DR. TOMASZ SEBASTIAN GREGORY FUDALEWSKI MD
NPI 1003336777
Family Medicine in Yuma, AZ

Active since June 23, 2017PECOS EnrolledAccepts Medicare Assignment
82.37/100
CMS Quality Rating
1965 W 24TH ST STE A, YUMA, AZ 85364(928) 344-5774 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2024, Jul 21, 2022, Jun 23, 2017 (3 updates tracked since 2017).

About Dr. Tomasz Sebastian Gregory Fudalewski Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TOMASZ SEBASTIAN GREGORY FUDALEWSKI MD (NPI 1003336777) is an individual family medicine provider in Yuma, Arizona, licensed in Arizona (59791) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1003336777
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TOMASZ SEBASTIAN GREGORY FUDALEWSKICredential: MD
Location Address1965 W 24TH ST STE AYuma, AZ 85364-6255
Mailing Address2400 S Avenue AYuma, AZ 85364-7127 · (928) 344-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 23, 2017
Last NPPES UpdateNovember 19, 20243 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
NPI 1003336777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in AZ · 59791 Licensed in AZ · 1908R76442
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1965 W 24TH ST STE A, Yuma, AZ 85364

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tomasz Sebastian Gregory Fudalewski Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254604481
PECOS Enrollment IDI20200903001877
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
503 services353 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
183 services183 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
157 services140 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This 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.
51 services51 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
18 services16 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85364 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.57
Promoting Interoperability100
Improvement Activities40
Cost57.66

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers16 claims67 services$6.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1965 W 24TH ST STE A
YUMA, AZ 85364
Physician Assistant
1965 W 24TH ST STE A
YUMA, AZ 85364
Nurse Practitioner (Family)
1965 W 24TH ST STE A
YUMA, AZ 85364
Family Medicine
1965 W 24TH ST STE A
YUMA, AZ 85364
Nurse Practitioner (Primary Care)
1965 W 24TH ST STE A
YUMA, AZ 85364
Emergency Medicine
1965 W 24TH ST STE A
YUMA, AZ 85364

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tomasz Fudalewski's NPI number?

The NPI number for Tomasz Fudalewski is 1003336777. It was assigned to this individual provider in the NPPES registry on June 23, 2017.

Where is Tomasz Fudalewski located?

Tomasz Fudalewski practices at 1965 W 24th St Ste A, Yuma, AZ 85364. The listed phone number is (928) 344-5774.

What is Tomasz Fudalewski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tomasz Fudalewski enrolled in Medicare?

Yes. Tomasz Fudalewski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tomasz Fudalewski accept?

Health plans from Blue Cross Blue Shield of Arizona list Tomasz Fudalewski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tomasz Fudalewski was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.