USMAN ZULFIQAR M.D.
NPI 1013240258
Hospitalist in Ephrata, PA

Q: What is Usman Zulfiqar's NPI number?

The NPI number for Usman Zulfiqar is 1013240258. It was assigned to this individual provider in the NPPES registry on September 4, 2009.

Q: What is Usman Zulfiqar's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Usman Zulfiqar was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since September 04, 2009PECOS EnrolledAccepts Medicare Assignment

169 MARTIN AVE, EPHRATA, PA 17522(717) 721-4740 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2024, Jun 18, 2021, Feb 3, 2020 (3 updates tracked since 2020).

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About Usman Zulfiqar M.d. NPPES

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

USMAN ZULFIQAR M.D. (NPI 1013240258) is an individual hospitalist provider in Ephrata, Pennsylvania, licensed in Pennsylvania (MD459726) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1013240258

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameUSMAN ZULFIQARCredential: M.D.

Location Address169 MARTIN AVEEphrata, PA 17522-1724

Mailing Address3 Colonial DrWest Chester, PA 19382-4403

Phone(717) 721-4740

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateSeptember 4, 2009

Last NPPES UpdateSeptember 4, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 4, 2024

✔ NPI 1013240258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in PA · MD459726

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License MT192093 (PA), MD459726 (PA)

169 MARTIN AVE, Ephrata, PA 17522

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Secondary Practice Location 1

Location 1252 S 4th StLebanon, PA 17042-6111 · Phone (717) 270-4876

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Usman Zulfiqar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789843418

PECOS Enrollment IDI20170105000971

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 2

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.

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.

176 services172 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

108 services103 patients

Hospital Affiliations CMS Care Compare 3

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

Wellspan York Hospital

Acute Care Hospitals · York, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390046

Location1001 South George StreetYork, PA 17403 · York County

Emergency services Birthing friendly

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390066

Location252 South 4th StreetLebanon, PA 17042 · Lebanon County

Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390225

Location169 Martin AvenueEphrata, PA 17522 · Lancaster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAKESH BARAK M.D.

Radiology (Diagnostic Radiology)