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Dr. Robert Paul Zitsch III, MD

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Specializes in: Otolaryngology (Ear, Nose, and Throat)

University of Alabama at Birmingham School of Medicine

Professional interests include: goiter , lymph node problems, melanoma, and more.

1125 Madison Street 1st Floor
Jefferson City, MO

(573) 632-4970

Dr. Robert Paul Zitsch III, MD is an otolaryngologist in Columbia, MO specializing in otolaryngology (ear, nose, and throat). He graduated from University of Alabama at Birmingham School of Medicine. Dr. Robert Paul Zitsch III, MD is affiliated with University of Missouri Health Care.

Office Locations

University of Missouri Health Care

1 Hospital Drive
Columbia, MO

(573) 882-2100

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1 Hospital Drive
Columbia, MO 65212

(573) 882-8445

(573) 884-7877

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University of Missouri Health Care

1125 Madison Street 1st Floor
Jefferson City, MO

(573) 632-4970

(573) 644-7813

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Some issues Dr. Robert Paul Zitsch III, MD can help you with:

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Robert Paul Zitsch III, MD treated as an otolaryngologist in Columbia, MO during 2012 were immunotherapy, injections, minimally invasive procedures and laryngeal (voice box) procedures.

Volume of procedures performed by Dr. Robert Paul Zitsch III, MD for Medicare patients.

doctor visit	239
immunotherapy	41
injections	41
laryngeal (voice box) procedures	18
minimally invasive procedures	18

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Robert Paul Zitsch III, MD treated as an otolaryngologist in Columbia, MO during 2013 were immunotherapy, injections, minimally invasive procedures and laryngeal (voice box) procedures.

Volume of procedures performed by Dr. Robert Paul Zitsch III, MD for Medicare patients.

doctor visit	309
endocrine surgery	17
immunotherapy	51
injections	51
laryngeal (voice box) procedures	38
minimally invasive procedures	38
neck surgery	17

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Paul Zitsch III, MD.

**Gender**
Male	108
Female	115

**Ethnicity**
Non-Hispanic White	206
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	97
From 75 to 84	52
85 and over	14
Less than 65	60

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2013

Hypertension	61
High Cholesterol	43
Stroke	0
Ischemic Heart Disease	29
Depression	24
Chronic Kidney Disease	17
Asthma	10
Osteoperosis	10
Atrial Fibrilation	7
Heart Failure	14
Chronic Obstructive Pulmonary Disease	23
Diabetes	26
Dementia	0
Cancer	10

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Robert Paul Zitsch III, MD treated as an otolaryngologist in Columbia, MO during 2014 were immunotherapy, injections, minimally invasive procedures and laryngeal (voice box) procedures.

Volume of procedures performed by Dr. Robert Paul Zitsch III, MD for Medicare patients.

doctor visit	309
immunotherapy	131
injections	131
laryngeal (voice box) procedures	33
minimally invasive procedures	33

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Paul Zitsch III, MD.

**Gender**
Male	121
Female	110

**Ethnicity**
Non-Hispanic White	214
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	103
From 75 to 84	44
85 and over	12
Less than 65	72

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2014

Hypertension	55
High Cholesterol	45
Stroke	0
Ischemic Heart Disease	29
Depression	26
Chronic Kidney Disease	17
Asthma	8
Osteoperosis	9
Atrial Fibrilation	7
Heart Failure	12
Chronic Obstructive Pulmonary Disease	18
Diabetes	28
Dementia	5
Cancer	11

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Robert Paul Zitsch III, MD treated as an otolaryngologist in Columbia, MO during 2015 were immunotherapy, injections, minimally invasive procedures and laryngeal (voice box) procedures.

Volume of procedures performed by Dr. Robert Paul Zitsch III, MD for Medicare patients.

doctor visit	239
endocrine surgery	14
immunotherapy	92
injections	92
laryngeal (voice box) procedures	24
minimally invasive procedures	24
neck surgery	14

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Paul Zitsch III, MD.

**Gender**
Male	216
Female	232

**Ethnicity**
Non-Hispanic White	420
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	220
From 75 to 84	96
85 and over	22
Less than 65	110

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2015

Hypertension	56
High Cholesterol	42
Stroke	6
Ischemic Heart Disease	28
Depression	29
Chronic Kidney Disease	21
Asthma	20
Osteoperosis	7
Atrial Fibrilation	5
Heart Failure	13
Chronic Obstructive Pulmonary Disease	21
Diabetes	25
Dementia	8
Cancer	9

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Robert Paul Zitsch III, MD treated as an otolaryngologist in Columbia, MO during 2016 were immunotherapy, injections, minimally invasive procedures and laryngeal (voice box) procedures.

