Active NPI 1013004530 Individual Practitioner Male Practitioner

Dr. Michael Zilles , MD

Orthopaedic Surgery • Fishkill, NY

Professional Overview & Biography Verified Profile Summary

Dr. Michael Zilles, MD is a certified Orthopaedic Surgery practicing in Fishkill, NY. With approximately 32 years of clinical experience since graduating from George Washington University School Of Medicine in 1994, Dr. Zilles delivers high-quality medical care to the local community at 200 WESTAGE BUSINESS CTR DR STE 115.

Dr. Zilles is affiliated with Vi Government Hospital And Health Facilities Corp and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

200 Westage Business Ctr Dr Ste 115

Fishkill, NY 125242271

Telephone 8458964178

Fax 8458964278

Associated Practice Facility / Clinic

🏢 University Orthopaedics,p.c. Facility NPI 1336564145

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

1994

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Fishkill, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +7.0 yrs vs City Avg

City Avg: 25.0 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Fishkill, NY (1450 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zilles (32 Years) 32 Yrs

Fishkill Specialty Average (25.0 Years) 25.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$124.00	$88.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$214.00	$108.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$339.00	$113.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	59	$292.00	$100.57
20610 Aspiration and/or injection of fluid from large joint	40	16	$271.38	$67.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$422.00	$125.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	67	$292.00	$101.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$422.00	$125.21
20610 Aspiration and/or injection of fluid from large joint	34	19	$253.00	$72.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	35	$282.34	$82.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	28	$767.00	$213.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	26	$168.00	$47.67
99213 Established patient office or other outpatient visit, typically 15 minutes	35	24	$275.00	$76.46
20610 Aspiration and/or injection of fluid from large joint	25	17	$257.04	$70.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$419.00	$114.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$767.00	$211.52
99283 Emergency department visit with low level of medical decision making	15	15	$234.00	$65.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	18	13	$275.00	$76.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$419.00	$114.18

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License NY 203112

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

89128YW (NC)

Hospital & Practice Group Affiliations

Vi Government Hospital And Health Facilities Corp

9048 Sugar Est, St Thomas, VI 008023634

Phone: 3407768311

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Jeremy Mangion , MD

Orthopaedic Surgery - Sports Medicine

NPI 1679878706

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location February 06, 2019

Registered at 200 WESTAGE BUSINESS CTR DR STE 115, FISHKILL, NY 125242271 (Tel: 8458964178)

📍

Updated Business Mailing Address February 06, 2019

Registered at 19 BRADHURST AVE STE 3100N, HAWTHORNE, NY 105322140 (Tel: 9149099018)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2019

Orthopaedic Surgery (License #203112 in NY)

✅

NPI Profile Active October 17, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 17, 2012

Registered at 10 MEDICAL PARK, SUITE 206, WHEELING, WV 26003 (Tel: 3042433384)

📍

Updated Business Mailing Address October 17, 2012

Registered at 10 MEDICAL PARK, SUITE 206, WHEELING, WV 26003 (Tel: 3042433384)

👤

Provider Name / Credentials Updated October 17, 2012

Recorded as MICHAEL ZILLES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2012

Orthopaedic Surgery (License #24629 in WV)

🟢

Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013004530

Entity Type:

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

Enumeration Date: October 06, 2006

Last Update: February 06, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

19 Bradhurst Ave Ste 3100n

Hawthorne, NY 105322140

Phone: 9149099018

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.