Active NPI 1811992258 Individual Practitioner Male Practitioner

Edward Michael Zagula

Specialist • Annapolis, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Edward Zagula is a certified Specialist practicing in Annapolis, MD. With approximately 47 years of clinical experience since graduating from West Virginia University School Of Medicine in 1979, Edward Zagula delivers high-quality medical care to the local community at 600 RIDGELY AVE.

Edward Zagula is affiliated with Specialty Physicians Of Garrett County, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include automated urinalysis test, established patient outpatient office visit, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Ridgely Ave
Suite 130

Annapolis, MD 214011001

Telephone 4102668049

Fax 4102668054

Associated Practice Facility / Clinic

🏢 Weems Creek Pharmacy Facility NPI 1730126178

Medicare Profile & Education

Medical School

West Virginia University School Of Medicine

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Annapolis, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +13.4 yrs vs City Avg

City Avg: 33.6 Yrs

State Avg: 36.9 Yrs

Regional Practice Density

45 Specialists

Practicing in Annapolis, MD (1034 Statewide)

Telehealth Adoption Rate

4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zagula (47 Years) 47 Yrs

Annapolis Specialty Average (33.6 Years) 33.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	269	196	$13.00	$2.20
99213 Established patient office or other outpatient visit, typically 15 minutes	212	145	$192.00	$94.09
51798 Ultrasound measurement of bladder capacity after voiding	202	151	$56.00	$11.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	87	$269.00	$131.06
81002 Urinalysis, manual test	74	68	$14.00	$3.37
52000 Diagnostic exam of bladder and urethra using an endoscope	69	65	$429.00	$81.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$372.00	$173.42
51702 Simple insertion of temporary bladder tube	43	17	$251.00	$65.02
99213 Established patient office or other outpatient visit, typically 15 minutes	43	30	$148.00	$64.90
99221 Initial hospital inpatient care per day, typically 30 minutes	24	22	$230.00	$84.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$244.00	$114.85
52332 Insertion of stent in urinary duct (ureter) using an endoscope	24	16	$685.75	$154.50
55700 Biopsy of prostate gland	23	23	$473.00	$125.19
74420 Imaging of urinary tract	20	15	$75.00	$24.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	15	$214.00	$93.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$293.00	$132.59
52648 Laser vaporization of prostate including control of bleeding using an endoscope	17	17	$2001.00	$677.24
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	17	$109.00	$28.37
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	14	$1691.00	$419.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$182.00	$81.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	273	212	$14.00	$3.36
99213 Established patient office or other outpatient visit, typically 15 minutes	168	123	$192.00	$92.04
51798 Ultrasound measurement of bladder capacity after voiding	130	103	$56.00	$11.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	62	$269.00	$131.10
52000 Diagnostic exam of bladder and urethra using an endoscope	51	51	$411.31	$80.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$372.00	$170.79
99213 Established patient office or other outpatient visit, typically 15 minutes	37	31	$148.00	$64.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$244.00	$112.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$293.00	$130.57
55700 Biopsy of prostate gland	26	26	$459.00	$130.21
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	21	$109.00	$30.74
52332 Insertion of stent in urinary duct (ureter) using an endoscope	18	15	$808.83	$173.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$182.00	$81.51
76872 Ultrasound scan of pelvic region through rectum	17	17	$113.00	$32.58
52648 Laser vaporization of prostate including control of bleeding using an endoscope	14	14	$2001.00	$701.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$214.00	$95.19
52356 Crushing of stone of ureter with insertion of stent using an endoscope	12	11	$1691.00	$412.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	311	234	$14.00	$3.44
51798 Ultrasound measurement of bladder capacity after voiding	195	144	$56.00	$11.18
99213 Established patient office or other outpatient visit, typically 15 minutes	161	130	$184.89	$93.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$361.13	$172.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	68	$256.70	$131.04
52000 Diagnostic exam of bladder and urethra using an endoscope	68	67	$347.00	$81.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$234.46	$114.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	18	$89.00	$39.53
52332 Insertion of stent in urinary duct (ureter) using an endoscope	20	17	$727.95	$160.90
55700 Biopsy of prostate gland	17	17	$382.00	$132.63
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$148.00	$65.37
52648 Laser vaporization of prostate including control of bleeding using an endoscope	16	16	$2001.00	$708.78
51702 Simple insertion of temporary bladder tube	13	12	$190.00	$65.02
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	11	11	$109.00	$31.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	342	258	$14.00	$3.45
99213 Established patient office or other outpatient visit, typically 15 minutes	171	125	$174.71	$93.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	158	158	$349.00	$170.46
51798 Ultrasound measurement of bladder capacity after voiding	138	117	$56.00	$10.54
52000 Diagnostic exam of bladder and urethra using an endoscope	64	62	$344.38	$81.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$225.86	$111.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	39	$251.68	$132.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$100.59	$54.96
51702 Simple insertion of temporary bladder tube	14	11	$149.50	$63.87
81003 Automated urinalysis test	14	14	$13.00	$2.25
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	11	$633.00	$142.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	192	136	$14.00	$3.42
99213 Established patient office or other outpatient visit, typically 15 minutes	91	66	$151.00	$74.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$347.84	$166.99
51798 Ultrasound measurement of bladder capacity after voiding	75	58	$56.00	$10.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$212.89	$105.88
52000 Diagnostic exam of bladder and urethra using an endoscope	47	46	$361.00	$84.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$231.39	$111.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	1,308	934	$15.00	$3.39
51798 Ultrasound measurement of bladder capacity after voiding	1,021	733	$40.00	$14.60
99213 Established patient office or other outpatient visit, typically 15 minutes	675	510	$140.00	$81.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	643	548	$225.00	$118.24
51741 Electronic assessment of bladder emptying	194	170	$150.00	$15.55
36415 Insertion of needle into vein for collection of blood sample	187	141	$10.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	186	140	$45.00	$20.03
