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JUSTIN M ZBRZEZNY M.D.
NPI 1699938639
Urology in Needham, MA

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
100 WEST ST, NEEDHAM, MA 02494(781) 433-2110(781) 433-2117 Get Directions Write a Review

NPPES record last updated: October 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin M Zbrzezny M.d. NPPES

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

JUSTIN M ZBRZEZNY M.D. (NPI 1699938639) is an individual urology provider in Needham, Massachusetts, licensed in Massachusetts (257942) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of State University Of New York At Buffalo School Of Medicine (2008).

NPPES Registry Identity

NPI1699938639
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJUSTIN M ZBRZEZNYCredential: M.D.
Location Address100 WEST STNeedham, MA 02494-1319
Mailing Address100 West St, Suite 1Needham, MA 02494-1319 · (781) 433-2110 · Fax (781) 433-2117
Phone(781) 433-2110
Fax(781) 433-2117
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2008
Enumeration DateJuly 9, 2008
Last NPPES UpdateOctober 15, 2014
✔ NPI 1699938639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MA · 257942
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
100 WEST ST, Needham, MA 02494
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.Insurance ›

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

Justin M Zbrzezny 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 ID9436377561
PECOS Enrollment IDI20140902001147
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 11

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.
275 services209 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.
163 services144 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
109 services84 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
69 services69 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
62 services62 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.
58 services58 patients

Hospital Affiliations CMS Care Compare 4

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

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02494 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers14 claims2,700 services$1.66 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers17 claims2,160 services$6.17 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 12

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

NEEDHAM NURSING LLC
Skilled Nursing Facility
100 WEST ST
NEEDHAM, MA 02494
Norfolk County (781) 234-6300
100 WEST STREET OPERATOR LLC
Skilled Nursing Facility
100 WEST ST
NEEDHAM, MA 02494
Norfolk County (781) 234-6300
JOSEPH MICHAEL CICCONE M.D.
Urology
100 WEST ST
NEEDHAM, MA 02494
Norfolk County (781) 433-2110
REHABCARE GROUP EAST, LLC
Clinic/Center (Rehabilitation)
100 WEST ST, STE 3B
NEEDHAM, MA 02494
Norfolk County (781) 234-6300
DR. STEPHEN EYRE M.D.
Urology
100 WEST ST
NEEDHAM, MA 02494
Norfolk County (781) 433-2110
UROLOGY PRACTICE ASSOCIATES, INC.
Specialist
100 WEST ST
NEEDHAM, MA 02494
Norfolk County (781) 433-2110
AVERY MANOR NURSING, L.L.C.
Skilled Nursing Facility
100 WEST ST
NEEDHAM, MA 02494
Norfolk County (781) 234-6300
MRS. CARA HOPE PALUMBO OTR/L
Occupational Therapist
100 WEST ST
NEEDHAM, MA 02494
Norfolk County (508) 381-0415

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 Justin Zbrzezny's NPI number?

The NPI number for Justin Zbrzezny is 1699938639. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Justin Zbrzezny located?

Justin Zbrzezny practices at 100 West St, Needham, MA 02494. The listed phone number is (781) 433-2110.

What is Justin Zbrzezny's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Justin Zbrzezny enrolled in Medicare?

Yes. Justin Zbrzezny 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.

What insurance does Justin Zbrzezny accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Justin Zbrzezny 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 Justin Zbrzezny affiliated with any hospitals?

According to CMS data, Justin Zbrzezny is affiliated with Northeast Hospital Corporation, Beth Israel Deaconess Medical Center, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Justin Zbrzezny was last updated on October 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.