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MIRIAM CHRISTINE ZOLFOGHARY MD
NPI 1821251893
Surgery in Cape Coral, FL

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
1206 COUNTRY CLUB BLVD, CAPE CORAL, FL 33990(239) 574-7454(239) 574-9439 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miriam Christine Zolfoghary Md NPPES

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

MIRIAM CHRISTINE ZOLFOGHARY MD (NPI 1821251893) is an individual surgery provider in Cape Coral, Florida, licensed in Florida (ME101389) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1821251893
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMIRIAM CHRISTINE ZOLFOGHARYCredential: MD
Location Address1206 COUNTRY CLUB BLVDCape Coral, FL 33990-2180
Mailing Address2234 Colonial Blvd, Attn: Payer Contracting & RelationsFort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Phone(239) 574-7454
Fax(239) 574-9439
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 9, 2008
Last NPPES UpdateFebruary 7, 2017
✔ NPI 1821251893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME101389
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1206 COUNTRY CLUB BLVD, Cape Coral, FL 33990
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Other Identifiers 12

Other501270FL · Wellcare
Other166662FL · Universal Healthcare
Medicaid0007766-00FL
Other326854FL · Avmed
Medicare PINBP864YFL
Other4003817FL · Cigna
Medicare PINBP864ZFL
OtherP204123FL · Optimum
Other9067164FL · Aetna
Other16251FL · Bcbs Fl
OtherP00940426FL · Railroad Mcr
OtherP1112167FL · Freedom

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..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

Miriam Christine Zolfoghary Md 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 ID6406904424
PECOS Enrollment IDI20090501000085
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 Reassignment

Medicare enrollment records show Miriam Zolfoghary reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

21st Century Oncology LLC
0.2 mi
Pulmonary Disease
1031 SE 9TH PL, UNIT 2
Cape Coral, FL 33990
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Genesiscare Usa Of Florida LLC
  • 284 clinicians in this Medicare group
NPI 1841572559 (239) 573-8448

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 9

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
71 services40 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.
45 services45 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.
24 services21 patients
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.
23 services20 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.
21 services21 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.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33990 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
3%202 patients1/55-star benchmark: 85%
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.
99%550 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…
32%341 patients2/55-star benchmark: 97%
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
2 suppliers19 claims216 services$2.31 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
2 suppliers23 claims310 services$5.79 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
2 suppliers19 claims1,410 services$1.66 avg. paid by Medicare
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce A4455
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims28 services$1.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Miriam Zolfoghary's NPI number?

The NPI number for Miriam Zolfoghary is 1821251893. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Miriam Zolfoghary located?

Miriam Zolfoghary practices at 1206 Country Club Blvd, Cape Coral, FL 33990. The listed phone number is (239) 574-7454.

What is Miriam Zolfoghary's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Miriam Zolfoghary enrolled in Medicare?

Yes. Miriam Zolfoghary 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 organization bills Medicare for Miriam Zolfoghary's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Zolfoghary reassigns Medicare benefits to 21st Century Oncology LLC (Cape Coral, FL). The 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 Miriam Zolfoghary's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miriam Zolfoghary accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Miriam Zolfoghary 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 Miriam Zolfoghary affiliated with any hospitals?

According to CMS data, Miriam Zolfoghary is affiliated with Lee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Miriam Zolfoghary was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.