52000 Diagnostic exam of bladder and urethra using an endoscope	181	160	$350.00	$88.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$310.22	$180.06
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	84	14	$750.00	$209.00
51700 Simple bladder irrigation and/or instillation	69	56	$165.00	$16.57
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	67	27	$250.00	$139.56
51705 Removal of skin suture with change of bladder tube	58	22	$210.00	$104.35
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	52	16	$250.00	$66.70
51702 Simple insertion of temporary bladder tube	51	24	$145.00	$68.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$205.86	$117.73
76775 Limited ultrasound scan behind abdominal cavity	43	41	$210.00	$63.73
51703 Complicated insertion of bladder tube	34	23	$260.00	$142.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$270.00	$161.11
55700 Biopsy of prostate gland	25	25	$350.00	$143.89
76872 Ultrasound scan of pelvic region through rectum	25	25	$245.00	$35.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	22	$75.00	$42.15
52648 Laser vaporization of prostate including control of bleeding using an endoscope	21	21	$2500.00	$736.18
51720 Instillation of anti-cancer drug into bladder	21	17	$215.00	$92.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$375.00	$216.36
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	16	16	$435.00	$249.68
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	15	15	$600.00	$371.76
51797 Insertion of device into abdomen with pressure and urine flow rate study	15	15	$250.00	$153.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$94.33	$50.14
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	15	15	$385.00	$37.26
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	13	13	$65.00	$34.68
74420 Imaging of urinary tract	12	12	$300.00	$27.53
81000 Manual urinalysis test with examination using microscope, non-automated	12	12	$15.00	$3.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	1,243	874	$15.00	$3.36
51798 Ultrasound measurement of bladder capacity after voiding	1,027	732	$40.00	$17.79
99213 Established patient office or other outpatient visit, typically 15 minutes	689	514	$140.00	$78.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	602	517	$225.00	$115.64
52000 Diagnostic exam of bladder and urethra using an endoscope	199	184	$350.00	$89.73
36415 Insertion of needle into vein for collection of blood sample	172	131	$10.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	170	129	$45.00	$22.26
51741 Electronic assessment of bladder emptying	149	136	$150.00	$16.49
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	133	20	$750.00	$212.38
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	113	28	$250.00	$141.71
51700 Simple bladder irrigation and/or instillation	87	76	$165.00	$16.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	84	84	$311.10	$175.35
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	78	24	$225.77	$65.16
51705 Removal of skin suture with change of bladder tube	63	16	$210.00	$100.28
51702 Simple insertion of temporary bladder tube	56	20	$145.00	$69.75
76775 Limited ultrasound scan behind abdominal cavity	46	43	$210.00	$61.56
51703 Complicated insertion of bladder tube	42	18	$260.00	$138.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	35	$75.00	$41.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$207.17	$113.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	26	$270.00	$156.47
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	25	24	$435.00	$236.43
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	24	20	$65.00	$33.56
52648 Laser vaporization of prostate including control of bleeding using an endoscope	18	18	$3022.78	$754.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$375.00	$215.20
54405 Insertion of multi-component inflatable penile prosthesis	17	17	$1540.00	$883.09
55700 Biopsy of prostate gland	16	16	$350.00	$138.48
51720 Instillation of anti-cancer drug into bladder	16	14	$215.00	$86.25
76872 Ultrasound scan of pelvic region through rectum	15	15	$245.00	$35.70
J9031 Bcg (intravesical) per instillation	15	13	$205.00	$134.82
51797 Insertion of device into abdomen with pressure and urine flow rate study	14	14	$250.00	$124.13
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	14	14	$600.00	$348.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$85.00	$44.12
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	13	13	$385.00	$37.70
52235 Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm	11	11	$550.00	$315.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	1,231	921	$15.00	$3.39
51798 Ultrasound measurement of bladder capacity after voiding	1,011	769	$40.00	$21.54
99213 Established patient office or other outpatient visit, typically 15 minutes	566	473	$140.00	$77.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	505	462	$225.00	$113.87
52000 Diagnostic exam of bladder and urethra using an endoscope	201	191	$350.00	$109.35
51741 Electronic assessment of bladder emptying	172	150	$150.00	$16.28
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	162	29	$250.00	$138.62
36415 Insertion of needle into vein for collection of blood sample	158	128	$10.00	$2.94
84153 Psa (prostate specific antigen) measurement, total	156	126	$45.00	$24.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$311.03	$174.79
51700 Simple bladder irrigation and/or instillation	88	79	$165.00	$19.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	83	80	$270.00	$152.84
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	76	12	$750.00	$210.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	65	50	$75.00	$40.81
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	62	19	$115.00	$65.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	51	$85.00	$47.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$206.26	$114.81
51702 Simple insertion of temporary bladder tube	50	17	$145.00	$67.68
51705 Removal of skin suture with change of bladder tube	43	12	$210.00	$98.67
76775 Limited ultrasound scan behind abdominal cavity	41	41	$210.00	$63.01
51703 Complicated insertion of bladder tube	32	17	$260.00	$133.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	25	$40.00	$21.82
81000 Manual urinalysis test with examination using microscope, non-automated	26	26	$15.00	$4.26
51720 Instillation of anti-cancer drug into bladder	23	18	$215.00	$95.79
52648 Laser vaporization of prostate including control of bleeding using an endoscope	23	23	$3990.00	$746.45
J9031 Bcg (intravesical) per instillation	22	17	$205.00	$126.14
76872 Ultrasound scan of pelvic region through rectum	22	22	$245.00	$35.14
55700 Biopsy of prostate gland	22	22	$350.00	$141.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$366.55	$212.46
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$375.00	$34.04
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	19	19	$435.00	$244.88
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	18	$385.00	$35.94
51797 Insertion of device into abdomen with pressure and urine flow rate study	18	18	$250.00	$115.94
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	18	18	$600.00	$342.08
51701 Insertion of temporary bladder tube	15	13	$110.00	$48.38
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	14	12	$65.00	$35.22
74420 Imaging of urinary tract	11	11	$300.00	$16.79