Volume of procedures performed by Dr. Robert Paul Zitsch III, MD for Medicare patients.

doctor visit	239
endocrine surgery	12
immunotherapy	39
injections	39
laryngeal (voice box) procedures	22
minimally invasive procedures	22
neck surgery	12

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Paul Zitsch III, MD.

**Gender**
Male	93
Female	112

**Ethnicity**
Non-Hispanic White	189
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	94
From 75 to 84	0
85 and over	0
Less than 65	56

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2016

Hypertension	60
High Cholesterol	45
Stroke	0
Ischemic Heart Disease	32
Depression	24
Chronic Kidney Disease	25
Asthma	26
Osteoperosis	0
Atrial Fibrilation	8
Heart Failure	15
Chronic Obstructive Pulmonary Disease	21
Diabetes	33
Dementia	0
Cancer	13

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Robert Paul Zitsch III, MD treated as an otolaryngologist in Columbia, MO during 2017 were immunotherapy, injections, minimally invasive procedures and laryngeal (voice box) procedures.

Volume of procedures performed by Dr. Robert Paul Zitsch III, MD for Medicare patients.

doctor visit	268
immunotherapy	40
injections	40
laryngeal (voice box) procedures	24
minimally invasive procedures	24

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Paul Zitsch III, MD.

**Gender**
Male	96
Female	101

**Ethnicity**
Non-Hispanic White	181
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	87
From 75 to 84	0
85 and over	0
Less than 65	58

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2017

Hypertension	57
High Cholesterol	40
Stroke	0
Ischemic Heart Disease	30
Depression	26
Chronic Kidney Disease	22
Asthma	11
Osteoperosis	7
Atrial Fibrilation	10
Heart Failure	14
Chronic Obstructive Pulmonary Disease	18
Diabetes	24
Dementia	8
Cancer	15

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Robert Paul Zitsch III, MD treated as an otolaryngologist in Columbia, MO during 2018 were immunotherapy, injections, minimally invasive procedures and laryngeal (voice box) procedures.

Volume of procedures performed by Dr. Robert Paul Zitsch III, MD for Medicare patients.

doctor visit	184
immunotherapy	48
injections	48
laryngeal (voice box) procedures	24
minimally invasive procedures	24

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Paul Zitsch III, MD.

**Gender**
Male	98
Female	94

**Ethnicity**
Non-Hispanic White	174
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	82
From 75 to 84	47
85 and over	11
Less than 65	52

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2018

Hypertension	61
High Cholesterol	47
Stroke	0
Ischemic Heart Disease	30
Depression	30
Chronic Kidney Disease	27
Asthma	10
Osteoperosis	7
Atrial Fibrilation	10
Heart Failure	20
Chronic Obstructive Pulmonary Disease	24
Diabetes	31
Dementia	8
Cancer	14

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Robert Paul Zitsch III, MD treated as an otolaryngologist in Columbia, MO during 2019 were immunotherapy, injections, minimally invasive procedures and laryngeal (voice box) procedures.

Volume of procedures performed by Dr. Robert Paul Zitsch III, MD for Medicare patients.

doctor visit	168
endocrine surgery	11
immunotherapy	51
injections	51
laryngeal (voice box) procedures	24
minimally invasive procedures	24
neck surgery	11

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Paul Zitsch III, MD.

**Gender**
Male	85
Female	74

**Ethnicity**
Non-Hispanic White	146
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	80
From 75 to 84	42
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2019

Hypertension	67
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	26
Depression	28
Chronic Kidney Disease	27
Asthma	13
Osteoperosis	11
Atrial Fibrilation	9
Heart Failure	15
Chronic Obstructive Pulmonary Disease	18
Diabetes	36
Dementia	0
Cancer	21

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Robert Paul Zitsch III, MD treated as an otolaryngologist in Columbia, MO during 2020 were minimally invasive procedures and laryngeal (voice box) procedures.

Volume of procedures performed by Dr. Robert Paul Zitsch III, MD for Medicare patients.

doctor visit	124
laryngeal (voice box) procedures	18
minimally invasive procedures	18

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Paul Zitsch III, MD.

**Gender**
Male	51
Female	66

**Age**
From 65 to 74	52
From 75 to 84	36
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2020

Hypertension	70
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	32
Depression	26
Chronic Kidney Disease	32
Asthma	0
Osteoperosis	14
Atrial Fibrilation	13
Heart Failure	23
Chronic Obstructive Pulmonary Disease	24
Diabetes	33
Dementia	0
Cancer	18

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Volume of procedures performed by Dr. Robert Paul Zitsch III, MD for Medicare patients.

doctor visit	103

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Paul Zitsch III, MD.

