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DAVID MICHAEL KLACIK CNP
NPI 1306375787
Nurse Practitioner - Family in Poland, OH

Active since June 08, 2017PECOS EnrolledAccepts Medicare Assignment
715 E WESTERN RESERVE RD, POLAND, OH 44514(330) 726-3204(330) 729-9316 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 28, 2017, Jun 8, 2017 (3 updates tracked since 2017).

About David Michael Klacik Cnp NPPES

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

DAVID MICHAEL KLACIK CNP (NPI 1306375787) is an individual family provider in Poland, Ohio, licensed in Ohio (APRN.CNP.021064) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1306375787
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDAVID MICHAEL KLACIKCredential: CNP
Location Address715 E WESTERN RESERVE RDPoland, OH 44514-3358
Mailing Address715 E Western Reserve RdPoland, OH 44514-3358 · (330) 726-3204 · Fax (330) 729-9316
Phone(330) 726-3204
Fax(330) 729-9316
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 8, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1306375787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · APRN.CNP.021064
715 E WESTERN RESERVE RD, Poland, OH 44514
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Michael Klacik Cnp 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 ID5597035717
PECOS Enrollment IDI20170720003022
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 5

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
83 services79 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.
82 services80 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
24 services23 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
22 services22 patients
Programming of dual lead implantable defibrillator system 93283
Programming of a dual lead implantable defibrillator system involves adjusting settings on a device implanted in your chest. This device monitors your heart rhythm and delivers electrical pulses to correct irregular heartbeats, helping maintain a healthy heart rhythm.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44514 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier13 claims13 services$2,387.97 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 20

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

CARLY RAE TEPSICK FNP-C
Nurse Practitioner (Family)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
NICOLE LYNN SESSER AGACNP-BC
Nurse Practitioner (Acute Care)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
JASON JOSEPH KOENIG NP-C
Nurse Practitioner (Family)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
DR. JOHN D. SCROCCO M.D.
Internal Medicine (Cardiovascular Disease)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
JODI MICSKY CNP
Nurse Practitioner (Primary Care)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
MR. TIMOTHY BYRNES
Internal Medicine (Clinical Cardiac Electrophysiology)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
DR. KWON T. MILLER D.O.
Internal Medicine (Cardiovascular Disease)
715 E WESTERN RESERVE RD
YOUNGSTOWN, OH 44514
Mahoning County (330) 726-3204
DIAGNOSTIC CARDIOLOGY ASSOCIATES
Internal Medicine (Cardiovascular Disease)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204

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 David Klacik's NPI number?

The NPI number for David Klacik is 1306375787. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is David Klacik located?

David Klacik practices at 715 E Western Reserve Rd, Poland, OH 44514. The listed phone number is (330) 726-3204.

What is David Klacik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is David Klacik enrolled in Medicare?

Yes. David Klacik 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 David Klacik accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 3 other insurers list David Klacik 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 David Klacik affiliated with any hospitals?

According to CMS data, David Klacik is affiliated with St Elizabeth Youngstown Hospital.

When was this NPI record last updated?

The NPPES record for David Klacik was last updated on July 21, 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.