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DR. LEI ZHANG M.D.
NPI 1821149659
Psychiatry & Neurology - Neurology in Hamilton, NJ

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
13.2/100
CMS Quality Rating
1245 WHITEHORSE MERCERVILLE RD, SUITE 415, HAMILTON, NJ 08619(609) 585-2666(609) 585-4008 Get Directions Write a Review

NPPES record last updated: October 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lei Zhang M.d. NPPES

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

DR. LEI ZHANG M.D. (NPI 1821149659) is an individual neurology provider in Hamilton, New Jersey, licensed in New Jersey (25MA07738800) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Hamilton, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1821149659
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. LEI ZHANGCredential: M.D.
Location Address1245 WHITEHORSE MERCERVILLE RD, SUITE 415Hamilton, NJ 08619-3831
Mailing Address1245 Whitehorse Mercerville Rd, Suite 415Hamilton, NJ 08619-3831 · (609) 585-2666 · Fax (609) 585-4008
Phone(609) 585-2666
Fax(609) 585-4008
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJanuary 16, 2007
Last NPPES UpdateOctober 3, 2014
✔ NPI 1821149659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · 25MA07738800
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1245 WHITEHORSE MERCERVILLE RD, Hamilton, NJ 08619
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Other Identifiers 19

Other2421719United Healthcare
Other7940581Aetna Managed Care Ppo
Other2304434000Keystone Hpe
Other38544University Health Plan
OtherP00141331Railroad Medicare
OtherP3300456Oxford
Medicare ID-Type Unspecified082058AKHNJ · Medicare
Other3554711Aetna Hmo
Other2304434000Amerihealth
Other238452Amerigroup
Other001628131NJ · Pa Blue Shield
Other2K7647Health Net
Other3099098Ghi
Other363582900Us Dept Of Labor W
Other4414883003Cigna
Medicare UPINI10179
Medicaid0035319NJ
Other1000636502NJ · Americhoice
Other60008810NJ · Horizon Nj Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Lei Zhang 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 ID5799756698
PECOS Enrollment IDI20040830000360
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 10

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.
535 services158 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.
271 services241 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.
145 services81 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.
108 services87 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
52 services50 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.
30 services30 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08619 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

13.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost44.01

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
24%113 patients1/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%2,196 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
93%753 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
65%301 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
0%356 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
64%616 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%1,014 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%1,011 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 54% · 616 patients
61%616 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
50%1,014 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,014 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 301 patients
2%301 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

HAMILTON WEST WINDSOR ACUPUNCTURE, LLC
Acupuncturist
1245 WHITEHORSE MERCERVILLE RD, BLDG. A, SUITE 408
HAMILTON, NJ 08619
Mercer County (609) 588-8655
HAMILTON OB GYN ASSOCIATES PA
Obstetrics & Gynecology
1245 WHITEHORSE MERCERVILLE RD, SUITE 413
HAMILTON, NJ 08619
Mercer County (609) 585-7197
SUBURBAN REHAB LLC
Clinic/Center
1245 WHITEHORSE MERCERVILLE RD, SUITE 409
HAMILTON, NJ 08619
Mercer County (609) 585-4668
INFECTIOUS DISEASE CONSULTANTS, PC
Internal Medicine (Infectious Disease)
1245 WHITEHORSE MERCERVILLE RD, SUITE 411
MERCERVILLE, NJ 08619
Mercer County (609) 581-2000
ADVANCED PHYSICAL THERAPY PC
Physical Therapist
1245 WHITEHORSE MERCERVILLE RD, SUITE 422
MERCERVILLE, NJ 08619
Mercer County (609) 581-4700
ASSOCIATED NEUROLOGISTS OF N.J., PA
Psychiatry & Neurology (Clinical Neurophysiology)
1245 WHITEHORSE MERCERVILLE RD, SUITE 415
HAMILTON, NJ 08619
Mercer County (609) 581-2300
GARDEN STATE MAGNETIC IMAGING LIMITED LIABILITY COMPANY
Clinic/Center (Radiology)
1245 WHITEHORSE MERCERVILLE RD, SUITE 403
HAMILTON, NJ 08619
Mercer County (609) 581-2727
HAND & ORTHOPEDIC PHYSICALTHERAPY ASSOCIATES A NJ PROF CORP
Physical Therapist
1245 WHITEHORSE MERCERVILLE RD
MERCERVILLE, NJ 08619
Mercer County (609) 581-8116

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 Lei Zhang's NPI number?

The NPI number for Lei Zhang is 1821149659. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Lei Zhang located?

Lei Zhang practices at 1245 Whitehorse Mercerville Rd Suite 415, Hamilton, NJ 08619. The listed phone number is (609) 585-2666.

What is Lei Zhang's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Lei Zhang enrolled in Medicare?

Yes. Lei 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.

What insurance does Lei Zhang accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Lei 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 Lei Zhang affiliated with any hospitals?

According to CMS data, Lei Zhang is affiliated with Robert Wood Johnson University Hospital At Hamilton.

When was this NPI record last updated?

The NPPES record for Lei Zhang was last updated on October 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.