MIKHAIL ZUSMANOVICH M.D.
NPI 1598142846
Orthopaedic Surgery in West Babylon, NY

Active since May 06, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
60 FLEETS POINT DR STE 1, WEST BABYLON, NY 11704(631) 689-6698 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 26, 2021, Feb 18, 2021, Jul 21, 2020 (3 updates tracked since 2020).

About Mikhail Zusmanovich M.d. NPPES

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

MIKHAIL ZUSMANOVICH M.D. (NPI 1598142846) is an individual orthopaedic surgery provider in West Babylon, New York, licensed in New York (308433) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1598142846
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMIKHAIL ZUSMANOVICHCredential: M.D.
Location Address60 FLEETS POINT DR STE 1West Babylon, NY 11704-8314
Mailing Address30 Waterside Plz Apt 32gNew York, NY 10010-2627 · (925) 963-9412
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 6, 2015
Last NPPES UpdateJuly 29, 20253 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1598142846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in NY · 308433✔ Licensed in CA · A167767
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 · Sports MedicineTaxonomy 207XX0005X · License 308433 (NY)
60 FLEETS POINT DR STE 1, West Babylon, NY 11704

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

Mikhail Zusmanovich 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 ID5395083703
PECOS Enrollment IDI20210303001480
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 16

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.

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
3,175 services36 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
383 services183 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
297 services173 patients
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.
283 services169 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
174 services174 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
101 services56 patients

Hospital Affiliations CMS Care Compare 2

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

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

St Catherine Of Siena Hospital Medical Center

Acute Care Hospitals · Smithtown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330401
Location50 Route 25ASmithtown, NY 11787 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11704 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 3

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

Durable Medical Equipment & Medical Supplies
60 FLEETS POINT DR STE 1
WEST BABYLON, NY 11704
Orthopaedic Surgery
60 FLEETS POINT DR STE 1
WEST BABYLON, NY 11704
Physician Assistant
60 FLEETS POINT DR STE 1
WEST BABYLON, NY 11704

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 Mikhail Zusmanovich's NPI number?

The NPI number for Mikhail Zusmanovich is 1598142846. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Where is Mikhail Zusmanovich located?

Mikhail Zusmanovich practices at 60 Fleets Point Dr Ste 1, West Babylon, NY 11704. The listed phone number is (631) 689-6698.

What is Mikhail Zusmanovich's specialty?

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

Is Mikhail Zusmanovich enrolled in Medicare?

Yes. Mikhail Zusmanovich 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 Mikhail Zusmanovich affiliated with any hospitals?

According to CMS data, Mikhail Zusmanovich is affiliated with St Charles Hospital and St Catherine Of Siena Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Mikhail Zusmanovich was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.