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MICHAEL M ZIEGELBAUM MD
NPI 1174520621
Urology in Lake Success, NY

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
2001 MARCUS AVE, SUITE N-214, LAKE SUCCESS, NY 11042(516) 437-4228(516) 355-0637 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael M Ziegelbaum Md NPPES

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

MICHAEL M ZIEGELBAUM MD (NPI 1174520621) is an individual urology provider in Lake Success, New York, licensed in New York (173612) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Essentia Health, and maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1174520621
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMICHAEL M ZIEGELBAUMCredential: MD
Location Address2001 MARCUS AVE, SUITE N-214Lake Success, NY 11042-1011
Mailing Address2001 Marcus Ave, Suite N-214Lake Success, NY 11042-1011 · (516) 437-4228 · Fax (516) 355-0637
Phone(516) 437-4228
Fax(516) 355-0637
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateJune 30, 2005
Last NPPES UpdateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1174520621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in NY · 173612✔ Licensed in ND · 23062
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2001 MARCUS AVE, Lake Success, NY 11042
Open in Google Maps ↗

Secondary Practice Location 1

Location 13000 32nd Ave SFargo, ND 58103-6132 · Phone (701) 364-8000

Other Identifiers 1

Medicaid01083572NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.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

Michael M Ziegelbaum 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 ID1850320573
PECOS Enrollment IDI20251031003935
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

4

Medicare enrollment records show Michael Ziegelbaum reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Shore - Lij Medical PC
1.2 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089
Prine Health Medical Group, PLLC
2.5 mi
Nephrology
1129 NORTHERN BLVD STE 101
Manhasset, NY 11030
  • Reassigned Medicare billing, New York enrollment
  • 104 clinicians in this Medicare group
NPI 1144790163 (516) 365-5570
Chs Physician Partners, P.C
3.5 mi
Cardiovascular Disease
100 PORT WASHINGTON BLVD, SUITE 105
Roslyn, NY 11576
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Chs Physician Partners PC
  • 944 clinicians in this Medicare group
NPI 1164585725 (516) 390-9640
Innovis Health, LLC.
1,208 mi
Family Medicine
275 11TH ST S
Wahpeton, ND 58075
  • Reassigned Medicare billing, North Dakota enrollment
  • 617 clinicians in this Medicare group
NPI 1790965440 (701) 642-2000

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 9

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
64 services51 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
55 services44 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.
40 services39 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.
39 services33 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
37 services34 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.
32 services32 patients

Hospital Affiliations CMS Care Compare

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

Essentia Health

Acute Care Hospitals · Fargo, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350070
Location3000 32nd Ave SouthFargo, ND 58104 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
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.

PAUL S. BERG MD
Internal Medicine (Gastroenterology)
2001 MARCUS AVE, SUITE N204
NEW HYDE PARK, NY 11042
Nassau County (516) 684-9229
MIMI G BANSAL, MD
Dermatology (Procedural Dermatology)
2001 MARCUS AVE, SUITE N218
LAKE SUCCESS, NY 11042
Nassau County (516) 352-2700
DR. LESLIE R. KOLKER O.D.
Optometrist
2001 MARCUS AVE, SUITE 286 WEST
NEW HYDE PARK, NY 11042
Nassau County (516) 328-1800
ECLIPSE ANESTHESIA ASSOCIATES PLLC
Anesthesiology
2001 MARCUS AVE, STE N18
NEW HYDE PARK, NY 11042
Nassau County (516) 775-7770
DR. MADHU SOMABHAI PATEL M.D.
Internal Medicine
2001 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 354-8686
DR. OMID RAHMANI MD
Surgery (Vascular Surgery)
2001 MARCUS AVE, SUITE S50
NEW HYDE PARK, NY 11042
Nassau County (516) 328-9800
DEBORAH JEAN WARING LAC.
Acupuncturist
2001 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 775-3717
MR. SEBASTIAN LATTUGA MD FACOS
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2001 MARCUS AVE, STE 170 W NEW YORK SPECIALISTS LLP
LAKE SUCCESS, NY 11042
Nassau County (516) 355-0111

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 Michael Ziegelbaum's NPI number?

The NPI number for Michael Ziegelbaum is 1174520621. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Michael Ziegelbaum located?

Michael Ziegelbaum practices at 2001 Marcus Ave Suite N-214, Lake Success, NY 11042. The listed phone number is (516) 437-4228.

What is Michael Ziegelbaum's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Ziegelbaum enrolled in Medicare?

Yes. Michael Ziegelbaum 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 Michael Ziegelbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ziegelbaum reassigns Medicare benefits to 4 organizations: North Shore - Lij Medical PC (New Hyde Park, NY), Prine Health Medical Group, PLLC (Manhasset, NY), Chs Physician Partners, P.C (Roslyn, NY) and Innovis Health, LLC. (Wahpeton, ND). 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 Michael Ziegelbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Ziegelbaum accept?

Health plans from Blue Cross Blue Shield of North Dakota list Michael Ziegelbaum 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 Michael Ziegelbaum affiliated with any hospitals?

According to CMS data, Michael Ziegelbaum is affiliated with Essentia Health.

When was this NPI record last updated?

The NPPES record for Michael Ziegelbaum was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.