Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. EDWARD MICHAEL ZAGULA
NPI 1811992258
Urology in Annapolis, MD

Q: What is Edward Zagula's NPI number?

The NPI number for Edward Zagula is 1811992258. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Q: What is Edward Zagula's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edward Zagula was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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 June 14, 2005PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

600 RIDGELY AVE, SUITE 130, ANNAPOLIS, MD 21401(410) 266-8049(410) 266-8054 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2026, Apr 18, 2022, Jan 10, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Dr. Edward Michael Zagula NPPES

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

DR. EDWARD MICHAEL ZAGULA (NPI 1811992258) is an individual urology provider in Annapolis, Maryland, licensed in Maryland (D0032088) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of West Virginia University School Of Medicine (1979).

NPPES Registry Identity

NPI1811992258

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. EDWARD MICHAEL ZAGULA

Location Address600 RIDGELY AVE, SUITE 130Annapolis, MD 21401-1001

Mailing Address600 Ridgely Ave Ste 130Annapolis, MD 21401-1045 · (410) 266-8049 · Fax (410) 266-8054

Phone(410) 266-8049

Fax(410) 266-8054

Sole ProprietorNo

Medical School CMSWest Virginia University School Of MedicineGraduated 1979

Enumeration DateJune 14, 2005

Last NPPES UpdateOctober 2, 20264 updates tracked since enumeration

NPPES CertifiedOctober 2, 2026

✔ NPI 1811992258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in MD · D0032088

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.

Also ListedSpecialistTaxonomy 174400000X · License D32088 (MD)

600 RIDGELY AVE, Annapolis, MD 21401

Open in Google Maps ↗

Other Identifiers 1

Medicaid465541900MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Dr. Edward Michael Zagula 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 ID6305938994

PECOS Enrollment IDI20111219000195

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

Medicare enrollment records show Edward Zagula reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Virginia University Medical Corporation

75 mi

Family Medicine

300 S PRESTON ST
Ranson, WV 25438

Reassigned Medicare billing, West Virginia enrollment
2,471 clinicians in this Medicare group

NPI 1215785563 (304) 728-1795

Potomac Valley Hospital Of Wv, Inc.

136 mi

Internal Medicine

566 S MINERAL ST
Keyser, WV 26726

Reassigned Medicare billing, West Virginia enrollment
Medicare enrollment name: Potomac Valley Hospital Of W Va, Inc
Also billed through NPI 1912979873 (West Virginia)
147 clinicians in this Medicare group

NPI 1578305256 (304) 788-6685

Specialty Physicians Of Garrett County, LLC

149 mi

Mental Health (Including Community Mental Health Center)

32 CORPORATE DR
Grantsville, MD 21536

Reassigned Medicare billing, Maryland enrollment
120 clinicians in this Medicare group

NPI 1881361442 (301) 895-8750

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 20

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

269 services196 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.

212 services145 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

202 services151 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.

93 services87 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

74 services68 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.

69 services65 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.

57 services57 patients

Simple insertion of temporary bladder tube 51702

This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.

43 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

43 services30 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

24 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

24 services22 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.

23 services23 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

20 services15 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

19 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

18 services18 patients

Complete laser vaporization of prostate including control of bleeding using an endoscope 52648

This procedure involves using a special light instrument to carefully remove tissue from a gland located in the lower body. This helps improve the flow of body fluids. The process is done through a tube-like device and also controls any bleeding.

17 services17 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.

17 services17 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

14 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210017

Location251 North Fourth StreetOakland, MD 21550 · Garrett County

Emergency services Birthing friendly

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210027

Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County

Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510001

Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County

Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number511315

Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 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.

94.1/100

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

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

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.

SHAOQING ZHOU MD

Urology

600 RIDGELY AVE
ANNAPOLIS, MD 21401

Anne Arundel County (410) 266-8049

DR. KATHRYN JOAN EHMANN DDS

Dentist (General Practice)

600 RIDGELY AVE, SUITE 217
ANNAPOLIS, MD 21401

Anne Arundel County (410) 224-1105

DR. ROBERT CLEAVELAND MOORE M.D.

Surgery

600 RIDGELY AVE, SUITE222
ANNAPOLIS, MD 21401

Anne Arundel County (410) 266-5084

DR. RUTH KANOW WEINSTEIN PH.D.

Psychologist (Clinical)

600 RIDGELY AVE, SUITE 210
ANNAPOLIS, MD 21401

Anne Arundel County (410) 266-8555

SUSAN PARKHILL MACVEAN LCSW-C

Social Worker (Clinical)

600 RIDGELY AVE, SUITE 210
ANNAPOLIS, MD 21401

Anne Arundel County (410) 571-6780

JEREMY GREEN MD

Urology

600 RIDGELY AVE
ANNAPOLIS, MD 21401

Anne Arundel County (410) 266-8049

CHESAPEAKE OPEN MRI L L C

Radiology (Diagnostic Radiology)

600 RIDGELY AVE, SUITE 100
ANNAPOLIS, MD 21401

Anne Arundel County (410) 266-9715

MARA R. HOLTON MD

Urology

600 RIDGELY AVE, SUITE 130
ANNAPOLIS, MD 21401

Anne Arundel County (410) 246-8049

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 Edward Zagula's NPI number?

The NPI number for Edward Zagula is 1811992258. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Edward Zagula located?

Edward Zagula practices at 600 Ridgely Ave Suite 130, Annapolis, MD 21401. The listed phone number is (410) 266-8049.

What is Edward Zagula's specialty?

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

Is Edward Zagula enrolled in Medicare?

Yes. Edward Zagula 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 Edward Zagula's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Zagula reassigns Medicare benefits to 3 organizations: West Virginia University Medical Corporation (Ranson, WV), Potomac Valley Hospital Of Wv, Inc. (Keyser, WV) and Specialty Physicians Of Garrett County, LLC (Grantsville, MD). 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 Edward Zagula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Zagula accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Edward Zagula 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 Edward Zagula affiliated with any hospitals?

According to CMS data, Edward Zagula is affiliated with Garrett Regional Medical Center, Western Maryland Regional Medical Center, West Virginia University Hospitals, Inc and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Edward Zagula was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.