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DR. DOUGLAS P. ZMOLEK M.D.
NPI 1477534667
Internal Medicine in Manlius, NY

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
4500 PEWTER LN, BUILDLING 1, MANLIUS, NY 13104(315) 682-6600(315) 682-0570 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2021, May 10, 2016 (2 updates tracked since 2016).

About Dr. Douglas P. Zmolek M.d. NPPES

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

DR. DOUGLAS P. ZMOLEK M.D. (NPI 1477534667) is an individual internal medicine provider in Manlius, New York, licensed in New York (1711201) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1985).

NPPES Registry Identity

NPI1477534667
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DOUGLAS P. ZMOLEKCredential: M.D.
Location Address4500 PEWTER LN, BUILDLING 1Manlius, NY 13104-9707
Mailing Address1001 W Fayette St, Suite 400Syracuse, NY 13204-2859 · (315) 682-6600 · Fax (315) 682-0570
Phone(315) 682-6600
Fax(315) 682-0570
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1985
Enumeration DateNovember 7, 2005
Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
✔ NPI 1477534667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 1711201
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4500 PEWTER LN, Manlius, NY 13104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Douglas P. Zmolek 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 ID7113951179
PECOS Enrollment IDI20050920000895
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.

Areas of Expertise CMS Part B claims 10

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.

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.
355 services179 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
122 services24 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
114 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
112 services112 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
69 services68 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.
53 services47 patients

Hospital Affiliations CMS Care Compare 2

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

Crouse Hospital

Acute Care Hospitals · Syracuse, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330203
Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13104 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers11 claims22 services$6.11 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers16 claims16 services$41.82 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers12 claims12 services$13.44 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers11 claims11 services$8.49 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers18 claims102 services$1.61 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$12.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIVEWELL CNY PHYSICAL THERAPY, LLC
Clinic/Center (Physical Therapy)
4500 PEWTER LN, BUILDINGS 8&9
MANLIUS, NY 13104
Onondaga County (315) 256-0037
DR. JANE MACGUFFIE HUDSON M.D.
Internal Medicine
4500 PEWTER LN, BUILDING 1
MANLIUS, NY 13104
Onondaga County (315) 682-6600
PARASKOS ARAOUZOS MD
Family Medicine
4500 PEWTER LN
MANLIUS, NY 13104
Onondaga County (315) 682-6600
J. CHRISTOPHER STRINGER, MD PLLC
Internal Medicine
4500 PEWTER LN
MANLIUS, NY 13104
Onondaga County (315) 760-3490
BARBARA RUTH GREENE PH.D.
Psychologist (Clinical)
4500 PEWTER LN, BUILDING 7
MANLIUS, NY 13104
Onondaga County (315) 682-2355

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 Douglas Zmolek's NPI number?

The NPI number for Douglas Zmolek is 1477534667. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Douglas Zmolek located?

Douglas Zmolek practices at 4500 Pewter Ln Buildling 1, Manlius, NY 13104. The listed phone number is (315) 682-6600.

What is Douglas Zmolek's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Douglas Zmolek enrolled in Medicare?

Yes. Douglas Zmolek 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.

Is Douglas Zmolek affiliated with any hospitals?

According to CMS data, Douglas Zmolek is affiliated with Crouse Hospital and University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Douglas Zmolek was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.