DR. ANDY JEDRZEJCZYK M.D.
NPI 1215318217
Radiology - Diagnostic Radiology in Dearborn, MI

Active since June 15, 2015PECOS EnrolledAccepts Medicare Assignment
83.77/100
CMS Quality Rating
18101 OAKWOOD BLVD, DEARBORN, MI 48124(313) 593-7000 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2025, Jun 8, 2020 (2 updates tracked since 2020).

About Dr. Andy Jedrzejczyk M.d. NPPES

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

DR. ANDY JEDRZEJCZYK M.D. (NPI 1215318217) is an individual diagnostic radiology provider in Dearborn, Michigan, licensed in Michigan (4301108096) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Asante Rogue Regional Medical Center, and maintains a secondary practice location in Tonasket.

NPPES Registry Identity

NPI1215318217
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. ANDY JEDRZEJCZYKCredential: M.D.
Location Address18101 OAKWOOD BLVDDearborn, MI 48124-4089
Mailing Address3355 Old Weymouth RdMedina, OH 44256-9206 · (216) 470-8120
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 15, 2015
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
NPI 1215318217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in MI · 4301108096 Licensed in WA · MD61608090
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
18101 OAKWOOD BLVD, Dearborn, MI 48124

Secondary Practice Location 1

Location 1203 S Western AveTonasket, WA 98855-8803 · Phone (509) 486-2151 · Fax (509) 223-1640

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

Dr. Andy Jedrzejczyk M.d. 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 ID446519532
PECOS Enrollment IDI20200702002050, I20250110002594
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 30

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
274 services248 patients
Mri scan of pelvis before and after contrast 72197
An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.
108 services107 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
94 services94 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
90 services90 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
49 services49 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
46 services46 patients

Hospital Affiliations CMS Care Compare 3

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

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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.

83.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.91
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.

Nurse Anesthetist, Certified Registered
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Surgery
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Internal Medicine
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Nurse Anesthetist, Certified Registered
18101 OAKWOOD BLVD, ANESTHESIA DEPT
DEARBORN, MI 48124
Pharmacist (Pharmacotherapy)
18101 OAKWOOD BLVD, PHARMACY
DEARBORN, MI 48124
Radiology (Radiation Oncology)
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Psychiatry & Neurology (Psychiatry)
18101 OAKWOOD BLVD
DEARBORN, MI 48124
Obstetrics & Gynecology
18101 OAKWOOD BLVD
DEARBORN, MI 48124

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 Andy Jedrzejczyk's NPI number?

The NPI number for Andy Jedrzejczyk is 1215318217. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Andy Jedrzejczyk located?

Andy Jedrzejczyk practices at 18101 Oakwood Blvd, Dearborn, MI 48124. The listed phone number is (313) 593-7000.

What is Andy Jedrzejczyk's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Andy Jedrzejczyk enrolled in Medicare?

Yes. Andy Jedrzejczyk 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 Andy Jedrzejczyk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Andy Jedrzejczyk 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 Andy Jedrzejczyk affiliated with any hospitals?

According to CMS data, Andy Jedrzejczyk is affiliated with Asante Rogue Regional Medical Center, Overlake Hospital Medical Center and Olympic Medical Center.

When was this NPI record last updated?

The NPPES record for Andy Jedrzejczyk was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.