DR. GERALD MICHAEL ZUPRUK MD
NPI 1528021391
Neurological Surgery in Thomasville, NC
NPI Status: Active since April 11, 2006
Contact Information
1219 LEXINGTON AVE STE B
THOMASVILLE, NC
ZIP 27360
Phone: (336) 481-8590
Fax: (336) 481-5899
- Individual
- Male
- Neurological Surgery
- PECOS Enrolled
About GERALD ZUPRUK
This page provides the complete NPI Profile along with additional information for Gerald Zupruk, a provider established in Thomasville, North Carolina with a medical specialization in Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1528021391 assigned on April 2006. The practitioner's primary taxonomy code is 207T00000X with license number 2016-00014 (NC). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1528021391
- Provider Name
- DR. GERALD MICHAEL ZUPRUK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1219 LEXINGTON AVE STE B THOMASVILLE, NC 27360
- Location Phone
- (336) 481-8590
- Location Fax
- (336) 481-5899
- Mailing Address
- PO BOX 60447 CHARLOTTE, NC 28260
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-11-2006
- Last Update Date
- 08-08-2019
- Code Navigator
Location Map
Secondary Locations
- 55 Medford Ave/Route 112 Route 112
Patchogue, NY 11772
(631) 569-8325 - 903 Randolph St
Thomasville, NC 27360
(336) 475-7163
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2016-00014
- License State
- NC
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | 149214 (NY) |
Medicare Participation & PECOS Enrollment Status
Gerald Zupruk is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
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.
This service was performed 13 times for 12 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 17 times for 17 patientsThis 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.
This service was performed 36 times for 36 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 27360 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $125.01
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $31.25
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.72
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $16.93
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 0 | 2 | 1 | 3 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 0 | 2 | 2 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 0 + 2 + 2 + 3 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1528021391 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750337929 | LEANNE KAY WILLIS MD Individual | Psychiatry & Neurology (Neurology) | 1219 LEXINGTON AVE STE B THOMASVILLE, NC 27360 (336) 481-1880 |
| 1003861279 | JOSEPH KEITH MILLER MD Individual | Psychiatry & Neurology (Neurology) | 1219 LEXINGTON AVE STE B THOMASVILLE, NC 27360 (336) 481-1880 |
| 1063831907 | ETHAN SUNGEUN YUN D.O. Individual | Psychiatry & Neurology (Neurology) | 1219 LEXINGTON AVE STE B THOMASVILLE, NC 27360 (336) 481-1880 |
| 1457911588 | NOVANT MEDICAL GROUP, INC. Organization | Neurological Surgery | 1219 LEXINGTON AVE STE B THOMASVILLE, NC 27360 (336) 481-8590 |
| 1679258115 | MS. ASHLEY NIANNE MILLER NP Individual | Nurse Practitioner | 1219 LEXINGTON AVE STE B THOMASVILLE, NC 27360 (336) 481-1880 |
| 1639642614 | NOVANT HEALTH MEDICAL GROUP, LLC Organization | Psychiatry & Neurology (Neurology) | 1219 LEXINGTON AVE STE B THOMASVILLE, NC 27360 (336) 481-1880 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528021391, enumerated in the NPI registry as an "individual" on April 11, 2006
The provider is located at 1219 Lexington Ave Ste B Thomasville, Nc 27360 and the phone number is (336) 481-8590
The provider's speciality is Neurological Surgery with taxonomy code 207T00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $125.01 with an average copayment of $31.25 for new patient appointments. Established patients should expect a typical charge of $67.72 and an average copayment of 16.93. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, New patient office or other outpatient visit, 30-44 minutes and New patient office or other outpatient visit, 45-59 minutes.
This NPI record was last updated on April 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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