1821982224
  5. Abdul-Azeez Abdullahi, MDInternal Medicine Physician1013561158
  6. Jihad Abu Zayed, MDInternal Medicine Physician1497676019

Verify Zachary Paul Fleming in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMissouri Board of Registration for the Healing Arts
    Search for license 2022029517
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Missouri license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.0 times the Medicare Part D claims of the average emergency medicine physician in 2024

456 Medicare Part D claims for 311 beneficiaries, against an average of 226 among the 54,106 providers of this specialty who prescribed in Part D. Brand-name drugs were 7% of claims. 55 claims were for opioids.

  1. Zachary Fleming456
  2. Specialty average226

Most prescribed

  1. Ondansetron Odt59 claims
  2. Doxycycline Hyclate41 claims
  3. Methocarbamol33 claims
  4. Morphine Sulfate30 claims
  5. Cefdinir28 claims
  6. Oxycodone Hcl22 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $120.16

7 payments; by number, the most common kind was food and beverage; the largest payer was Csl Behring. The 12,335 providers of this specialty with any payment received $953.79 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Zachary Fleming$120.16
  2. Specialty average$953.79

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Ripley Emergency Group LLCMoberly, MO
  2. Southeastern Emergency Physicians OF Memphis LLCColumbia, MO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Zachary Paul Fleming among 1,405 emergency medicine physician records in Missouri

Zachary Paul Fleming, MD is one of 1,405 emergency medicine physician records with a practice address in Missouri. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 82% of them.

  • NPI issued2020 · 82% of these records are older, 14% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 58% of these records are
  • Graduated2020 · median 2012 among the 808 with a school on file
  • Record last updated2023 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207P00000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

150 emergency medicine physician records list a practice address in Columbia

They are 150 of the 6,004 NPPES records with a practice address in Columbia, and 1,405 emergency medicine physician records in Missouri.

The 8 emergency medicine physician records with the nearest ZIP codes

  1. Lajon Addison, D.O.Columbia, MO 652121104871854
  2. Adam Beckett, D.O.Columbia, MO 652121770698052
  3. Michelle Cates, MDColumbia, MO 652121346291978
  4. Henry David, MDColumbia, MO 652121114975943
  5. Trevor Dixon, MDColumbia, MO 652121417032483
  6. Derek Hebert, MDColumbia, MO 652121023048824
  7. John Montgomery, M.D.Columbia, MO 652121326085044
  8. Steven Motarjeme, M.D.Columbia, MO 652121992779433

Common questions

What is Zachary Paul Fleming, MD's NPI number?

Zachary Paul Fleming, MD's National Provider Identifier (NPI) is 1760008353, issued on Jun 19, 2020. An NPI identifies a provider in billing; it is not a license.

Where is Zachary Paul Fleming, MD located?

The NPPES record lists a practice address at 1 Hospital Dr, Columbia, MO, 65212. Phone: (573) 882-8091. Providers update this record themselves, so call before visiting.

How can I verify Zachary Paul Fleming, MD's license?

NPPES lists Missouri license number 2022029517, as entered by the provider. Search the Missouri Board of Registration for the Healing Arts at https://www.fsmb.org/contact-a-state-medical-board/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Zachary Paul Fleming, MD prescribe under Medicare Part D?

In 2024, Zachary Paul Fleming, MD had 456 Medicare Part D claims for 311 beneficiaries; the average among emergency medicine physician prescribers was 226. Part D covers Medicare prescriptions only.

What is Zachary Paul Fleming, MD's MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.