THOMAS MICHAEL PRZYBYSZ II MD
NPI 1114194099
Internal Medicine - Critical Care Medicine in Charlotte, NC

Active since May 10, 2008PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1242 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 17, 2024, May 10, 2023, Mar 14, 2023 and 52 more (55 updates tracked since 2016).

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

NPI1114194099
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameTHOMAS MICHAEL PRZYBYSZ IICredential: MD
Location Address1350 S KINGS DRCharlotte, NC 28207-2134
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 2006
Enumeration DateMay 10, 2008
Last NPPES UpdateJuly 17, 202455 updates tracked since enumeration
NPI 1114194099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in NC · 2012-01084
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2012-01084 (NC)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 2012-01084 (NC)
1350 S KINGS DR, Charlotte, NC 28207

Secondary Practice Locations 4

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-4490
Location 21237 Harding Pl, Ste 3200Charlotte, NC 28204 · Phone (704) 355-5375
Location 310650 Park Rd, Ste 300Charlotte, NC 28210-8538 · Phone (704) 667-3925
Location 4920 Church St NConcord, NC 28025-2927 · Phone (704) 403-1311

Accepted 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

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.

PECOS PAC ID5193864494
PECOS Enrollment IDI20121214000029
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services15 patients

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, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician 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.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics (Pediatric Hematology-Oncology)
1350 S KINGS DR
CHARLOTTE, NC 28207
Internal Medicine
1350 S KINGS DR
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Nurse Practitioner (Family)
1350 S KINGS DR
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Nurse Practitioner
1350 S KINGS DR
CHARLOTTE, NC 28207
Advanced Practice Midwife
1350 S KINGS DR
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.

What insurance does Thomas Przybysz accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina, InStil Health and Oscar Health Plan of North Carolina, Inc 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.