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DR. ZACHARY MICHAEL SUSSMAN M.D.
NPI 1295910909
Pathology - Anatomic Pathology & Clinical Pathology in Austin, TX

Active since January 02, 2008PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
3445 EXECUTIVE CENTER DR STE 250, AUSTIN, TX 78731(512) 579-4000(512) 439-2814 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2023, Sep 7, 2022, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Zachary Michael Sussman M.d. NPPES

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

DR. ZACHARY MICHAEL SUSSMAN M.D. (NPI 1295910909) is an individual anatomic pathology & clinical pathology provider in Austin, Texas, licensed in New Mexico (MD2009-0485) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1295910909
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. ZACHARY MICHAEL SUSSMANCredential: M.D.
Location Address3445 EXECUTIVE CENTER DR STE 250Austin, TX 78731-1678
Mailing Address3445 Executive Center Dr Ste 250Austin, TX 78731-1678 · (512) 579-4000 · Fax (512) 439-2814
Phone(512) 579-4000
Fax(512) 439-2814
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 2, 2008
Last NPPES UpdateJanuary 21, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2025
✔ NPI 1295910909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in NM · MD2009-0485✔ Licensed in TX · N4772✔ Licensed in GA · 000716
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
3445 EXECUTIVE CENTER DR STE 250, Austin, TX 78731
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Zachary Michael Sussman 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 ID3779805262
PECOS Enrollment IDI20141212000424
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 Zachary Sussman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pathology Associates Of San Antonio, L.L.P.
75 mi
Anatomic Pathology & Clinical Pathology
9720 DATAPOINT DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 28 clinicians in this Medicare group
NPI 1407844848 (210) 892-3700
Unm Medical Group Inc
610 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
575 services269 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
64 services13 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
62 services50 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
49 services43 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
35 services28 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
28 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450237
Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

Children's Hospital Of San Antonio

Childrens · San Antonio, TX
OwnershipVoluntary non-profit - Church
CMS Certification Number453315
Location333 N Santa Rosa StSan Antonio, TX 78207 · Bexar County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

DR. CELINA V INGRAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3445 EXECUTIVE CENTER DR STE 250
AUSTIN, TX 78731
Travis County (512) 579-4000
LACEY DURHAM MD
Pathology (Anatomic Pathology & Clinical Pathology)
3445 EXECUTIVE CENTER DR STE 250
AUSTIN, TX 78731
Travis County (512) 579-4000
THOMAS STEPHAN NEUHAUSER M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3445 EXECUTIVE CENTER DR STE 250
AUSTIN, TX 78731
Travis County (512) 579-4000
DR. MICHAEL PHILLIP ZALESKI D.O.
Pathology (Anatomic Pathology & Clinical Pathology)
3445 EXECUTIVE CENTER DR STE 250
AUSTIN, TX 78731
Travis County (512) 579-4000
ERIC PAUL FILLMAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3445 EXECUTIVE CENTER DR STE 250
AUSTIN, TX 78731
Travis County (512) 579-4000
OLIVIA FISHER MD
Pathology (Anatomic Pathology & Clinical Pathology)
3445 EXECUTIVE CENTER DR STE 250
AUSTIN, TX 78731
Travis County (512) 579-4000
RAIDELYS AVILA DIAZ MD
Pathology (Anatomic Pathology & Clinical Pathology)
3445 EXECUTIVE CENTER DR STE 250
AUSTIN, TX 78731
Travis County (512) 579-4000
REBECCA ANNE POHLMANN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3445 EXECUTIVE CENTER DR STE 250
AUSTIN, TX 78731
Travis County (512) 579-4000

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 Sussman's NPI number?

The NPI number for Zachary Sussman is 1295910909. It was assigned to this individual provider in the NPPES registry on January 2, 2008.

Where is Zachary Sussman located?

Zachary Sussman practices at 3445 Executive Center Dr Ste 250, Austin, TX 78731. The listed phone number is (512) 579-4000.

What is Zachary Sussman's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Zachary Sussman enrolled in Medicare?

Yes. Zachary Sussman 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 Zachary Sussman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Sussman reassigns Medicare benefits to 2 organizations: Pathology Associates Of San Antonio, L.L.P. (San Antonio, TX) and Unm Medical Group Inc (Albuquerque, NM). 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 Zachary Sussman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachary Sussman accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Zachary Sussman 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 Sussman affiliated with any hospitals?

According to CMS data, Zachary Sussman is affiliated with Christus Santa Rosa Medical Center, Christus Santa Rosa Hospital-San Marcos, Hill Country Memorial Hospital and Children's Hospital Of San Antonio.

When was this NPI record last updated?

The NPPES record for Zachary Sussman was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.