DR. STEPHAN ZMUGG M.D.
NPI 1396030680
Orthopaedic Surgery in Oakland, CA

Active since June 14, 2011PECOS Enrolled
275 W MACARTHUR BLVD, OAKLAND, CA 94611(510) 752-1000 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 21, 2021, Sep 21, 2018, Nov 10, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Stephan Zmugg M.d. NPPES

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

DR. STEPHAN ZMUGG M.D. (NPI 1396030680) is an individual orthopaedic surgery provider in Oakland, California, licensed in California (A156721) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1396030680
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. STEPHAN ZMUGGCredential: M.D.
Location Address275 W MACARTHUR BLVDOakland, CA 94611-5641
Mailing Address275 W Macarthur BlvdOakland, CA 94611-5641 · (510) 752-1000
Sole ProprietorNo
Enumeration DateJune 14, 2011
Last NPPES UpdateDecember 21, 20214 updates tracked since enumeration
NPI 1396030680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in CA · A156721 Licensed in NY · 288700
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Pediatric Orthopaedic SurgeryTaxonomy 207XP3100X · License Q8402 (TX)
275 W MACARTHUR BLVD, Oakland, CA 94611

Secondary Practice Location 1

Location 1535 E 70th StNew York, NY 10021-4823 · Phone (212) 606-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Stephan Zmugg M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94611 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

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.

Specialist
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Radiology (Radiation Oncology)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Radiology (Diagnostic Radiology)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Physical Therapist (Orthopedic)
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Student in an Organized Health Care Education/Training Program
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Obstetrics & Gynecology
275 W MACARTHUR BLVD
OAKLAND, CA 94611
Hospitalist
275 W MACARTHUR BLVD
OAKLAND, CA 94611

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 Stephan Zmugg's NPI number?

The NPI number for Stephan Zmugg is 1396030680. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Stephan Zmugg located?

Stephan Zmugg practices at 275 W Macarthur Blvd, Oakland, CA 94611. The listed phone number is (510) 752-1000.

What is Stephan Zmugg's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Stephan Zmugg enrolled in Medicare?

Yes. Stephan Zmugg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephan Zmugg was last updated on December 21, 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.