Richard Alan Zelner

  • Newport Beach, CA
  • Gastroenterologist
NPI1235274259
Medicare services, 2023
339
Part D claims, 2024
140
MIPS score, 2024
87
Hospital affiliations
1
Industry payments
$2,917
Practice address
One Hoag Drive, Newport Beach, CA 92663
Practice phone
Call (949) 764-4624
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Hoag Hospital Newport Beach

Hospital · Newport Beach, California

See all 3 affiliations

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Richard Alan Zelner is a gastroenterologist in Newport Beach, California

Richard Zelner practices at Hoag Hospital Newport Beach in Newport Beach, California, part of Hoag Memorial Hospital Presbyterian.

Richard Zelner's NPI, 1235274259, was assigned on February 20, 2007. Richard Zelner graduated from LSU Health Sciences Center New Orleans - School of Medicine in 1982. Richard Zelner holds California license G50987.

NPI and contact details
NPI enumeration date
February 20, 2007
NPI status
Active
Practice phone
(949) 764-4624
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
70
Medical school graduation
1982

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data

Richard Alan Zelner practices at 2 locations in Newport Beach, California

Richard Zelner's primary practice is Hoag Hospital Newport Beach, at One Hoag Drive, Newport Beach, CA 92663 in Orange County. The practice phone is (949) 764-4624. Richard Zelner also practices at Hoag Hospital Newport Beach, 1 Hoag Dr, Newport Beach, CA 92663.

  • Hoag Hospital Newport BeachPrimary
    One Hoag Drive, Newport Beach, CA 92663 · Orange CountyPhone(949) 764-4624
  • Hoag Hospital Newport Beach
    1 Hoag Dr, Newport Beach, CA 92663 · Orange CountyPhone(949) 764-4624

Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data

Richard Alan Zelner is affiliated with 2 sites of care and 1 medical group

Richard Zelner's primary practice is Hoag Hospital Newport Beach in Newport Beach, California, part of Hoag Memorial Hospital Presbyterian. The medical group on file is MemorialCare Medical Group. Dmand AI also links Richard Zelner to 1 more group practice or clinic, named with a free account.

See all 3 affiliations for Richard Zelner

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Richard Alan Zelner's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Richard Zelner practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Hoag Hospital Newport BeachAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Richard Alan Zelner is one of 1,977 gastroenterologists in California

Gastroenterology is Richard Zelner's primary specialty in the NPI Registry, under taxonomy code 207RG0100X. Richard Zelner is board certified in gastroenterology by the American Board of Internal Medicine. Richard Zelner is licensed in California.

Specialties and state licenses

  • Gastroenterology, CaliforniaPrimaryLicense G50987 · 1983 to 2027 · taxonomy 207RG0100X

Clinical focus

Dmand AI lists acid reflux, acute gastroduodenitis, chronic inflammatory bowel disease (IBD), colonoscopy, fatty liver, gastroduodenitis, gastrointestinal bleeding and hemorrhoids among the conditions Richard Zelner treats.

Gastroenterologists near Richard Zelner

Counts of gastroenterologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Richard Alan Zelner billed Medicare for 339 services in 2023

CMS data shows 339 Medicare services from Richard Zelner across 9 procedure codes in 2023. Medicare paid $26,408 for them.

Medicare services, 2023339
Paid by Medicare$26,408
Procedure codes9

Richard Zelner's Medicare services by type, 2022 to 2023

  • 2022
  • 2023
Office and hospital visits
2022: 2432023: 2267%
Surgery
2022: 1022023: 9012%
Other services
2022: 02023: 23

Where Richard Zelner's Medicare services took place, 2023

  • In an office26578%
  • In a facility7422%

Richard Zelner compared with the California median for gastroenterologists, 2023

  • Richard Zelner
  • California median
Medicare services
339vs 58642% below
Part D claims
66vs 38083% below

Medians across 1,875 gastroenterologists in California with Dmand AI profiles that report each measure.

Richard Zelner's most billed Medicare procedure codes, 2023

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Richard Alan Zelner's patients have a median age of 61

Across all payers, Dmand AI patient panel data puts Richard Zelner's median patient age at 61, with 48% women.

Richard Zelner's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 61

Patient panel by sex, all payers

  • Women48%
  • Men48%

Source: Dmand AI Patient Panel Data

Richard Alan Zelner wrote 140 Medicare Part D claims in 2024

In 2024, Richard Zelner wrote 140 Medicare Part D claims for 62 patients. 89% of them were for generic drugs. CMS names the drug for 66 of them, across 2 drugs with 11 or more claims each, at $4,192 in total drug cost. In 2023, CMS named 442 claims across 8 drugs.

