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DR. MICHAEL ZILLES M.D.
NPI 1013004530
Orthopaedic Surgery in Fishkill, NY

Active since October 06, 2006PECOS Enrolled
200 WESTAGE BUSINESS CTR DR STE 115, FISHKILL, NY 12524(845) 896-4178(845) 896-4278 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Zilles M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL ZILLES M.D. (NPI 1013004530) is an individual orthopaedic surgery provider in Fishkill, New York, licensed in New York (203112) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Roy Lester Schneider Hospital,the, and is a graduate of George Washington University School Of Medicine (1994).

NPPES Registry Identity

NPI1013004530
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL ZILLESCredential: M.D.
Location Address200 WESTAGE BUSINESS CTR DR STE 115Fishkill, NY 12524-2271
Mailing Address19 Bradhurst Ave Ste 3100nHawthorne, NY 10532-2140 · (914) 909-9018 · Fax (914) 909-9028
Phone(845) 896-4178
Fax(845) 896-4278
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 1994
Enumeration DateOctober 6, 2006
Last NPPES UpdateFebruary 6, 2019
✔ NPI 1013004530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 203112
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
200 WESTAGE BUSINESS CTR DR STE 115, Fishkill, NY 12524
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Other Identifiers 1

Medicaid89128YWNC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Zilles M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294861761
PECOS Enrollment IDI20250721000118
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Roy Lester Schneider Hospital,the

Acute Care Hospitals · St Thomas, VI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number480001
Location9048 Sugar EstateSt Thomas, VI 00801 · Saint Thomas Island County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12524 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Zilles's NPI number?

The NPI number for Michael Zilles is 1013004530. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Michael Zilles located?

Michael Zilles practices at 200 Westage Business Ctr Dr Ste 115, Fishkill, NY 12524. The listed phone number is (845) 896-4178.

What is Michael Zilles's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Zilles enrolled in Medicare?

Yes. Michael Zilles is registered in the Medicare PECOS enrollment system.

What insurance does Michael Zilles accept?

Health plans from CareSource list Michael Zilles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Zilles affiliated with any hospitals?

According to CMS data, Michael Zilles is affiliated with Roy Lester Schneider Hospital,the.

When was this NPI record last updated?

The NPPES record for Michael Zilles was last updated on February 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.