ROBERT J PRZYBELSKI MD MS
NPI 1184675969
Internal Medicine - Geriatric Medicine in Madison, WI

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
2880 UNIVERSITY AVE, MADISON, WI 53705(606) 263-7740(608) 262-6048 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Robert J Przybelski Md Ms NPPES

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

ROBERT J PRZYBELSKI MD MS (NPI 1184675969) is an individual geriatric medicine provider in Madison, Wisconsin, licensed in Wisconsin (32683) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of University Of Wisconsin School Of Medicine (1979).

NPPES Registry Identity

NPI1184675969
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameROBERT J PRZYBELSKICredential: MD MS
Location Address2880 UNIVERSITY AVEMadison, WI 53705
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 262-6048
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1979
Enumeration DateMay 15, 2006
Last NPPES UpdateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
NPI 1184675969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in WI · 32683
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
2880 UNIVERSITY AVE, Madison, WI 53705

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

Robert J Przybelski Md Ms 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 ID7214904424
PECOS Enrollment IDI20040915001091
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 4

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 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.
438 services297 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
157 services140 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.
34 services30 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53705 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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
2880 UNIVERSITY AVE
MADISON, WI 53705
Ophthalmology
2880 UNIVERSITY AVE
MADISON, WI 53705
Ophthalmology
2880 UNIVERSITY AVE
MADISON, WI 53705
Optometrist
2880 UNIVERSITY AVE
MADISON, WI 53705
Durable Medical Equipment & Medical Supplies
2880 UNIVERSITY AVE
MADISON, WI 53705
Physician Assistant
2880 UNIVERSITY AVE
MADISON, WI 53705
Ophthalmology
2880 UNIVERSITY AVE
MADISON, WI 53705
Pediatrics (Pediatric Infectious Diseases)
2880 UNIVERSITY AVE
MADISON, WI 53705

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 Robert Przybelski's NPI number?

The NPI number for Robert Przybelski is 1184675969. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Robert Przybelski located?

Robert Przybelski practices at 2880 University Ave, Madison, WI 53705. The listed phone number is (606) 263-7740.

What is Robert Przybelski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Robert Przybelski enrolled in Medicare?

Yes. Robert Przybelski 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 Robert Przybelski accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Robert Przybelski 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 Robert Przybelski affiliated with any hospitals?

According to CMS data, Robert Przybelski is affiliated with University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Robert Przybelski was last updated on January 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.