MICHAEL J ZUGAREK PA
NPI 1013988781
Physician Assistant in Virginia Beach, VA

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
397 LITTLE NECK RD STE 120, VIRGINIA BEACH, VA 23452(757) 395-1600(757) 961-9359 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael J Zugarek Pa NPPES

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

MICHAEL J ZUGAREK PA (NPI 1013988781) is an individual physician assistant in Virginia Beach, Virginia, licensed in Virginia (0110840802) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Williamsburg Regional Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1013988781
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL J ZUGAREKCredential: PA
Location Address397 LITTLE NECK RD STE 120Virginia Beach, VA 23452-5774
Mailing Address397 Little Neck Rd Ste 120Virginia Beach, VA 23452-5774 · (757) 395-1600 · Fax (757) 961-9359
Fax(757) 961-9359
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 30, 2006
Last NPPES UpdateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
NPI 1013988781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110840802
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 0110840802 (VA)
397 LITTLE NECK RD STE 120, Virginia Beach, VA 23452

Other Identifiers 1

Other970006832VA · Medicare Railroad

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

Michael J Zugarek Pa 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 ID9537245568
PECOS Enrollment IDI20080331000357
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services15 patients
Removal of tunneled central venous tube 36589
A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23452 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Physician Assistant
397 LITTLE NECK RD STE 120
VIRGINIA BEACH, VA 23452
Thoracic Surgery (Cardiothoracic Vascular Surgery)
397 LITTLE NECK RD STE 120
VIRGINIA BEACH, VA 23452
Surgery (Vascular Surgery)
397 LITTLE NECK RD STE 120
VIRGINIA BEACH, VA 23452
Physician Assistant
397 LITTLE NECK RD STE 120
VIRGINIA BEACH, VA 23452
Nurse Practitioner (Family)
397 LITTLE NECK RD STE 120
VIRGINIA BEACH, VA 23452
Surgery (Vascular Surgery)
397 LITTLE NECK RD STE 120
VIRGINIA BEACH, VA 23452
Nurse Practitioner (Acute Care)
397 LITTLE NECK RD STE 120
VIRGINIA BEACH, VA 23452
Physician Assistant
397 LITTLE NECK RD STE 120
VIRGINIA BEACH, VA 23452

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013988781, enumerated as an "individual" on January 30, 2006.

The provider is located at 397 LITTLE NECK RD STE 120 VIRGINIA BEACH, VA 23452 and the phone number is (757) 395-1600.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Michael Zugarek is affiliated with: SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER and SENTARA CAREPLEX HOSPITAL.