Usman Zulfiqar, M.D.
NPI 1013240258 · Hospitalist Physician · Ephrata, PA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Usman Zulfiqar, M.D. is a Hospitalist Physician provider in Ephrata, PA (NPI 1013240258).
Provider details
- NPI number
- 1013240258
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MT192093 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
284 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 176 | $122 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 108 | $164 |
Typical Medicare-allowed amounts for these services range $122–$164 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 252 S 4th StLebanon, PA 17042-6111Phone: (717) 270-4876
Registry dates
- Enumerated
- 2009-09-04
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Frequently asked questions
- What is Usman Zulfiqar's NPI number?
- Usman Zulfiqar's National Provider Identifier (NPI) is 1013240258, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Usman Zulfiqar's specialty?
- Usman Zulfiqar is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Usman Zulfiqar located?
- Usman Zulfiqar's practice location on file with NPPES is 169 Martin Ave, Ephrata, PA 17522-1724.
- What is Usman Zulfiqar's phone number?
- The practice phone number listed in the NPPES registry for Usman Zulfiqar is (717) 721-4740.
- Does Usman Zulfiqar accept Medicare?
- Usman Zulfiqar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Usman Zulfiqar's NPI active?
- Yes — Usman Zulfiqar's NPI (1013240258) is active in the NPPES registry as of the last update on 2024-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.