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KATARZYNA A PRZYSZLAK MD
NPI 1033498175
Family Medicine in Wheeling, WV

Active since August 08, 2011PECOS EnrolledAccepts Medicare Assignment
85.55/100
CMS Quality Rating
58 16TH ST, WHEELING, WV 26003(304) 234-2004(304) 234-2006 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2022, Jan 11, 2021, Oct 20, 2020 (3 updates tracked since 2020).

About Katarzyna A Przyszlak Md NPPES

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

KATARZYNA A PRZYSZLAK MD (NPI 1033498175) is an individual family medicine provider in Wheeling, West Virginia, licensed in West Virginia (25956) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Wheeling Hospital, Inc, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1033498175
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATARZYNA A PRZYSZLAKCredential: MD
Location Address58 16TH STWheeling, WV 26003-3660
Mailing Address58 16th StWheeling, WV 26003-3660 · (304) 234-2004 · Fax (304) 234-2006
Phone(304) 234-2004
Fax(304) 234-2006
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 8, 2011
Last NPPES UpdateSeptember 19, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1033498175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 25956
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.

58 16TH ST, Wheeling, WV 26003
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Katarzyna A Przyszlak 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 ID3678713815
PECOS Enrollment IDI20141002001380
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
287 services135 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
106 services102 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services32 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

85.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.84
Promoting Interoperability100
Improvement Activities20
Cost63.86

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%138 patients5/55-star benchmark: 100%
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.

JULIE SUZANNE BUNNER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
58 16TH ST
WHEELING, WV 26003
Ohio County (304) 243-6410
MARNIE J MARKER M.D.
Internal Medicine (Nephrology)
58 16TH ST, SUITE 500
WHEELING, WV 26003
Ohio County (304) 234-1751
GARY A GANZER M.D.
Dermatology (Procedural Dermatology)
58 16TH ST
WHEELING, WV 26003
Ohio County (304) 234-1985
KARA MCGILTON DOUGHERTY NP
Nurse Practitioner (Family)
58 16TH ST, 3RD FLOOR
WHEELING, WV 26003
Ohio County (304) 232-5725
MRS. KASI LYN ROGERS RN
Nurse Practitioner (Primary Care)
58 16TH ST
WHEELING, WV 26003
Ohio County (304) 234-2000
KOURTNEY BELL KING MD
Internal Medicine (Pulmonary Disease)
58 16TH ST
WHEELING, WV 26003
Ohio County (304) 234-1935
LISA C HILL MD
Nurse Practitioner (Adult Health)
58 16TH ST
WHEELING, WV 26003
Ohio County (304) 233-8788
MS. RENEE BRONGO N.P.
Nurse Practitioner (Family)
58 16TH ST, WHEELING CLINIC
WHEELING, WV 26003
Ohio County (304) 233-8788

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 Katarzyna Przyszlak's NPI number?

The NPI number for Katarzyna Przyszlak is 1033498175. It was assigned to this individual provider in the NPPES registry on August 8, 2011.

Where is Katarzyna Przyszlak located?

Katarzyna Przyszlak practices at 58 16th St, Wheeling, WV 26003. The listed phone number is (304) 234-2004.

What is Katarzyna Przyszlak's specialty?

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

Is Katarzyna Przyszlak enrolled in Medicare?

Yes. Katarzyna Przyszlak 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 Katarzyna Przyszlak accept?

Health plans from CareSource and Molina Healthcare list Katarzyna Przyszlak 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.

Is Katarzyna Przyszlak affiliated with any hospitals?

According to CMS data, Katarzyna Przyszlak is affiliated with Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Katarzyna Przyszlak was last updated on September 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.