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DR. ELIOT HOWARD ZIMBALIST MD
NPI 1063412609
Internal Medicine - Gastroenterology in Scarsdale, NY

Active since July 26, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 33D2124083 · Certificate of Compliance
84.14/100
CMS Quality Rating
700 WHITE PLAINS RD STE 19, SCARSDALE, NY 10583(914) 750-4700 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Eliot Howard Zimbalist Md NPPES

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

DR. ELIOT HOWARD ZIMBALIST MD (NPI 1063412609) is an individual gastroenterology provider in Scarsdale, New York, licensed in New York (149213) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, holds a CLIA Certificate of Compliance certificate valid through March 26, 2027, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1063412609
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. ELIOT HOWARD ZIMBALISTCredential: MD
Location Address700 WHITE PLAINS RD STE 19Scarsdale, NY 10583-5013
Mailing Address2649 Strang Blvd Ste 304Yorktown Heights, NY 10598-2938
Phone(914) 750-4700
Sole ProprietorYes
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1980
Enumeration DateJuly 26, 2005
Last NPPES UpdateMay 8, 2026
NPPES CertifiedMay 8, 2026
✔ NPI 1063412609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 149213
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
700 WHITE PLAINS RD STE 19, Scarsdale, NY 10583
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Other Names 1

Professional Name (2)Dr. Eliot Howard Zimbalist Md

Secondary Practice Location 1

Location 1452 77th StBrooklyn, NY 11209-3256 · Phone (718) 921-5548 · Fax (718) 921-5781

Other Identifiers 1

Medicaid00906441NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Eliot Howard Zimbalist Md 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 ID7214903236
PECOS Enrollment IDI20040909001009
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Eliot Zimbalist reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lawrence Medical Associates, PC
2.6 mi
Emergency Medicine
55 PALMER AVENUE, DEPARTMENT OF EMERGENCY MEDICINE
Bronxville, NY 10708
  • Reassigned Medicare billing, New York enrollment
  • 531 clinicians in this Medicare group
NPI 1497260806 (914) 787-1000
Optum Medical Care, P.C.
16 mi
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group
NPI 1982643003 (914) 241-1050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D2124083

Eliot Zimbalist Mc PC · Brooklyn, NY
Active · expires Mar 26, 2027
CLIA Number33D2124083
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2017
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorKaren R. Hoffman
Laboratory Phone(718) 921-5548
Laboratory LocationEliot Zimbalist Mc PC452 77th Street, Brooklyn, NY 11209
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Areas of Expertise CMS Part B claims 8

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.

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.
140 services140 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services51 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
44 services44 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
37 services37 patients
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.
30 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10583 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

84.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.11
Promoting Interoperability100
Improvement Activities40
Cost69.05

Reported Quality Measures

Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
Percentage of patients aged 18 years and older receiving a surveillance colonoscopy, with a history of a prior adenomatous polyp(s) in previous colonoscopy findings, which had an interval of 3 or more years since their last colonoscopy
100%86 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%50 patients5/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%368 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
77%557 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
38%659 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%659 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%659 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

DR. JULIE TOBAK M.D.
Internal Medicine (Gastroenterology)
700 WHITE PLAINS RD STE 19
SCARSDALE, NY 10583
Westchester County (914) 804-8535

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 Eliot Zimbalist's NPI number?

The NPI number for Eliot Zimbalist is 1063412609. It was assigned to this individual provider in the NPPES registry on July 26, 2005. The provider is also known as Dr. Eliot Howard Zimbalist MD.

Where is Eliot Zimbalist located?

Eliot Zimbalist practices at 700 White Plains Rd Ste 19, Scarsdale, NY 10583. The listed phone number is (914) 750-4700.

What is Eliot Zimbalist's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Eliot Zimbalist enrolled in Medicare?

Yes. Eliot Zimbalist is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Eliot Zimbalist's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eliot Zimbalist reassigns Medicare benefits to 2 organizations: Lawrence Medical Associates, PC (Bronxville, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eliot Zimbalist's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Eliot Zimbalist hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2124083) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eliot Zimbalist was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.