DR. JACK MATTHEW ZUCKERMAN (M.D.) – Urology Physician, NPI 1508093428
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
469 UROLOGY in MI
Provider Addresses for DR. JACK MATTHEW ZUCKERMAN (M.D.)
856 J CLYDE MORRIS BLVD STE A
NEWPORT NEWS, VA 236011318
Phone: (757) 316-5800
Fax: (757) 534-5190
Type: Mailing
1221 SIXTH ST STE 100
TRAVERSE CITY, MI 496842359
Phone: (231) 935-0322
Fax: (231) 935-0334
Type: Mailing
11848 Rock Landing Dr Ste 402
Newport News, VA 23606
Phone: (757) 873-1347
Fax: (757) 873-1612
Type: Location
4100 Park Forest Dr
Traverse City, MI 496847331
Phone: (231) 392-8900
Fax: (231) 392-8973
Type: Location
34800 Bob Wilson Dr
San Diego, CA 921341098
Phone: (619) 532-7200
Fax: (619) 532-7234
Type: Location
1011 Sunnyside Dr
Cadillac, MI 496018735
Phone: (231) 779-2565
Type: Location
Rock Landing Drive, Oyster Point, Newport News, Newport News City, Virginia, 23606, United States
NEWPORT NEWS, VA 23606
Phone: (757) 873-1347
Fax: (757) 873-1612
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $1,454.
Total Amount is formed as General ($1,454) + Research ($0) + Ownership ($0) = $1,454.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Teleflex LLC ($794).
Total Amount
$1,454
General + Research + Ownership
Payments
28
Total payment records
General Amount
$1,454
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teleflex LLC | $794 |
| Boston Scientific Corporation | $373 |
| COLOPLAST CORP | $63 |
| Endo Pharmaceuticals Inc. | $48 |
| Laborie Medical Technologies Corp. | $41 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141003001724 | I | Urology | VA | TBD |
| I20170121000285 | I | Urology | NC | TBD |
| I20170410001848 | I | Urology | CA | TBD |
| I20210610001538 | I | Urology | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 199 | 160 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 163 | 141 | $0 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 97 | 88 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 76 | 76 | $0 |
| 74420 | Imaging of urinary tract following injection of a contrast agent | 62 | 45 | $0 |
Insurance plans in this area (ZIP 23601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| N E U R O S U R G E R Y | MI | |
| Internal Medicine | IL | |
| Family Practice | MI |
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