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ZBIGNIEW WOLCZYNSKI MD
NPI 1205934940
Internal Medicine in Plattsburgh, NY

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
210 CORNELIA ST, SUITE 404, PLATTSBURGH, NY 12901(518) 562-7337(518) 562-7338 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zbigniew Wolczynski Md NPPES

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

ZBIGNIEW WOLCZYNSKI MD (NPI 1205934940) is an individual internal medicine provider in Plattsburgh, New York, licensed in New York (223338) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1205934940
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameZBIGNIEW WOLCZYNSKICredential: MD
Location Address210 CORNELIA ST, SUITE 404Plattsburgh, NY 12901-2318
Mailing Address210 Cornelia St, Suite 404Plattsburgh, NY 12901-2318 · (518) 562-7337 · Fax (518) 562-7338
Phone(518) 562-7337
Fax(518) 562-7338
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateSeptember 20, 2006
Last NPPES UpdateDecember 18, 2013
✔ NPI 1205934940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 223338
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.
210 CORNELIA ST, Plattsburgh, NY 12901
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Other Identifiers 10

Other0007505490NY · Aetna
Other252AA1NY · Empire Bc/bs
Medicare UPINH59833NY
Other200059037NM · Mvp
OtherP010223338NY · Excellus Bcbs
Medicare ID-Type UnspecifiedIA0649NY
Other000402772002NY · Bsneny
Other201726511 12901 A001NY · Tricare
Other10084802NY · Cdphp
Medicaid02301435NY

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

Zbigniew Wolczynski 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 ID2163470261
PECOS Enrollment IDI20050105000703
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 6

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.
519 services246 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
243 services150 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
118 services118 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.
23 services23 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
11 services11 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
71%87 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%2,165 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
0%837 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
2%837 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%335 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%400 patients5/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
55%837 patients3/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
96%25 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
8%837 patients1/55-star benchmark: 75%
Send a Summary of Care
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2)…
43%290 patients2/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
16%837 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers64 claims170 services$6.41 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers29 claims52 services$1.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers29 claims29 services$112.12 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers25 claims1,499 services$0.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers15 claims15 services$195.02 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers13 claims13 services$26.03 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 16

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

MS. DEBORAH MONROE KAMPSCHROR PA
Physician Assistant (Medical)
210 CORNELIA ST, SUITE 101
PLATTSBURGH, NY 12901
Clinton County (518) 562-7990
KEVIN ALAN GREENE OPTICIAN
Technician/Technologist (Optician)
210 CORNELIA ST, SUITE 302
PLATTSBURGH, NY 12901
Clinton County (515) 561-8820
JACKIE'S ENTERPRISES INC
Durable Medical Equipment & Medical Supplies
210 CORNELIA ST, SUITE 105
PLATTSBURGH, NY 12901
Clinton County (518) 869-1100
LAKE CHAMPLAIN PHYSICIAN SERVICES
Internal Medicine
210 CORNELIA ST, SUITE 303
PLATTSBURGH, NY 12901
Clinton County (518) 562-7541
DUCK J KIM MD PC
Otolaryngology
210 CORNELIA ST, STE 204
PLATTSBURGH, NY 12901
Clinton County (518) 563-8050
ROBERT I. ADLER, M.D.,P.C.
Technician/Technologist (Optician)
210 CORNELIA ST, SUITE 302
PLATTSBURGH, NY 12901
Clinton County (518) 561-8820
DR. KAREN B GRUNEWALD APRN
Nurse Practitioner (Adult Health)
210 CORNELIA ST, SUITE 101
PLATTSBURGH, NY 12901
Clinton County (518) 562-7990
DR. TIMOTHY JOEL GARRAND MD
Internal Medicine (Cardiovascular Disease)
210 CORNELIA ST, STE 101
PLATTSBURGH, NY 12901
Clinton County (518) 562-7990

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 Zbigniew Wolczynski's NPI number?

The NPI number for Zbigniew Wolczynski is 1205934940. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Zbigniew Wolczynski located?

Zbigniew Wolczynski practices at 210 Cornelia St Suite 404, Plattsburgh, NY 12901. The listed phone number is (518) 562-7337.

What is Zbigniew Wolczynski's specialty?

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

Is Zbigniew Wolczynski enrolled in Medicare?

Yes. Zbigniew Wolczynski 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.

Is Zbigniew Wolczynski affiliated with any hospitals?

According to CMS data, Zbigniew Wolczynski is affiliated with Champlain Valley Physicians Hospital Medical Ctr and The University Of Vermont Health Network-Alice Hy.

When was this NPI record last updated?

The NPPES record for Zbigniew Wolczynski was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.