ANDREW JOHN KRISPINSKY
NPI 1306183058
Dermatology in Clyde, NC

Active since January 14, 2013PECOS EnrolledAccepts Medicare Assignment
243 JONES COVE RD, CLYDE, NC 28721(828) 627-9616 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew John Krispinsky NPPES

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

ANDREW JOHN KRISPINSKY (NPI 1306183058) is an individual dermatology provider in Clyde, North Carolina, licensed in North Carolina (2023-02112) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sylva, and is a graduate of Saint Louis University School Of Medicine (2013).

NPPES Registry Identity

NPI1306183058
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameANDREW JOHN KRISPINSKY
Location Address243 JONES COVE RDClyde, NC 28721-9483
Mailing Address61 Bonnie LnSylva, NC 28779-8511 · (286) 311-8528
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2013
Enumeration DateJanuary 14, 2013
Last NPPES UpdateJune 17, 2024
NPPES CertifiedJune 17, 2024
NPI 1306183058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NC · 2023-02112
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X · License 2023-02112 (NC)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101256702 (VA)
243 JONES COVE RD, Clyde, NC 28721

Secondary Practice Location 1

Location 161 Bonnie LnSylva, NC 28779-8511 · Phone (828) 631-1852

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

Andrew John Krispinsky 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 ID7719215987
PECOS Enrollment IDI20240710000032, I20250710001281
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 16

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.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345
Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.
2,800 services14 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
720 services451 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
246 services93 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.
194 services173 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
179 services163 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.
71 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28721 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 2

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

General Acute Care Hospital
243 JONES COVE RD
CLYDE, NC 28721
Family Medicine
243 JONES COVE RD
CLYDE, NC 28721

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 Andrew Krispinsky's NPI number?

The NPI number for Andrew Krispinsky is 1306183058. It was assigned to this individual provider in the NPPES registry on January 14, 2013.

Where is Andrew Krispinsky located?

Andrew Krispinsky practices at 243 Jones Cove Rd, Clyde, NC 28721. The listed phone number is (828) 627-9616.

What is Andrew Krispinsky's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Andrew Krispinsky enrolled in Medicare?

Yes. Andrew Krispinsky 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 Andrew Krispinsky accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Andrew Krispinsky 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 Andrew Krispinsky was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.