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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANDRZEJ JANUSZ PRZYSZLAK M.D.
NPI 1285989947
Hospitalist in Wheeling, WV

Active since July 18, 2012PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
40 MEDICAL PARK STE 406, WHEELING, WV 26003(304) 243-3330 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Sep 19, 2022, Jan 11, 2021 and 2 more (5 updates tracked since 2016).

About Andrzej Janusz Przyszlak M.d. NPPES

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

ANDRZEJ JANUSZ PRZYSZLAK M.D. (NPI 1285989947) is an individual hospitalist provider in Wheeling, West Virginia, licensed in West Virginia (27130) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Reynolds Memorial Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1285989947
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameANDRZEJ JANUSZ PRZYSZLAKCredential: M.D.
Location Address40 MEDICAL PARK STE 406Wheeling, WV 26003-6392
Mailing Address58 16th StWheeling, WV 26003-3660 · (304) 234-1903
Phone(304) 243-3330
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 18, 2012
Last NPPES UpdateOctober 15, 20265 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1285989947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WV · 27130
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 27130 (WV)
40 MEDICAL PARK STE 406, Wheeling, WV 26003
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrzej Janusz Przyszlak 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 ID8123252152
PECOS Enrollment IDI20161005002847
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 Reassignment

Medicare enrollment records show Andrzej Przyszlak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wheeling Hospital Inc
0.8 mi
Family Medicine
1 MEDICAL PARK
Wheeling, WV 26003
  • Reassigned Medicare billing, West Virginia enrollment
  • 502 clinicians in this Medicare group
NPI 1548923923 (304) 243-3000

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 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.

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.
150 services78 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.
57 services57 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.
36 services36 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.
35 services22 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.
31 services31 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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers25 claims25 services$15.54 avg. paid by Medicare
Trapeze bar, free standing, complete with grab bar E0940
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$16.75 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
3 suppliers29 claims29 services$84.69 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

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

SPENCER LEE BREWER DO
Student in an Organized Health Care Education/Training Program
40 MEDICAL PARK STE 406
WHEELING, WV 26003
Ohio County (206) 321-1467

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 Andrzej Przyszlak's NPI number?

The NPI number for Andrzej Przyszlak is 1285989947. It was assigned to this individual provider in the NPPES registry on July 18, 2012.

Where is Andrzej Przyszlak located?

Andrzej Przyszlak practices at 40 Medical Park Ste 406, Wheeling, WV 26003. The listed phone number is (304) 243-3330.

What is Andrzej Przyszlak's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Andrzej Przyszlak enrolled in Medicare?

Yes. Andrzej Przyszlak 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 organization bills Medicare for Andrzej Przyszlak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrzej Przyszlak reassigns Medicare benefits to Wheeling Hospital Inc (Wheeling, WV). The 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 Andrzej Przyszlak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrzej Przyszlak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Andrzej Przyszlak 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 Andrzej Przyszlak affiliated with any hospitals?

According to CMS data, Andrzej Przyszlak is affiliated with Reynolds Memorial Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Andrzej Przyszlak was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.