Dr. Douglas Zmolek, MD
4500 Pewter Ln, Buildling 1, Manlius, NY 13104 • +1-541-555-9679
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Manlius Percentiles
NPI #1477534667 • CBSA Regional • Internal Medicine
Dr. Douglas Zmolek, MD (NPI #1477534667) practices Internal Medicine in Manlius, NY (13104) with sub-specialty concentration in 33 Active CMS HCPCS Codes, recording 1,194 annual CMS services across 185 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Manlius percentile) (-0.18σ vs NY state mean, 38.3th statewide percentile).
Granular CPT/HCPCS billing distribution at 4500 Pewter Ln, Buildling 1 shows Dr. Douglas Zmolek's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 517x/yr, 12th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 298x/yr, $95–$130).
Self-pay new patient consultations with Dr. Zmolek (CPT 99204 GPCI-adjusted benchmark) estimate around $232.00 (community reported average: $232.00) with hybrid in-clinic and telehealth video consults, 20-minute average reception wait, and a 4.47/5 modern protocol openness score across 8 patient logs.
Credentialed as an MD specialist with 20 years post-graduation experience since completing medical school at an LCME/COCA institution (2006), Dr. Zmolek coordinates 33 Active CMS HCPCS Codes workups from 4500 Pewter Ln, Buildling 1 (+1-541-555-9679).
Compared against Manlius, NY Internal Medicine peers
1,194 annual services across 185 beneficiaries
Standard deviations from NY Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 517 | 12th | $124 – $170 |
| 99213 | Established Preventive & Chronic Care Visit | 298 | 12th | $95 – $130 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 149 | 12th | $45 – $62 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 115 | 12th | $146 – $200 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 69 | 12th | $173 – $236 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (33 HCPCS billing breadth) | 46 | 0th | $112 – $162 |
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Dr. Douglas Zmolek, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Zmolek National Provider Identifier | NPI #1477534667 (MD) | CMS NPPES Registry (13104) |
| Dr. Zmolek Manlius CMS Volume Rank | 0.00th Pct (1,194 CMS svcs; Z -0.177σ) | CMS Medicare Part B (NY Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Manlius, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 20 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.82/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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