MICHAEL M ZIEGELBAUM MD
Accepted Insurance for 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

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

Accepted Insurance & Health Plans Health Insurance Marketplace

Marketplace plan participation on file for this provider · 2026 plan year

MICHAEL M ZIEGELBAUM MD, a urology provider in Lake Success, NY, is listed as in-network for 24 health insurance plans from Blue Cross Blue Shield of North Dakota. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.

Verify before you schedule: insurance networks change throughout the plan year. Confirm coverage directly with your insurance company or this practice’s billing office before booking an appointment.
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Insurance Company
24
Plan Options
1
Network Type
14 plans · 14 plan IDs · 2026 plan year

Blue Cross Blue Shield of North Dakota

14 plans · Individual market · listed as In Network

BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)

BronzePPONorth Dakota
Plan ID37160ND2410030

BlueCare Gold $10 PCP Copay ($5 Value Based Drug List)

GoldPPONorth Dakota
Plan ID37160ND2410005

BlueCare Silver $20 PCP Copay ($5 Value Based Drug List)

SilverPPONorth Dakota
Plan ID37160ND2410002

BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List)

BronzePPONorth Dakota
Plan ID37160ND2410020

BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List)

GoldPPONorth Dakota
Plan ID37160ND2410022

BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List)

SilverPPONorth Dakota
Plan ID37160ND2410014

BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible

CatastrophicPPONorth Dakota
Plan ID37160ND2410021

BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan)

BronzePPONorth Dakota
Plan ID37160ND2410028

BlueValue Gold $30 PCP Copay (Standardized plan)

GoldPPONorth Dakota
Plan ID37160ND2410026

BlueValue Silver $40 PCP Copay (Standardized plan)

SilverPPONorth Dakota
Plan ID37160ND2410027

DakotaBlue Altru Gold ($5 Value Based Drug List)

GoldPPONorth Dakota
Plan ID37160ND2480001

DakotaBlue Altru Silver ($5 Value Based Drug List)

SilverPPONorth Dakota
Plan ID37160ND2480003

DakotaBlue Trinity Gold ($5 Value Based Drug List)

GoldPPONorth Dakota
Plan ID37160ND2480009

DakotaBlue Trinity Silver ($5 Value Based Drug List)

SilverPPONorth Dakota
Plan ID37160ND2480010
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Coverage Questions FAQs

Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.

What insurance does MICHAEL M ZIEGELBAUM MD accept?

Marketplace files for the 2026 plan year list MICHAEL M ZIEGELBAUM MD as in-network for 24 plans from Blue Cross Blue Shield of North Dakota. The full list above shows each plan's metal level, network type, and plan IDs.

Is MICHAEL M ZIEGELBAUM MD enrolled in Medicare?

Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.

What network types does MICHAEL M ZIEGELBAUM MD participate in?

The accepted plans include 14 PPO plans. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals.

Where does this insurance data come from and how current is it?

Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.