MARGARET M ZAMBON M.D.
NPI 1609018613
Internal Medicine - Pulmonary Disease in Rochester, NY

Q: What is Margaret Zambon's NPI number?

The NPI number for Margaret Zambon is 1609018613. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Q: What is Margaret Zambon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Margaret Zambon was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 06, 2009PECOS EnrolledAccepts Medicare Assignment

95.19/100

CMS Quality Rating

1561 LONG POND RD STE 408, ROCHESTER, NY 14626(585) 723-7575(585) 368-4890 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2022, Jul 21, 2022, Apr 23, 2021 and 1 more (4 updates tracked since 2017).

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About Margaret M Zambon M.d. NPPES

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

MARGARET M ZAMBON M.D. (NPI 1609018613) is an individual pulmonary disease provider in Rochester, New York, licensed in New York (265313) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS, is affiliated with United Memorial Medical Center, and is a graduate of State University Of New York At Buffalo School Of Medicine (2009).

NPPES Registry Identity

NPI1609018613

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameMARGARET M ZAMBONCredential: M.D.

Location Address1561 LONG POND RD STE 408Rochester, NY 14626-4135

Mailing Address1561 Long Pond Rd Ste 408Rochester, NY 14626-4135 · (585) 723-7575 · Fax (585) 368-4890

Phone(585) 723-7575

Fax(585) 368-4890

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2009

Enumeration DateApril 6, 2009

Last NPPES UpdateAugust 10, 20224 updates tracked since enumeration

NPPES CertifiedAugust 10, 2022

✔ NPI 1609018613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NY · 265313

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 265313 (NY)

1561 LONG POND RD STE 408, Rochester, NY 14626

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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

Margaret M Zambon 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 ID1658536693

PECOS Enrollment IDI20120626000191

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 12

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.

34 services25 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

25 services25 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

23 services23 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

17 services17 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

16 services16 patients

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629

A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.

15 services15 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

13 services13 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.

13 services13 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

12 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

12 services12 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.

12 services12 patients

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes 31652

This procedure involves a special tube with a camera (endoscope) entering your lung airways. Guided by ultrasound, it collects samples from 1-2 lymph nodes. This helps doctors understand and diagnose potential issues in your lungs.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330073

Location127 North StreetBatavia, NY 14020 · Genesee County

Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330125

Location1425 Portland AvenueRochester, NY 14621 · Monroe County

Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330226

Location1555 Long Pond RoadRochester, NY 14626 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14626 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.

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.

95.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers17 claims20 services$14.16 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers27 claims30 services$61.04 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 4

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

CHRISTINA ANN RAGER M.D.

Internal Medicine (Pulmonary Disease)

1561 LONG POND RD STE 408
ROCHESTER, NY 14626

Monroe County (585) 723-7575

STEVEN JAMES CHAKUPURAKAL MD

Internal Medicine (Pulmonary Disease)

1561 LONG POND RD STE 408, UNITY PULMONARY MEDICINE
ROCHESTER, NY 14626

Monroe County (585) 723-7575

DANIELLE M ORSINI PA

Physician Assistant (Medical)

1561 LONG POND RD STE 408
ROCHESTER, NY 14626

Monroe County (585) 723-7575

CHRISTINA THANH BACH M.D.

Internal Medicine (Pulmonary Disease)

1561 LONG POND RD STE 408
ROCHESTER, NY 14626

Monroe County (585) 723-7575

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 Margaret Zambon's NPI number?

The NPI number for Margaret Zambon is 1609018613. It was assigned to this individual provider in the NPPES registry on April 6, 2009.

Where is Margaret Zambon located?

Margaret Zambon practices at 1561 Long Pond Rd Ste 408, Rochester, NY 14626. The listed phone number is (585) 723-7575.

What is Margaret Zambon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Margaret Zambon enrolled in Medicare?

Yes. Margaret Zambon 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 Margaret Zambon affiliated with any hospitals?

According to CMS data, Margaret Zambon is affiliated with United Memorial Medical Center, Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Margaret Zambon was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.