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MICHAEL CZAPLICKI D.O.
NPI 1306290226
Student in an Organized Health Care Education/Training Program in East Meadow, NY

Active since April 17, 2016PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554(516) 572-0159(516) 572-0155 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Czaplicki D.o. NPPES

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

MICHAEL CZAPLICKI D.O. (NPI 1306290226) is an individual student in an organized health care education/training program in East Meadow, New York and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Uniontown Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1306290226
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL CZAPLICKICredential: D.O.
Location Address2201 HEMPSTEAD TPKEEast Meadow, NY 11554-1859
Mailing Address2201 Hempstead TpkeEast Meadow, NY 11554-1859 · (516) 572-0159 · Fax (516) 572-0155
Phone(516) 572-0159
Fax(516) 572-0155
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2016
Enumeration DateApril 17, 2016
Last NPPES UpdateOctober 4, 2022
NPPES CertifiedOctober 4, 2022
✔ NPI 1306290226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License OS022161 (PA), 3914 (WV)
2201 HEMPSTEAD TPKE, East Meadow, NY 11554
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Michael Czaplicki D.o. 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 ID7315321890
PECOS Enrollment IDI20220901000908, I20220921000806
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 8

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
61 services58 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
56 services56 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
31 services31 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
21 services21 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
16 services16 patients
Ct scan of soft tissue of neck with contrast 70491
A CT scan of the neck with contrast is a non-invasive imaging procedure. A special dye is administered to highlight the soft tissues in your neck, making them easier to see. This helps detect issues like infections, tumors, or other abnormalities.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390041
Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County
Emergency services

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

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

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.

ROSITA BERNADOTTE R.N.
Registered Nurse
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
KENICE E. DALTON JR. O.T.
Occupational Therapist
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
VIVIAN LYNN POLLOCK M.S.W.
Social Worker
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
CICILY BROWN R.N.
Registered Nurse
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6131
SHAMAILA IDREES M.D.
Psychiatry & Neurology (Psychiatry)
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6171
DR. SARAH ROSE STEVENS DO
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-0123
WEI LEONG DO
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6177
KONSTANTINOS IOANNIS FORTOUNAS MD
Student in an Organized Health Care Education/Training Program
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554
Nassau County (516) 572-6637

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 Michael Czaplicki's NPI number?

The NPI number for Michael Czaplicki is 1306290226. It was assigned to this individual provider in the NPPES registry on April 17, 2016.

Where is Michael Czaplicki located?

Michael Czaplicki practices at 2201 Hempstead Tpke, East Meadow, NY 11554. The listed phone number is (516) 572-0159.

What is Michael Czaplicki's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Czaplicki enrolled in Medicare?

Yes. Michael Czaplicki 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 Michael Czaplicki accept?

Health plans from CareSource and Molina Healthcare list Michael Czaplicki 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 Michael Czaplicki affiliated with any hospitals?

According to CMS data, Michael Czaplicki is affiliated with Uniontown Hospital, West Virginia University Hospitals, Inc, Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Czaplicki was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.