DAVID J PRYBYLA M.D.
NPI 1104864495
Orthopaedic Surgery in North Chelmsford, MA

Q: What is David Prybyla's NPI number?

The NPI number for David Prybyla is 1104864495. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Q: What is David Prybyla'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 David Prybyla was last updated on February 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment

14 RESEARCH PL, NORTH CHELMSFORD, MA 01863(978) 454-0706(978) 970-0454 Get Directions Write a Review

NPPES record last updated: February 13, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About David J Prybyla M.d. NPPES

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

DAVID J PRYBYLA M.D. (NPI 1104864495) is an individual orthopaedic surgery provider in North Chelmsford, Massachusetts, licensed in Massachusetts (216552) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of Albany Medical College Of Union University (2001).

NPPES Registry Identity

NPI1104864495

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDAVID J PRYBYLACredential: M.D.

Location Address14 RESEARCH PLNorth Chelmsford, MA 01863-2412

Mailing Address14 Research PlNorth Chelmsford, MA 01863-2412 · (978) 454-0706 · Fax (978) 970-0454

Phone(978) 454-0706

Fax(978) 970-0454

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2001

Enumeration DateJune 2, 2006

Last NPPES UpdateFebruary 13, 2015

✔ NPI 1104864495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in MA · 216552

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.

14 RESEARCH PL, North Chelmsford, MA 01863

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Other Identifiers 2

Medicare PIN000226001MA

Medicaid2140217MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield.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

David J Prybyla 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 ID3375635931

PECOS Enrollment IDI20070828000023, I20081007000535

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 24

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.

1,462 services228 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.

562 services308 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.

489 services328 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

479 services304 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.

451 services383 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

352 services292 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.

304 services171 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.

302 services234 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.

126 services126 patients

X-ray for bone length assessment 77073

An X-ray for bone length assessment is a simple, non-invasive imaging test. It helps to evaluate the length of your bones and identify any discrepancies or abnormalities. This procedure is quick, painless, and provides valuable information for your healthcare provider.

121 services85 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.

99 services92 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.

72 services72 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

68 services41 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.

62 services62 patients

Destruction of peripheral nerve or branch 64640

Destruction of a peripheral nerve or branch is a procedure to treat nerve-related pain. It involves using heat, cold, or chemicals to damage or destroy the nerve, thereby blocking pain signals to the brain. This can provide long-term pain relief.

54 services20 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

52 services29 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.

49 services32 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

35 services24 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

33 services33 patients

Replacement of knee joint on side of knee 27446

A knee joint replacement on one side, also known as unicompartmental knee replacement, is a surgical procedure where damaged parts of the knee joint are replaced with artificial parts. This helps to reduce pain and improve mobility. It's typically done under general anesthesia.

23 services22 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

23 services23 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.

20 services17 patients

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose J7326

Hyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.

20 services12 patients

Telephone medical discussion with physician, 21-30 minutes 99443

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220001

Location60 Hospital RoadLeominster, MA 01453 · Worcester County

Emergency services

Lowell General Hospital

Acute Care Hospitals · Lowell, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220063

Location295 Varnum AvenueLowell, MA 01854 · Middlesex County

Emergency services Birthing friendly

Emerson Hospital -

Acute Care Hospitals · W Concord, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220084

Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County

Emergency services Birthing friendly

Southern Nh Medical Center

Acute Care Hospitals · Nashua, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300020

Location8 Prospect StreetNashua, NH 03060 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01863 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

97%3,946 patients4/55-star benchmark: 100%

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.

99%1,655 patients5/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

66%105 patients4/55-star benchmark: 88%

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.

93%742 patients3/55-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.

71%2,209 patients3/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

22%2,144 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 98% · 817 patients

Patients tobacco: 12% · 52 patients

90%817 patients4/55-star benchmark: 98%

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…

67%2,209 patients3/55-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…

5%2,209 patients1/55-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.

30%2,209 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips E0114

DME-Other DME · category DE000N

2 suppliers21 claims21 services$37.15 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

1 supplier19 claims19 services$39.98 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 20

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

LGH MERRIMACK VALLEY CARDIOLOGY ASSOCIATES, LLC

Internal Medicine (Cardiovascular Disease)

14 RESEARCH PL
NORTH CHELMSFORD, MA 01863

Middlesex County (978) 256-6607

DR. ARASH TABAEE M.D.

Internal Medicine (Cardiovascular Disease)

14 RESEARCH PL
N CHELMSFORD, MA 01863

Middlesex County (978) 256-6607

JUNE M STOTT ARNP

Nurse Practitioner

14 RESEARCH PL
NORTH CHELMSFORD, MA 01863

Middlesex County (978) 454-0706

ROBERT MATTHEW SHULMAN MD

Internal Medicine (Cardiovascular Disease)

14 RESEARCH PL, 3RD FLOOR
N CHELMSFORD, MA 01863

Middlesex County (978) 256-6607

RICHARD GARTNER BIRKHEAD MD

Internal Medicine (Cardiovascular Disease)

14 RESEARCH PL
N CHELMSFORD, MA 01863

Middlesex County (978) 256-6607

ERIC JOSEPH EWALD MD

Internal Medicine (Cardiovascular Disease)

14 RESEARCH PL
N CHELMSFORD, MA 01863

Middlesex County (978) 256-6607

WALTER MOON JO MD

Internal Medicine (Cardiovascular Disease)

14 RESEARCH PL
N CHELMSFORD, MA 01863

Middlesex County (978) 256-6607

HARSH CHANDRAVADAN SANCHORAWALA MD

Internal Medicine (Cardiovascular Disease)

14 RESEARCH PL
N CHELMSFORD, MA 01863

Middlesex County (978) 256-6607

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 David Prybyla's NPI number?

The NPI number for David Prybyla is 1104864495. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is David Prybyla located?

David Prybyla practices at 14 Research Pl, North Chelmsford, MA 01863. The listed phone number is (978) 454-0706.

What is David Prybyla's specialty?

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

Is David Prybyla enrolled in Medicare?

Yes. David Prybyla 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 David Prybyla accept?

Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield list David Prybyla 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 David Prybyla affiliated with any hospitals?

According to CMS data, David Prybyla is affiliated with Umass Memorial Healthalliance Hospitals, Lowell General Hospital, Emerson Hospital - and Southern Nh Medical Center.

When was this NPI record last updated?

The NPPES record for David Prybyla was last updated on February 13, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.