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MEGAN MARIE MIZERA M.D.
NPI 1124550140
Orthopaedic Surgery - Hand Surgery in Bronx, NY

Active since March 29, 2017PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
111 EAST 210TH STREET, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: March 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Megan Marie Mizera M.d. NPPES

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

MEGAN MARIE MIZERA M.D. (NPI 1124550140) is an individual hand surgery provider in Bronx, New York, licensed in New Jersey (25MA11893000) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1124550140
Entity TypeIndividualFemale
Primary Taxonomy207XS0106X
Provider Legal NameMEGAN MARIE MIZERACredential: M.D.
Location Address111 EAST 210TH STREETBronx, NY 10467
Mailing Address111 East 210th StreetBronx, NY 10467 · (718) 920-4321
Phone(718) 920-4321
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 29, 2017
Last NPPES UpdateMarch 31, 2024
NPPES CertifiedMarch 31, 2024
✔ NPI 1124550140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in NJ · 25MA11893000
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
111 EAST 210TH STREET, Bronx, NY 10467
Open in Google Maps ↗

Accepted Insurance

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

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

Megan Marie Mizera 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 ID5496137994
PECOS Enrollment IDI20241022004090
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 Reassignment

Medicare enrollment records show Megan Mizera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore-Lij Medical PC
11 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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

Areas of Expertise CMS Part B claims 11

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.
182 services133 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
159 services64 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.
55 services44 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
54 services41 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.
44 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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.

MS. AMY F ROWE F.N.P.
Nurse Practitioner
111 EAST 210TH STREET, MONTEFIORE SCHOOL HEALTH PROGRAM
BRONX, NY 10467
Bronx County (718) 696-4060
SHAMSU SAHALU BELLO MBBS
Student in an Organized Health Care Education/Training Program
111 EAST 210TH STREET, DEPARTMENT OF PATHOLOGY
BRONX, NY 10467
Bronx County (347) 518-0831
DANIEL LOCKETT LABOVITZ M.D.
Psychiatry & Neurology (Neurology)
111 EAST 210TH STREET, STERN STROKE CENTER
BRONX, NY 10467
Bronx County (718) 920-6444
LAURENCE J ADAMS PA
Physician Assistant
111 EAST 210TH STREET, MMC - DEPT. OF MEDICINE
BRONX, NY 10467
Bronx County (718) 920-2961
MS. CLEMENCIA SOLORZANO RPH
Pharmacist
111 EAST 210TH STREET
BRONX, NY 10467
Bronx County (718) 920-8354
MONTEFIORE MEDICAL CENTER
Clinic/Center (Primary Care)
111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (914) 377-4722
MONTEFIORE MEDICAL CENTER
General Acute Care Hospital
111 EAST 210TH STREET, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (914) 377-4722
BARBARA C MCMILLION RNP
Nurse Practitioner
111 EAST 210TH STREET, MMC - DEPT. OF MEDICINE
BRONX, NY 10467
Bronx County (718) 920-7373

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 Megan Mizera's NPI number?

The NPI number for Megan Mizera is 1124550140. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Megan Mizera located?

Megan Mizera practices at 111 East 210th Street, Bronx, NY 10467. The listed phone number is (718) 920-4321.

What is Megan Mizera's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Megan Mizera enrolled in Medicare?

Yes. Megan Mizera 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 organization bills Medicare for Megan Mizera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Mizera reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). The 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 Megan Mizera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Mizera accept?

Health plans from Oscar Health list Megan Mizera 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 Megan Mizera affiliated with any hospitals?

According to CMS data, Megan Mizera is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Megan Mizera was last updated on March 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.