Medical Specialties & State Licenses

CMS Verified: 2022-04-18

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MD D32088

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

465541900 (MD)

Hospital & Practice Group Affiliations

Specialty Physicians Of Garrett County, Llc

880 Memorial Dr Level, Oakland, MD 215505101

Phone: 3013341177

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners

Dr. Shaoqing Zhou , MD

Urology

NPI 1003108549

Doctor of Medicine (M.D.)

Dr. Michael Biles , MD

Urology

NPI 1033596622

Doctor of Medicine (M.D.)

Phylicia Nlend , PA

Physician Assistant

NPI 1093346124

Physician Assistant

Dr. Kevin Mcgeagh , MD

Urology

NPI 1154319549

Doctor of Medicine (M.D.)

Kathleen Barrett , CRNP

Nurse Practitioner

NPI 1265501746

Certified Registered Nurse Practitioner

Dr. Matthew Heavner , MD

Urology

NPI 1285096636

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 04, 2015

Registered at 600 RIDGELY AVE, SUITE 130, ANNAPOLIS, MD 214011001 (Tel: 4102668049)

📍

Updated Business Mailing Address August 04, 2015

Registered at 600 RIDGELY AVE, SUITE 130, ANNAPOLIS, MD 214011001 (Tel: 4102668049)

👤

Provider Name / Credentials Updated August 04, 2015

Recorded as EDWARD ZAGULA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2015

Specialist (License #D32088 in MD)

🟢

Initial NPI Registration & Enumeration June 14, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1811992258

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 14, 2005

Last Update: April 18, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

600 Ridgely Ave, Suite 130

Annapolis, MD 214011001

Phone: 4102668049

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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