SAMUEL JACOB ZIDOVETZKI MD
NPI 1427491968
Emergency Medicine in Madison, WI

Q: What is Samuel Zidovetzki's NPI number?

The NPI number for Samuel Zidovetzki is 1427491968. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Q: What is Samuel Zidovetzki's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Zidovetzki was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 15, 2013PECOS EnrolledAccepts Medicare Assignment

600 HIGHLAND AVE, H4/831, MADISON, WI 53792(608) 890-8682 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Samuel Jacob Zidovetzki Md NPPES

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

SAMUEL JACOB ZIDOVETZKI MD (NPI 1427491968) is an individual emergency medicine provider in Madison, Wisconsin, licensed in California (A155123) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2013).

NPPES Registry Identity

NPI1427491968

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameSAMUEL JACOB ZIDOVETZKICredential: MD

Location Address600 HIGHLAND AVE, H4/831Madison, WI 53792

Mailing Address600 Highland Ave, H4/831Madison, WI 53792-0001 · (608) 890-8682

Phone(608) 890-8682

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2013

Enumeration DateApril 15, 2013

Last NPPES UpdateJuly 26, 2018

✔ NPI 1427491968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in CA · A155123

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

600 HIGHLAND AVE, Madison, WI 53792

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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

Samuel Jacob Zidovetzki 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 ID7012130958

PECOS Enrollment IDI20180831000554

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

Medicare enrollment records show Samuel Zidovetzki reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fpa Hospital Based

812 mi

Nuclear Medicine

1 GUSTAVE L LEVY PL
New York, NY 10029

Reassigned Medicare billing, New York enrollment
1,067 clinicians in this Medicare group

NPI 1205179140 (212) 241-6381

Downtown Bronx Medical Associates PC

813 mi

Emergency Medical Services

234 E 149TH ST, STE 8D200
Bronx, NY 10451

Reassigned Medicare billing, New York enrollment
971 clinicians in this Medicare group

NPI 1689618407 (718) 576-6200

Cep America-California

1,507 mi

Emergency Medicine

250 N 1ST ST
Blythe, CA 92225

Reassigned Medicare billing, California enrollment
2,323 clinicians in this Medicare group

NPI 1710826581 (760) 922-4115

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

145 services145 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

96 services94 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services15 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.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53792 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

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.

JASON ALAN CHRISTENSEN PHARMD

Pharmacist

600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792

Dane County (608) 662-0817

LAURA JEAN KOPPLIN MD, PHD

Ophthalmology