EDWARD GORALCZYK
NPI 1033116553
Family Medicine in Elizabeth, PA

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
300 SCENERY DR, ELIZABETH, PA 15037(412) 751-4661 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Goralczyk NPPES

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

EDWARD GORALCZYK (NPI 1033116553) is an individual family medicine provider in Elizabeth, Pennsylvania, licensed in Pennsylvania (MD021045E) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Mckeesport Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (1977).

NPPES Registry Identity

NPI1033116553
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDWARD GORALCZYK
Location Address300 SCENERY DRElizabeth, PA 15037-2068
Mailing Address300 Scenery DrElizabeth, PA 15037-2068
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1977
Enumeration DateJune 30, 2005
Last NPPES UpdateMay 24, 2021
NPI 1033116553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD021045E
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.
300 SCENERY DR, Elizabeth, PA 15037

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

Edward Goralczyk 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 ID4183684533
PECOS Enrollment IDI20041015000453
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

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.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

Upmc Mckeesport Hospital

Acute Care Hospitals · Mc Keesport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390002
Location1500 Fifth AvenueMc Keesport, PA 15132 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15037 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
300 SCENERY DR
ELIZABETH, PA 15037
Nurse Practitioner (Family)
300 SCENERY DR
ELIZABETH, PA 15037
Family Medicine
300 SCENERY DR
ELIZABETH, PA 15037
Family Medicine
300 SCENERY DR
ELIZABETH, PA 15037
Family Medicine
300 SCENERY DR
ELIZABETH, PA 15037
Family Medicine
300 SCENERY DR, ELIZABETH TOWNSHIP FAMILY MEDICINE PC
ELIZABETH, PA 15037
Family Medicine
300 SCENERY DR
ELIZABETH, PA 15037
Non-Pharmacy Dispensing Site
300 SCENERY DR
ELIZABETH, PA 15037

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 Edward Goralczyk's NPI number?

The NPI number for Edward Goralczyk is 1033116553. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Edward Goralczyk located?

Edward Goralczyk practices at 300 Scenery Dr, Elizabeth, PA 15037. The listed phone number is (412) 751-4661.

What is Edward Goralczyk's specialty?

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

Is Edward Goralczyk enrolled in Medicare?

Yes. Edward Goralczyk 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 Edward Goralczyk affiliated with any hospitals?

According to CMS data, Edward Goralczyk is affiliated with Upmc Mckeesport Hospital.

When was this NPI record last updated?

The NPPES record for Edward Goralczyk was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.