ZACHARY B. BULWA MD, MS
NPI 1164876553
Psychiatry & Neurology - Neurology in Evanston, IL

Active since April 21, 2016PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
1000 CENTRAL ST STE 880, EVANSTON, IL 60201(847) 570-2570(847) 570-2073 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2021, Jul 20, 2021, Jun 23, 2020 and 2 more (5 updates tracked since 2017).

About Zachary B. Bulwa Md, Ms NPPES

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

ZACHARY B. BULWA MD, MS (NPI 1164876553) is an individual neurology provider in Evanston, Illinois, licensed in Illinois (036152509) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1164876553
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameZACHARY B. BULWACredential: MD, MS
Location Address1000 CENTRAL ST STE 880Evanston, IL 60201-1780
Mailing Address1000 Central St Ste 880Evanston, IL 60201-1780 · (847) 570-2570 · Fax (847) 570-2073
Fax(847) 570-2073
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 21, 2016
Last NPPES UpdateSeptember 13, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2021
NPI 1164876553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in IL · 036152509
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1000 CENTRAL ST STE 880, Evanston, IL 60201

Accepted Insurance

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

Zachary B. Bulwa Md, Ms 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 ID2163714759
PECOS Enrollment IDI20210629002399
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
328 services244 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
198 services115 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.
112 services110 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
97 services51 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.
85 services80 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Psychiatry & Neurology (Neurology)
1000 CENTRAL ST STE 880
EVANSTON, IL 60201
Nurse Practitioner
1000 CENTRAL ST STE 880
EVANSTON, IL 60201
Physical Medicine & Rehabilitation
1000 CENTRAL ST STE 880
EVANSTON, IL 60201
Psychiatry & Neurology (Neurology)
1000 CENTRAL ST STE 880
EVANSTON, IL 60201
Physical Medicine & Rehabilitation
1000 CENTRAL ST STE 880
EVANSTON, IL 60201
Neurological Surgery
1000 CENTRAL ST STE 880
EVANSTON, IL 60201
Psychiatry & Neurology (Neurology)
1000 CENTRAL ST STE 880
EVANSTON, IL 60201
Physician Assistant (Surgical)
1000 CENTRAL ST STE 880
EVANSTON, IL 60201

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 Zachary Bulwa's NPI number?

The NPI number for Zachary Bulwa is 1164876553. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Zachary Bulwa located?

Zachary Bulwa practices at 1000 Central St Ste 880, Evanston, IL 60201. The listed phone number is (847) 570-2570.

What is Zachary Bulwa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Zachary Bulwa enrolled in Medicare?

Yes. Zachary Bulwa 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.

What insurance does Zachary Bulwa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Zachary Bulwa 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 Zachary Bulwa affiliated with any hospitals?

According to CMS data, Zachary Bulwa is affiliated with Northshore University Healthsystem - Evanston Hospital, Swedish Hospital and Northwestern Lake Forest Hospital.

When was this NPI record last updated?

The NPPES record for Zachary Bulwa was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.