THOMAS MICHAEL PRZYBYSZ II MD
NPI 1114194099
Internal Medicine - Critical Care Medicine in Charlotte, NC
About Thomas Michael Przybysz Ii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS MICHAEL PRZYBYSZ II MD (NPI 1114194099) is an individual critical care medicine provider in Charlotte, North Carolina, licensed in North Carolina (2012-01084) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Thomas Michael Przybysz Ii 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.
Medicare Billing Reassignments
3Medicare enrollment records show Thomas Przybysz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28207
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 clinicians in this Medicare group
Charlotte, NC 28204
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Charlotte, NC 28204
- Reassigned Medicare billing, North Carolina enrollment
- 1,534 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CHARLOTTE, NC 28207
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 Thomas Przybysz's NPI number?
The NPI number for Thomas Przybysz is 1114194099. It was assigned to this individual provider in the NPPES registry on May 10, 2008.
Where is Thomas Przybysz located?
Thomas Przybysz practices at 1350 S Kings Dr, Charlotte, NC 28207. The listed phone number is (704) 446-1242.
What is Thomas Przybysz's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Thomas Przybysz enrolled in Medicare?
Yes. Thomas Przybysz 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.
Which organizations bill Medicare for Thomas Przybysz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Przybysz reassigns Medicare benefits to 3 organizations: Carolinas Medical Center (Charlotte, NC), Carolinas Physicians Network Inc (Charlotte, NC) and The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Przybysz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Przybysz accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Thomas Przybysz 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 Thomas Przybysz affiliated with any hospitals?
According to CMS data, Thomas Przybysz is affiliated with Carolinas Medical Center/Behav Health.
When was this NPI record last updated?
The NPPES record for Thomas Przybysz was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Thomas Michael Przybysz II, MD · NPI 1114194099
Critical Care Medicine physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since May 10, 2008.
## Identity
- **NPI:** 1114194099 (Entity type: Individual)
- **Enumerated:** May 10, 2008
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 2012-01084 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1350 S KINGS DR, Charlotte, NC 28207-2134
- **Phone:** (704) 446-1242
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Carolinas Medical Center (NPI 1073754131, Charlotte, NC); Carolinas Physicians Network Inc (NPI 1427561638, Charlotte, NC); The Charlotte-Mecklenburg Hospital Authority (NPI 1992173165, Charlotte, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia University School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** July 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114194099) · Data from the CMS NPPES public registry.