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ZACHARY KWASNICKA D.O.
NPI 1144684945
Internal Medicine in Warren, OH

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
90.9/100
CMS Quality Rating
1296 TOD PL NW, WARREN, OH 44485(330) 841-4643 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zachary Kwasnicka D.o. NPPES

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

ZACHARY KWASNICKA D.O. (NPI 1144684945) is an individual internal medicine provider in Warren, Ohio, licensed in Ohio (58.00741) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with University Hospitals Portage Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2016).

NPPES Registry Identity

NPI1144684945
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameZACHARY KWASNICKACredential: D.O.
Location Address1296 TOD PL NWWarren, OH 44485-2474
Mailing Address6475 Schilling AveLouisville, OH 44641-8703 · (330) 704-9284
Phone(330) 841-4643
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016
Enumeration DateApril 7, 2016
Last NPPES UpdateMarch 27, 2017
✔ NPI 1144684945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 58.00741
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1296 TOD PL NW, Warren, OH 44485
Open in Google Maps ↗

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 and more.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

Zachary Kwasnicka D.o. 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 ID6103208392
PECOS Enrollment IDI20220804001772
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 9

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.

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.
51 services48 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
38 services38 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
38 services37 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
37 services37 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
32 services32 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.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44485 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

JILL RENEE KISTLER ATC
Specialist/Technologist (Athletic Trainer)
1296 TOD PL NW, SUITE 208
WARREN, OH 44485
Trumbull County (330) 306-5018
PAUL SEBEST DO
Emergency Medicine
1296 TOD PL NW, SUITE 200
WARREN, OH 44485
Trumbull County (330) 841-4000
MICHAEL T GIBBONS MD
Emergency Medicine
1296 TOD PL NW, SUITE 200
WARREN, OH 44485
Trumbull County (330) 656-5911
JAGDISH HARIPRASAD PATEL MD
Family Medicine
1296 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 841-1001
DR. HAROLD LOYD SANDROCK JR. DO
Family Medicine
1296 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 306-5030
KITERIA FINLAYSON DO
Family Medicine
1296 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 841-4643
DUSTIN NESHEIM D.O.
Emergency Medicine
1296 TOD PL NW
WARREN, OH 44485
Trumbull County (240) 686-2300
LORI LYNN WOOLLEY CNP
Nurse Practitioner (Psychiatric/Mental Health)
1296 TOD PL NW
WARREN, OH 44485
Trumbull County (330) 306-5010

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 Zachary Kwasnicka's NPI number?

The NPI number for Zachary Kwasnicka is 1144684945. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Zachary Kwasnicka located?

Zachary Kwasnicka practices at 1296 Tod Pl NW, Warren, OH 44485. The listed phone number is (330) 841-4643.

What is Zachary Kwasnicka's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Zachary Kwasnicka enrolled in Medicare?

Yes. Zachary Kwasnicka 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 Zachary Kwasnicka accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Zachary Kwasnicka 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 Zachary Kwasnicka affiliated with any hospitals?

According to CMS data, Zachary Kwasnicka is affiliated with University Hospitals Portage Medical Center and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Zachary Kwasnicka was last updated on March 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.