**Gender**
Male	42
Female	42

**Age**
From 65 to 74	41
From 75 to 84	24
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2021

Hypertension	67
High Cholesterol	55
Stroke	0
Ischemic Heart Disease	35
Depression	25
Chronic Kidney Disease	30
Asthma	0
Osteoperosis	13
Atrial Fibrilation	13
Heart Failure	19
Chronic Obstructive Pulmonary Disease	15
Diabetes	32
Dementia	0
Cancer	17

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

Volume of procedures performed by Dr. Robert Paul Zitsch III, MD for Medicare patients.

doctor visit	134

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Robert Paul Zitsch III, MD.

**Gender**
Male	54
Female	53

**Age**
From 65 to 74	43
From 75 to 84	37
85 and over	13
Less than 65	14

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2022

Hypertension	71
High Cholesterol	61
Stroke	0
Ischemic Heart Disease	28
Depression	18
Chronic Kidney Disease	19
Asthma	10
Osteoperosis	0
Atrial Fibrilation	21
Heart Failure	19
Chronic Obstructive Pulmonary Disease	18
Diabetes	38
Dementia	0
Cancer	17

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Robert Paul Zitsch III, MD for Medicare patients.

The highest averages for the top procedures that Dr. Robert Paul Zitsch III, MD treated as an otolaryngologist in Columbia, MO were immunotherapy, injections, minimally invasive procedures and laryngeal (voice box) procedures.

doctor visit	210
endocrine surgery	13
immunotherapy	61
injections	61
laryngeal (voice box) procedures	25
minimally invasive procedures	25
neck surgery	13

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Robert Paul Zitsch III, MD.

**Gender**
Male	87
Female	90

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	139
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	34
85 and over	6
Less than 65	38
65 to 74	81

Average of Total of Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Robert Paul Zitsch III, MD treated were hypertension, high cholesterol, diabetes and ischemic heart disease.

Hypertension	56
High Cholesterol	43
Stroke	0
Ischemic Heart Disease	27
Depression	23
Chronic Kidney Disease	21
Asthma	9
Osteoporosis	7
Heart Failure	14
Chronic Obstructive Pulmonary Disease	18
Diabetes	27
Atrial Fibrillation	9
Dementia	2
Cancer	13

Education & Training

Dr. Robert Paul Zitsch III, MD graduated from University of Alabama at Birmingham School of Medicine. He completed residency at University of Alabama Affiliated Hospitals. He is certified by the American Board of Otolaryngology and has a state license in Missouri.

Medical School: University of Alabama at Birmingham School of Medicine

Residency: University of Alabama Affiliated Hospitals

Board Certification: American Board of Otolaryngology

Licensed In: Missouri

Affiliations & Hospitals

Dr. Robert Paul Zitsch III, MD is associated with these hospitals and organizations:

University of Missouri Health Care

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Robert Paul Zitsch III, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
GENZYME CORPORATION	$145 THYROGEN $73	AFIRMA $72
Stryker Corporation	$143 MAXFACE $90	NA $53
Medtronic USA, Inc.	$103 i7 $103
Mist Pharmaceuticals, LLC	$50 TIROSINT $50
Shire North American Group Inc	$38 $38
Other	$61 LigaSure $25	TELE PACK $18	Auvi-Q $18

**Types of Payments**
Food and Beverage	$412
Travel and Lodging	$90
Education	$38

Research Payments

Dr. Robert Paul Zitsch III, MD has received 27 research payments totaling $33,675.

Biography

Dr. Robert Zitsch practices otolaryngology (ear, nose, and throat). Dr. Zitsch is a graduate of the University of Alabama at Birmingham School of Medicine. His residency was performed at a hospital affiliated with the University of Alabama. His areas of expertise include the following: goiter, head and neck cancer, and melanoma. Awards and/or distinctions Dr. Zitsch has received include Member, American Academy of Otolaryngology - Head and Neck Surgery; Member, American College of Surgeons Oncology Group; and Member, American Thyroid Association. He is affiliated with the University of Missouri Health Care.

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Dr. Robert Paul Zitsch III, MD

Office Locations

Some issues Dr. Robert Paul Zitsch III, MD can help you with:

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD in 2022

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Average Medicare Patient Data From 2012 - 2022

Average of Total of Conditions of Medicare patients treated by Dr. Robert Paul Zitsch III, MD From 2012 - 2022

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Research Payments

Biography

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