Individual provider Active NPI

Shawn C Zeto, MD

  • Internal Medicine Physician
  • Erie, PA
National Provider Identifier
1306800040
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD422170 Issued in PA
Practice address
240 W 11TH St Ste 301
Erie, PA 16501-1758
Phone
(814) 480-7770
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD422170 PA Primary

Addresses

Primary practice location

240 W 11TH St Ste 301
Erie, PA 16501-1758

Mailing address

100 Peach St Ste 300
Erie, PA 16507-1423
Phone (814) 459-1851

Other identifiers 2

IdentifierTypeStateIssuer
001965395MedicaidPA
001508797OtherPAHIGHMARK BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040317000710 PA Practitioner - Internal Medicine 3476443102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN Associates of Erie, PCGroup PAC ID 9133028616, 60 clinicians

Practice addresses (Care Compare)

100 Peach St
Erie, PA 16507-1423
Phone (814) 459-1851

240 W 11TH St
Suite 301
Erie, PA 16501-1758
Phone (814) 480-7770

2861 W 26TH St
Suite 1
Erie, PA 16506-3064
Phone (814) 480-7760

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Associates of Erie, PC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Laboratory Associates of Erie LLC Current Accepting new patients
Erie Physicians Network PC Past Accepting new patients
Regional Health Services Inc Internal Medicine Past Accepting new patients
Select Specialty Hospital - Erie Inc Past Accepting new patients

Locations

240 W 11th St
Ste 301
Erie, PA 16501
Phone (814) 455-1500

100 Peach St
Ste 300
Erie, PA 16507
Phone (814) 459-1851

232 W 25th St
Erie, PA 16544
Phone (814) 452-5337

252 W 11th St
Erie, PA 16501
Phone (814) 870-3400

Interoperability endpoints

  • Direct secure messaging: shawn.zeto.1@28732.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1306800040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PEACH ST STE 300",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071423",
            "telephone_number": "814-459-1851",
            "fax_number": "814-480-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W 11TH ST STE 301",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011758",
            "telephone_number": "814-480-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETO",
        "first_name": "SHAWN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD422170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001965395",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "001508797",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.