THOMAS ALBERT PIENIAZEK PA-C
NPI 1295087690
Physician Assistant in Detroit, MI

Active since October 09, 2012PECOS Enrolled
80.99/100
CMS Quality Rating
6071 W OUTER DR, ORTHOPAEDIC SURGERY DEPARTMENT, DETROIT, MI 48235(313) 460-2242 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Albert Pieniazek Pa-c NPPES

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

THOMAS ALBERT PIENIAZEK PA-C (NPI 1295087690) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601006473) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grosse Pointe.

NPPES Registry Identity

NPI1295087690
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS ALBERT PIENIAZEKCredential: PA-C
Location Address6071 W OUTER DR, ORTHOPAEDIC SURGERY DEPARTMENTDetroit, MI 48235-2624
Mailing Address6071 W Outer Dr, Orthopaedic Surgery DepartmentDetroit, MI 48235-2624 · (313) 460-2242
Sole ProprietorNo
Enumeration DateOctober 9, 2012
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
NPI 1295087690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601006473
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6071 W OUTER DR, Detroit, MI 48235

Secondary Practice Location 1

Location 1468 Cadieux RdGrosse Pointe, MI 48230-1507 · Phone (313) 473-1605

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 (PECOS)

Thomas Albert Pieniazek Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

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.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48235 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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Physician Assistant
6071 W OUTER DR
DETROIT, MI 48235
Internal Medicine
6071 W OUTER DR
DETROIT, MI 48235
Psychiatry & Neurology (Neurocritical Care)
6071 W OUTER DR
DETROIT, MI 48235
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Student in an Organized Health Care Education/Training Program
6071 W OUTER DR
DETROIT, MI 48235
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235
Nurse Anesthetist, Certified Registered
6071 W OUTER DR
DETROIT, MI 48235
Emergency Medicine
6071 W OUTER DR
DETROIT, MI 48235

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 Thomas Pieniazek's NPI number?

The NPI number for Thomas Pieniazek is 1295087690. It was assigned to this individual provider in the NPPES registry on October 9, 2012.

Where is Thomas Pieniazek located?

Thomas Pieniazek practices at 6071 W Outer Dr Orthopaedic Surgery Department, Detroit, MI 48235. The listed phone number is (313) 460-2242.

What is Thomas Pieniazek's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thomas Pieniazek enrolled in Medicare?

Yes. Thomas Pieniazek is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Pieniazek accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Thomas Pieniazek 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.

When was this NPI record last updated?

The NPPES record for Thomas Pieniazek was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.