HAIBIN ZHANG MD
NPI 1689236754
Hospitalist in Stony Brook, NY

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
101 NICOLLS RD # T16030, STONY BROOK, NY 11794(631) 444-7488 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 10, 2025, Jul 9, 2022 (2 updates tracked since 2022).

About Haibin Zhang Md NPPES

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

HAIBIN ZHANG MD (NPI 1689236754) is an individual hospitalist provider in Stony Brook, New York, licensed in New York (334325) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and maintains a secondary practice location in Marshfield.

NPPES Registry Identity

NPI1689236754
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameHAIBIN ZHANGCredential: MD
Location Address101 NICOLLS RD # T16030Stony Brook, NY 11794-0001
Mailing Address101 Nicolls Rd # T16030Stony Brook, NY 11794-0001 · (631) 444-7488
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJune 28, 2019
Last NPPES UpdateJune 10, 20252 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1689236754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in NY · 334325✔ Licensed in WI · 74287
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 74287 (WI), 7671-851 (WI)
101 NICOLLS RD # T16030, Stony Brook, NY 11794

Secondary Practice Location 1

Location 11000 N Oak AveMarshfield, WI 54449-5703 · Phone (715) 897-4567

Accepted Insurance

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

Haibin Zhang 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 ID5991119117
PECOS Enrollment IDI20250903003254
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

7

Medicare enrollment records show Haibin Zhang reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
SUNY @ STONY BROOK, HSC, L16, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 261 clinicians in this Medicare group
Family Medicine
420 W NORTH ST
Juneau, WI 53039
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Clinical Medical Laboratory
216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,283 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
169 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
98 services36 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
58 services57 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services44 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.
38 services36 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.
33 services31 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.25
Promoting Interoperability100
Improvement Activities40

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 Haibin Zhang's NPI number?

The NPI number for Haibin Zhang is 1689236754. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Haibin Zhang located?

Haibin Zhang practices at 101 Nicolls Rd # T16030, Stony Brook, NY 11794. The listed phone number is (631) 444-7488.

What is Haibin Zhang's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Haibin Zhang enrolled in Medicare?

Yes. Haibin Zhang 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.

Which organizations bill Medicare for Haibin Zhang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haibin Zhang reassigns Medicare benefits to 7 organizations: Stony Brook Internists, University Faculty Practice Corporation (Stony Brook, NY), Beaver Dam Community Hospitals Inc (Juneau, WI), Mchs Hospitals, Inc. (Plover, WI), Marshfield Clinic Inc (Marshfield, WI), Memorial Hospital, Inc (Neillsville, WI) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Haibin Zhang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haibin Zhang accept?

Health plans from Medica and Sanford Health Plan list Haibin Zhang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Haibin Zhang affiliated with any hospitals?

According to CMS data, Haibin Zhang is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Haibin Zhang was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.