PHILIP ZWINGELBERG FNP
NPI 1790413326
Nurse Practitioner - Family in Albany, NY

Active since August 11, 2022PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
50 NEW SCOTLAND AVE FL 3, ALBANY, NY 12208(518) 262-9777 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philip Zwingelberg Fnp NPPES

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

PHILIP ZWINGELBERG FNP (NPI 1790413326) is an individual family provider in Albany, New York, licensed in New York (349717) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790413326
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NamePHILIP ZWINGELBERGCredential: FNP
Location Address50 NEW SCOTLAND AVE FL 3Albany, NY 12208-3403
Mailing Address156 County Route 61Chatham, NY 12037-3806 · (518) 470-8616
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 11, 2022
NPPES CertifiedAugust 11, 2022
NPI 1790413326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 349717
50 NEW SCOTLAND AVE FL 3, Albany, NY 12208

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

Philip Zwingelberg Fnp 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 ID1355717745
PECOS Enrollment IDI20221027000527
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 3

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.
16 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services14 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

Other Providers at the Same Location NPPES 2

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

Physician Assistant
50 NEW SCOTLAND AVE FL 3
ALBANY, NY 12208
Thoracic Surgery (Cardiothoracic Vascular Surgery)
50 NEW SCOTLAND AVE FL 3
ALBANY, NY 12208

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 Philip Zwingelberg's NPI number?

The NPI number for Philip Zwingelberg is 1790413326. It was assigned to this individual provider in the NPPES registry on August 11, 2022.

Where is Philip Zwingelberg located?

Philip Zwingelberg practices at 50 New Scotland Ave Fl 3, Albany, NY 12208. The listed phone number is (518) 262-9777.

What is Philip Zwingelberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Philip Zwingelberg enrolled in Medicare?

Yes. Philip Zwingelberg 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 Philip Zwingelberg affiliated with any hospitals?

According to CMS data, Philip Zwingelberg is affiliated with Albany Medical Center Hospital.

When was this NPI record last updated?

The NPPES record for Philip Zwingelberg was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.