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VICTOR A HERESNIAK DO
NPI 1336194596
Emergency Medicine in Chester, PA

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER BLVD, CROZER CHESTER MEDICAL CENTER, CHESTER, PA 19013(215) 447-2000(610) 617-6280 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Victor A Heresniak Do NPPES

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

VICTOR A HERESNIAK DO (NPI 1336194596) is an individual emergency medicine provider in Chester, Pennsylvania, licensed in New Jersey (25MB05928100) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1336194596
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameVICTOR A HERESNIAKCredential: DO
Location Address1 MEDICAL CENTER BLVD, CROZER CHESTER MEDICAL CENTERChester, PA 19013-3902
Mailing AddressPo Box 13973, Han Emergency PhysiciansPhiladelphia, PA 19101-3973 · (800) 666-2455 · Fax (610) 617-6280
Phone(215) 447-2000
Fax(610) 617-6280
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 24, 2006
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedSeptember 27, 2023
✔ NPI 1336194596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NJ · 25MB05928100✔ Licensed in DE · C2-0013340✔ Licensed in PA · OS 008170
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 MEDICAL CENTER BLVD, Chester, PA 19013
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Other Identifiers 2

Medicaid1427270PA
Medicaid5500702NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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

Victor A Heresniak Do 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 ID5193624427
PECOS Enrollment IDI20231106001523, I20260112002522
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
239 services235 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
155 services152 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
66 services64 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Francis Hospital Muskogee

Acute Care Hospitals · Muskogee, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370025
Location300 Rockefeller DriveMuskogee, OK 74401 · Muskogee County
Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370218
Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19013 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

DR. HELEN MCCARTHY DO
Pediatrics
1 MEDICAL CENTER BLVD, POB1, SUITE402
CHESTER, PA 19013
Delaware County (610) 447-6680
DR. ERIC JOHN URNOSKI PHARMD
Pharmacist
1 MEDICAL CENTER BLVD
CHESTER, PA 19013
Delaware County (610) 447-2860
DR. LEONARD F HIRSH MD
Neurological Surgery
1 MEDICAL CENTER BLVD, POB II SUITE 428
CHESTER, PA 19013
Delaware County (610) 874-4044
CROZER ADULT DAY CENTERS - AS
Respite Care
1 MEDICAL CENTER BLVD, SILBERMAN CENTER
UPLAND, PA 19013
Delaware County (610) 447-2935
HEALTH ACCESS NETWORK
Obstetrics & Gynecology
1 MEDICAL CENTER BLVD, ACP #334
CHESTER, PA 19013
Delaware County (610) 872-7660
PROSPECT HEALTH ACCESS NETWORK, INC.
Psychiatry & Neurology (Neurology)
1 MEDICAL CENTER BLVD, ACP STE 533
CHESTER, PA 19013
Delaware County (610) 874-1184
PROSPECT HEALTH ACCESS NETWORK, INC.
Transplant Surgery
1 MEDICAL CENTER BLVD, POB II SUITE 220
CHESTER, PA 19013
Delaware County (610) 619-8420
HANNAH TEPLITZKY DO
Family Medicine
1 MEDICAL CENTER BLVD
CHESTER, PA 19013
Delaware County (610) 447-2000

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 Victor Heresniak's NPI number?

The NPI number for Victor Heresniak is 1336194596. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Victor Heresniak located?

Victor Heresniak practices at 1 Medical Center Blvd Crozer Chester Medical Center, Chester, PA 19013. The listed phone number is (215) 447-2000.

What is Victor Heresniak's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Victor Heresniak enrolled in Medicare?

Yes. Victor Heresniak 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 Victor Heresniak accept?

Health plans from AmeriHealth Caritas Next list Victor Heresniak 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 Victor Heresniak affiliated with any hospitals?

According to CMS data, Victor Heresniak is affiliated with Saint Francis Hospital Muskogee and Saint Francis Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Victor Heresniak was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.