ROY ZIEGELSTEIN M.D.
NPI 1700812096
Internal Medicine - Cardiovascular Disease in Baltimore, MD

Active since June 25, 2006PECOS Enrolled
74.39/100
CMS Quality Rating
4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-4642 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roy Ziegelstein M.d. NPPES

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

ROY ZIEGELSTEIN M.D. (NPI 1700812096) is an individual cardiovascular disease provider in Baltimore, Maryland, licensed in Maryland (D38461) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Boston University School Of Medicine (1986).

NPPES Registry Identity

NPI1700812096
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameROY ZIEGELSTEINCredential: M.D.
Location Address4940 EASTERN AVEBaltimore, MD 21224-2735
Mailing AddressPo Box 64250Baltimore, MD 21264-4250 · (410) 550-4642
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1986
Enumeration DateJune 25, 2006
Last NPPES UpdateFebruary 21, 2013
NPI 1700812096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MD · D38461
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4940 EASTERN AVE, Baltimore, MD 21224

Other Identifiers 3

Medicare UPINE42047MD
Medicaid535241000MD
Medicare PINKR34MP05MD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Roy Ziegelstein M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133251069
PECOS Enrollment IDI20100713000299
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

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Other Providers at the Same Location NPPES 20

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

Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224

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 Roy Ziegelstein's NPI number?

The NPI number for Roy Ziegelstein is 1700812096. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Roy Ziegelstein located?

Roy Ziegelstein practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-4642.

What is Roy Ziegelstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Roy Ziegelstein enrolled in Medicare?

Yes. Roy Ziegelstein is registered in the Medicare PECOS enrollment system.

Is Roy Ziegelstein affiliated with any hospitals?

According to CMS data, Roy Ziegelstein is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Roy Ziegelstein was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.