Part D claims, 2024140
Drugs named by CMS2
Total drug cost$4,192
Part D patients62

Richard Zelner's Part D claims by kind of drug, 2024

  • Generic124 claims89%
  • Brand-name16 claims11%

Richard Zelner's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 4422024: 6685%

Drugs named by CMS: 2 in 2024, 8 in 2023.

See all prescribing by Richard Zelner

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Richard Alan Zelner scored 87 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 87 out of 100 for Richard Zelner for performance year 2024, reported as part of a group.

Richard Zelner's MIPS scores, performance year 2024

  • 87of 100Final score
  • 81.2of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 72of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Source: Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Richard Alan Zelner received $2,917 in industry payments from 2016 to 2021

CMS Open Payments shows 174 general payments to Richard Zelner from 20 drug and device companies from 2016 to 2021. Food and beverage make up the largest share, 99% of the total. Bausch Health Americas, Inc. paid the most, $1,146.

General payments to Richard Zelner by program year, 2016 to 2021

General payments to Richard Zelner by kind, 2016 to 2021

$2.9Kin total
  • Food and beverage$2,89099%
  • Education$271%

Companies that paid Richard Zelner the most, 2016 to 2021

Share is of all general payments to this clinician.

See all payments to Richard Zelner

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Richard Alan Zelner graduated from LSU Health Sciences Center New Orleans - School of Medicine

Richard Zelner graduated from LSU Health Sciences Center New Orleans - School of Medicine in 1982.

  1. Medical schoolLSU Health Sciences Center New Orleans - School of Medicine
  2. Board certified in gastroenterologyAmerican Board of Internal Medicine
  3. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Richard Alan Zelner accepts plans from 7 insurance carriers

Richard Zelner is in network with 7 carriers, including Elevance, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 5. Check the plan with the practice before a visit.

  • Elevance
  • Blue Cross Blue Shield of Michigan
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Regence Health Plans
  • Alliant Health Plans
  • Humana

Plan types Richard Zelner accepts, by number of carriers

  1. Medicare5
  2. PPO5
  3. HMO4
  4. POS2
  5. EPO1
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Richard Alan Zelner's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesClinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Richard Alan Zelner

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Richard Alan Zelner's NPI number?

Richard Alan Zelner's NPI number is 1235274259. It was assigned on February 20, 2007, and it is active in the NPI Registry.

What does Richard Alan Zelner specialize in?

Richard Alan Zelner is a gastroenterologist in Newport Beach, California. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).

Where does Richard Alan Zelner practice?

Richard Zelner practices at One Hoag Drive, Newport Beach, CA 92663. Richard Zelner also practices at 1 Hoag Dr, Newport Beach, CA 92663. Richard Zelner's primary practice is Hoag Hospital Newport Beach in Newport Beach, California, part of Hoag Memorial Hospital Presbyterian. Dmand AI also links Richard Zelner to 1 group practice or clinic.

What is Richard Alan Zelner's office phone number?

The practice phone on file for Richard Zelner is (949) 764-4624.

What is Richard Alan Zelner's medical license number?

Richard Zelner holds California license G50987.

Which hospitals is Richard Alan Zelner affiliated with?

Richard Zelner practices at Hoag Hospital Newport Beach in Newport Beach, California.

What medical group is Richard Alan Zelner part of?

Richard Zelner is linked to MemorialCare Medical Group.

Does Richard Alan Zelner accept Medicare?

Yes. CMS data shows Richard Zelner billed Medicare for 339 services in 2023.

What is Richard Alan Zelner's MIPS score?

Richard Zelner's MIPS final score for performance year 2024 is 87 out of 100, reported as part of a group.

Is Richard Alan Zelner board certified?

Yes. Richard Zelner is board certified in gastroenterology by the American Board of Internal Medicine.

Show 6 more questionsShow fewer questions

What services does Richard Alan Zelner bill to Medicare?

In 2023, Richard Zelner's most billed Medicare services were office visit, established patient (99214), surgery: heart and blood vessels (36415) and office visit, established patient (99213).

Where did Richard Alan Zelner go to medical school?

Richard Zelner graduated from LSU Health Sciences Center New Orleans - School of Medicine in 1982.

What drugs does Richard Alan Zelner prescribe most?

In 2024 Medicare Part D data, Richard Zelner's most prescribed drugs by claims were Famotidine and Sucralfate.

Has Richard Alan Zelner received payments from drug or device companies?

CMS Open Payments shows $2,917 in general payments to Richard Zelner from 20 companies from 2016 to 2021. The largest total came from Bausch Health Americas, Inc.

How long has Richard Alan Zelner been practicing?

Richard Zelner graduated from medical school in 1982, 44 years ago.

What insurance does Richard Alan Zelner accept?

Richard Zelner is in network with 7 carriers, including Elevance, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 5. Check the plan with the practice before a visit.

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