ERIC KRISTIAN SZCZESNIAK M.D.
NPI 1104143627
Orthopaedic Surgery in Chesterton, IN

Q: What is Eric Szczesniak's NPI number?

The NPI number for Eric Szczesniak is 1104143627. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Q: What is Eric Szczesniak's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Szczesniak was last updated on December 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 23, 2010PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

601 GATEWAY BLVD N, APT. 409, CHESTERTON, IN 46304(219) 921-1444(219) 921-0533 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 20, 2024, Mar 19, 2021 (2 updates tracked since 2021).

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About Eric Kristian Szczesniak M.d. NPPES

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

ERIC KRISTIAN SZCZESNIAK M.D. (NPI 1104143627) is an individual orthopaedic surgery provider in Chesterton, Indiana, licensed in Indiana (01076961A) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104143627

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameERIC KRISTIAN SZCZESNIAKCredential: M.D.

Location Address601 GATEWAY BLVD N, APT. 409Chesterton, IN 46304-9658

Mailing Address601 Gateway Blvd NChesterton, IN 46304-9658 · (219) 921-1444 · Fax (219) 921-0533

Phone(219) 921-1444

Fax(219) 921-0533

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2010

Enumeration DateApril 23, 2010

Last NPPES UpdateDecember 20, 20242 updates tracked since enumeration

NPPES CertifiedDecember 20, 2024

✔ NPI 1104143627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IN · 01076961A

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

601 GATEWAY BLVD N, Chesterton, IN 46304

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Secondary Practice Locations 3

Location 13777 N Frontage Rd Ste 900Michigan City, IN 46360-7698 · Phone (219) 921-1444

Location 22501 Cumberland DrValparaiso, IN 46383-2503 · Phone (219) 921-1444

Location 33691 Willowcreek RdPortage, IN 46368-5080 · Phone (219) 921-1444

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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

Eric Kristian Szczesniak M.d. 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 ID5890098651

PECOS Enrollment IDI20160817003412

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 17

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,564 services190 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.

764 services436 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

641 services316 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

220 services165 patients

Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321

Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.

211 services49 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

208 services168 patients

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966

Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.

206 services117 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

176 services117 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

97 services97 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.

53 services48 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

48 services45 patients

Injection, methylprednisolone acetate, 80 mg J1040

Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.

48 services38 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.

35 services35 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

18 services17 patients

X-ray of both hips, 2 views 73521

An X-ray of both hips, 2 views, is an imaging test that uses a small amount of radiation to create detailed pictures of your hip joints. This procedure helps to detect fractures, infections, or other abnormalities in the hip area. Two different angles will be captured for a comprehensive assessment.

18 services18 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

18 services17 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150006

Location1331 State StreetLa Porte, IN 46350 · La Porte County

Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150034

Location1500 S Lake Park AveHobart, IN 46342 · Lake County

Emergency services Birthing friendly

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN

3/5 CMS rating

OwnershipProprietary

CMS Certification Number150035

Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County

Emergency services Birthing friendly

Northwest Health - Starke

Acute Care Hospitals · Knox, IN

OwnershipProprietary

CMS Certification Number150102

Location102 E Culver RdKnox, IN 46534 · Starke County

Emergency services

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150126

Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46304 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

3 suppliers14 claims14 services$39.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

ANITA K. RAO M.D.

Pain Medicine (Interventional Pain Medicine)

601 GATEWAY BLVD N
CHESTERTON, IN 46304

Porter County (219) 921-1444

BRIAN THOMAS DAMITZ D.P.M.

Podiatrist

601 GATEWAY BLVD N
CHESTERTON, IN 46304

Porter County (219) 921-1444

SAMANTHA HIGGINS DPT

Physical Therapist

601 GATEWAY BLVD N
CHESTERTON, IN 46304

Porter County (219) 921-1444

GAGE ALAN THOMA PA-C

Physician Assistant (Surgical)

601 GATEWAY BLVD N
CHESTERTON, IN 46304

Porter County (219) 921-1444

APRIL MARIE PRZYBORSKI PA-C

Physician Assistant

601 GATEWAY BLVD N
CHESTERTON, IN 46304

Porter County (219) 921-1444

THOMAS H KAY M.D.

Orthopaedic Surgery

601 GATEWAY BLVD N
CHESTERTON, IN 46304

Porter County (219) 921-1444

NATALIE JOAN EDDY NP

Nurse Practitioner

601 GATEWAY BLVD N, #A
CHESTERTON, IN 46304

Porter County (219) 921-1444

MS. DANIELLE MANKIN PA-C

Physician Assistant (Surgical)

601 GATEWAY BLVD N
CHESTERTON, IN 46304

Porter County (219) 921-1444

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 Eric Szczesniak's NPI number?

The NPI number for Eric Szczesniak is 1104143627. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Eric Szczesniak located?

Eric Szczesniak practices at 601 Gateway Blvd N Apt. 409, Chesterton, IN 46304. The listed phone number is (219) 921-1444.

What is Eric Szczesniak's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Eric Szczesniak enrolled in Medicare?

Yes. Eric Szczesniak 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 Eric Szczesniak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Eric Szczesniak 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 Eric Szczesniak affiliated with any hospitals?

According to CMS data, Eric Szczesniak is affiliated with Northwest Health-La Porte, St Mary Medical Center Inc, Northwest Health - Porter, Northwest Health - Starke and Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Eric Szczesniak was last updated on December 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.