DR. GREGORY FRANCIS EGNACZYK MD
NPI 1174513733
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Cincinnati, OH

Q: What is Gregory Egnaczyk's NPI number?

The NPI number for Gregory Egnaczyk is 1174513733. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Q: What is Gregory Egnaczyk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Egnaczyk was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment

84.5/100

CMS Quality Rating

2123 AUBURN AVE, SUITE 137, CINCINNATI, OH 45219(513) 206-1180(513) 206-1182 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 27, 2020, Jan 26, 2017 (2 updates tracked since 2017).

On this page

About Dr. Gregory Francis Egnaczyk Md NPPES

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

DR. GREGORY FRANCIS EGNACZYK MD (NPI 1174513733) is an individual advanced heart failure and transplant cardiology provider in Cincinnati, Ohio, licensed in Ohio (35096425) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Margaret Mary Community Hospital Inc, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1174513733

Entity TypeIndividualMale

Primary Taxonomy207RA0001X

Provider Legal NameDR. GREGORY FRANCIS EGNACZYKCredential: MD

Location Address2123 AUBURN AVE, SUITE 137Cincinnati, OH 45219-2906

Mailing Address237 William Howard Taft Rd, 2nd, Floor, Cbo2-3Cincinnati, OH 45219-2610 · (513) 206-1180 · Fax (513) 206-1182

Phone(513) 206-1180

Fax(513) 206-1182

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateOctober 25, 2005

Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration

NPPES CertifiedOctober 27, 2020

✔ NPI 1174513733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0001X

License✔ Licensed in OH · 35096425

Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35.096425 (OH)

2123 AUBURN AVE, Cincinnati, OH 45219

Open in Google Maps ↗

Other Identifiers 4

Medicaid3188978OH

Medicaid5905600NC

Medicaid201192860IN

Medicaid7100260120KY

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gregory Francis Egnaczyk 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 ID3375648637

PECOS Enrollment IDI20110110000167, I20130325000411, I20240514003181, I20250724000204

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.

Medicare Billing Reassignments

Medicare enrollment records show Gregory Egnaczyk reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Christ Hospital Cardiovascular Associates LLC

0.1 mi

Cardiovascular Disease

2139 AUBURN AVE
Cincinnati, OH 45219

Reassigned Medicare billing, Kentucky and Ohio enrollments
35 clinicians in this Medicare group

NPI 1497901458 (513) 721-8881

Premier Health Specialists Inc

28 mi

Psychologist

5900 LONG MEADOW DR, SUITE 300
Middletown, OH 45005

Reassigned Medicare billing, Ohio enrollment
812 clinicians in this Medicare group

NPI 1831466986 (937) 478-0749

Kettering Independent Medical Group Inc

39 mi

Orthopaedic Surgery

1 PRESTIGE PL, SUITE 910
Miamisburg, OH 45342

Reassigned Medicare billing, Ohio enrollment
984 clinicians in this Medicare group

NPI 1629387865 (937) 762-1629

Vh Provider Group, P.A.

333 mi

Cardiovascular Disease

1150 REVOLUTION MILL DR STE 6
Greensboro, NC 27405

Reassigned Medicare billing, Kentucky, North Carolina, Ohio and Pennsylvania enrollments
Medicare enrollment name: Vh Provider Group PA
3 clinicians in this Medicare group

NPI 1023749256 (855) 452-0845

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 29

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.

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.

441 services271 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

182 services74 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

160 services150 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

153 services41 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

137 services116 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

127 services126 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

121 services120 patients

Evaluation of lower heart chamber assist device 93750

An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.

120 services31 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

88 services67 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

62 services52 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

55 services55 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.

50 services46 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

49 services49 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

43 services43 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

40 services31 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

40 services36 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

26 services21 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

25 services23 patients

Ultrasound of heart, follow-up 93308

20 services18 patients

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.

