2026 NPPES data Interventional Pain Medicine Physician NPI 1639204258 M.D.
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ZACHARY ZUMBAR, M.D.

Interventional Pain Medicine Physician in CLEVELAND, Ohio. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 362 beneficiaries · Interventional Pain Medicine Physician avg: 2K
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
61.2788/100
▼ 22 pts below national avg 83.1 · [object Object]
What the federal data reveals: ZACHARY ZUMBAR, M.D. is a Interventional Pain Medicine Physician ([object Object]) practicing in CLEVELAND, Ohio with a Medicare Part D prescribing footprint of 2K claims across 362 beneficiaries — 2% brand-name prescribing . Their CMS MIPS Final Score of 61.2788/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ZACHARY ZUMBAR, M.D. reported a CMS MIPS final score of 61.2788 out of 100, below the 83.1 national average, and filed 1,500 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ZACHARY ZUMBAR, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ZACHARY ZUMBAR, M.D. at a glance

Below national average

NPI registry status

Active

Issued 02/22/2007

NPI 1639204258

Primary specialty

Interventional Pain Medicine Physician

Niche

1,528 US NPIs in this specialty

Medicare Part D claims

1,500 32% vs specialty avg

2023 prescription claims

Specialty avg: 2,197

MIPS final score

61.2788/100 21.821199999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Ohio

How Interventional Pain Medicine Physician compares to other specialties among Ohio providers

Ohio providers

Interventional Pain Medicine Physician share within Ohio

1. Interventional Pain Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Pain Medicine Physician share within Ohio

Medicare quality performance — MIPS

ZACHARY ZUMBAR, M.D.'s 2023 MIPS final score plotted against the Interventional Pain Medicine Physician national average

Below national average
MIPS Final Score
61.2788/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Pain Medicine Physician) — 61.2788/100 vs national avg 83.1

0%100%National avg83%61.3%
MIPS final score (Interventional Pain Medicine Physician) — 61.2788/100 vs national avg 83.1

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).

ZACHARY ZUMBAR, M.D. is a Interventional Pain Medicine Physician provider practicing in CLEVELAND, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1639204258. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ZACHARY ZUMBAR, M.D. appears in the CMS NPPES registry as a Interventional Pain Medicine Physician provider holding M.D. credentials at 10701 EAST BLVD, CLEVELAND, OH, 44106, with a listed phone of (216) 791-3800. NPI 1639204258 was issued on 02/22/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ZUMBAR most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,500 prescription claims written by this provider, covering 362 Medicare beneficiaries and totaling roughly $74K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 28.2%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 61.2788/100 for the 2023 performance year (Quality 94.1412, Cost 78.741), compared with the national average of 83.1.

Interventional Pain Medicine Physician is a narrow specialty nationwide, with 1,528 enrolled providers across 53 states and an average of 2,197 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

10701 EAST BLVD
CLEVELAND, OH 44106

Provider Details

NPI 1639204258
Specialty Interventional Pain Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 02/22/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

61.2788
Final Score
Avg: 83.1
94.1412
Quality
78.741
Cost

Reporting: Individual

License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to ZACHARY ZUMBAR, M.D.. To verify ZACHARY ZUMBAR, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

ZACHARY ZUMBAR, M.D. — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 1,500 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.

1,500
Total Claims
$74K
Total Drug Cost
362
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,275
Total Day Supply
60,540
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$22K
Generic Drug Cost
$52K
Opioid Claims
423 (28.2% rate)

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.62
Gender Split
69% female / 31% male
Age Distribution
<65: 84, 65-74: 126, 75-84: 112, 85+: 40

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Gabapentin
354
Pregabalin
188
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
138
Tramadol Hcl
127
Baclofen
55
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
55
Tizanidine Hcl
50
Duloxetine Hcl
49
Acetaminophen-Codeine
Acetaminophen With Codeine
43
Diclofenac Sodium
42

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Interventional Pain Medicine Physician Overview

How ZACHARY ZUMBAR, M.D. fits within the Interventional Pain Medicine Physician landscape nationally.

1,528
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,197
Avg Claims per Provider

ZACHARY ZUMBAR, M.D.'s 1,500 claims are below the specialty average of 2,197.

Nearby Interventional Pain Medicine Physician Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as ZUMBAR.

Compare Interventional Pain Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ZACHARY ZUMBAR, M.D.'s specialty?
ZACHARY ZUMBAR, M.D. specializes in Interventional Pain Medicine Physician and practices in CLEVELAND, Ohio. Credentials: M.D..
How much does ZACHARY ZUMBAR, M.D. prescribe under Medicare Part D?
In 2023, ZACHARY ZUMBAR, M.D. wrote 1,500 Medicare Part D claims totaling $74K in drug costs for 362 beneficiaries.
What is ZACHARY ZUMBAR, M.D.'s Medicare quality score?
ZACHARY ZUMBAR, M.D. has a CMS MIPS Final Score of 61.2788/100 (Quality: 94.1412, Cost: 78.741). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ZACHARY ZUMBAR, M.D. located?
ZACHARY ZUMBAR, M.D. is located at 10701 EAST BLVD, CLEVELAND, OH, 44106. Phone: (216) 791-3800.
What is ZACHARY ZUMBAR, M.D.'s NPI number?
ZACHARY ZUMBAR, M.D.'s National Provider Identifier (NPI) is 1639204258, issued on 02/22/2007.
Does ZACHARY ZUMBAR, M.D. prescribe more brand-name or generic drugs?
ZACHARY ZUMBAR, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $22K in brand drug costs.
Does ZACHARY ZUMBAR, M.D. prescribe opioids?
Yes, ZACHARY ZUMBAR, M.D. had 423 opioid claims in 2023 with an opioid prescribing rate of 28.2%.
How many Interventional Pain Medicine Physician providers are there in the US?
There are 1,528 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,197 Medicare Part D claims per year.
What drugs does ZACHARY ZUMBAR, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ZACHARY ZUMBAR, M.D.'s most frequently prescribed drugs include Gabapentin, Pregabalin, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ZACHARY ZUMBAR, M.D. accept Medicare?
ZACHARY ZUMBAR, M.D. appears in CMS Medicare data with 1,500 Part D claims and 362 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ZACHARY ZUMBAR, M.D.'s credentials?
ZACHARY ZUMBAR, M.D.'s NPI is 1639204258 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

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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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