KATHERINE M CZYSZCZON MD
NPI 1013125772
Obstetrics & Gynecology in Richmond, VA

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
401 N 11TH ST, RICHMOND, VA 23219(804) 828-4409(804) 828-6084 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 24, 2019, Apr 20, 2018 (2 updates tracked since 2018).

About Katherine M Czyszczon Md NPPES

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

KATHERINE M CZYSZCZON MD (NPI 1013125772) is an individual obstetrics & gynecology provider in Richmond, Virginia, licensed in Virginia (0101245189) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1013125772
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKATHERINE M CZYSZCZONCredential: MD
Location Address401 N 11TH STRichmond, VA 23219
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Fax(804) 828-6084
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2005
Enumeration DateMay 18, 2007
Last NPPES UpdateOctober 24, 20192 updates tracked since enumeration
NPI 1013125772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in VA · 0101245189
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

401 N 11TH ST, Richmond, VA 23219

Other Names 1

Former Name (1)Katherine L Mcclung Md

Secondary Practice Locations 3

Location 17611 Forest Ave Ste 200Richmond, VA 23229-4946 · Phone (804) 288-4084 · Fax (804) 288-3567
Location 21250 E Marshall StRichmond, VA 23298-5051 · Phone (804) 828-4409 · Fax (804) 828-6084
Location 39000 Stony Point PkwyRichmond, VA 23235-1900 · Phone (804) 560-8950 · Fax (804) 560-7343

Other Identifiers 1

Medicaid1013125772VA

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

Katherine M Czyszczon 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 ID3173678927
PECOS Enrollment IDI20090901000250
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 3

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 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.
15 services14 patients
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.
13 services11 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23219 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%896 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%155 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
3%1,036 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%1,024 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
61%1,024 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
69%1,024 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Dentist (Oral and Maxillofacial Surgery)
401 N 11TH ST
RICHMOND, VA 23219
Family Medicine
401 N 11TH ST
RICHMOND, VA 23219
Dentist (Oral and Maxillofacial Surgery)
401 N 11TH ST
RICHMOND, VA 23219
Obstetrics & Gynecology
401 N 11TH ST
RICHMOND, VA 23219
Nurse Practitioner (Family)
401 N 11TH ST
RICHMOND, VA 23219
Dentist (Oral and Maxillofacial Surgery)
401 N 11TH ST
RICHMOND, VA 23219
Obstetrics & Gynecology (Maternal & Fetal Medicine)
401 N 11TH ST
RICHMOND, VA 23219
Nurse Practitioner (Women's Health)
401 N 11TH ST
RICHMOND, VA 23219

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 Katherine Czyszczon's NPI number?

The NPI number for Katherine Czyszczon is 1013125772. It was assigned to this individual provider in the NPPES registry on May 18, 2007. The provider is also known as Katherine L Mcclung MD.

Where is Katherine Czyszczon located?

Katherine Czyszczon practices at 401 N 11th St, Richmond, VA 23219. The listed phone number is (804) 828-4409.

What is Katherine Czyszczon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Katherine Czyszczon enrolled in Medicare?

Yes. Katherine Czyszczon 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.

Is Katherine Czyszczon affiliated with any hospitals?

According to CMS data, Katherine Czyszczon is affiliated with Medical College Of Virginia Hospitals.

When was this NPI record last updated?

The NPPES record for Katherine Czyszczon was last updated on October 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.