20 services20 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

19 services18 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

18 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

18 services13 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

15 services15 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

15 services13 patients

Insertion of tube in right heart chambers for measurement 93451

This procedure involves placing a small, flexible tube into the right side of your heart. It helps assess how your heart is functioning by measuring pressures within the heart chambers. It's a key tool in diagnosing certain heart conditions.

14 services14 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

13 services13 patients

Heart muscle strain imaging 93356

12 services12 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

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.

Margaret Mary Community Hospital Inc

Critical Access Hospitals · Batesville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151329

Location321 Mitchell AveBatesville, IN 47006 · Franklin County

Emergency services

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360079

Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County

Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360163

Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360236

Location3000 Hospital DriveBatavia, OH 45103 · Clermont County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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.

84.5/100

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

Scored as part of a group practice

Quality

81.16

Promoting Interoperability

100

Improvement Activities

Cost

67.18

Referred Medical Equipment & Supplies CMS DME claims 5

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

Injection, milrinone lactate, 5 mg J2260

Treatment-Injections and Infusions (nononcologic) · category RI026N

1 supplier11 claims220 services$1.29 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims180 services$0.01 avg. paid by Medicare

Sirolimus, oral, 1 mg J7520

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier11 claims525 services$2.84 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

2 suppliers11 claims11 services$18.91 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

2 suppliers18 claims20 services$12.65 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.

DR. KIRANMAYEE LANKA M.D., M.P.H

Internal Medicine (Critical Care Medicine)

2123 AUBURN AVE, SUITE 401
CINCINNATI, OH 45219

Hamilton County (513) 241-5489

NOEMI CLEOFAS RICO-CEPPI MD

Family Medicine

2123 AUBURN AVE
CINCINNATI, OH 45219

Hamilton County (513) 585-3238

EUGENE CHUNG M.D.

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)

2123 AUBURN AVE, SU. 137
CINCINNATI, OH 45219

Hamilton County (513) 206-1180

DR. REID ARTHUR HARTMANN M.D.

Family Medicine

2123 AUBURN AVE, SUITE 235
CINCINNATI, OH 45219

Hamilton County (513) 585-3238

LABORATORY CORPORATION OF AMERICA HOLDINGS

Clinical Medical Laboratory

2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219

Hamilton County (513) 381-5227

JILL GAST APRN.CNP

Nurse Practitioner (Family)

2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219

Hamilton County (513) 241-4223

YOLANDA DANIELA FARHEY M.D.

Internal Medicine (Rheumatology)

2123 AUBURN AVE, STE 630
CINCINNATI, OH 45219

Hamilton County (513) 585-1970

BRIAN REVIS MD

Internal Medicine (Nephrology)

2123 AUBURN AVE, STE 404
CINCINNATI, OH 45219

Hamilton County (513) 241-5630

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 Gregory Egnaczyk's NPI number?

The NPI number for Gregory Egnaczyk is 1174513733. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Gregory Egnaczyk located?

Gregory Egnaczyk practices at 2123 Auburn Ave Suite 137, Cincinnati, OH 45219. The listed phone number is (513) 206-1180.

What is Gregory Egnaczyk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Gregory Egnaczyk enrolled in Medicare?

Yes. Gregory Egnaczyk 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 Gregory Egnaczyk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Egnaczyk reassigns Medicare benefits to 4 organizations: The Christ Hospital Cardiovascular Associates LLC (Cincinnati, OH), Premier Health Specialists Inc (Middletown, OH), Kettering Independent Medical Group Inc (Miamisburg, OH) and Vh Provider Group, P.A. (Greensboro, 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 Gregory Egnaczyk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Egnaczyk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Gregory Egnaczyk 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 Gregory Egnaczyk affiliated with any hospitals?

According to CMS data, Gregory Egnaczyk is affiliated with Margaret Mary Community Hospital Inc, Miami Valley Hospital, Kettering Health Main Campus, Christ Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Egnaczyk was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.