LEOCADIA T PRAWDZIK MD
NPI 1346218104
Internal Medicine in Hazleton, PA

Active since March 09, 2006PECOS EnrolledAccepts Medicare Assignment
22.23/100
CMS Quality Rating
1090 N CHURCH ST, HAZLETON, PA 18202(570) 459-1485(570) 459-6354 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Leocadia T Prawdzik Md NPPES

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

LEOCADIA T PRAWDZIK MD (NPI 1346218104) is an individual internal medicine provider in Hazleton, Pennsylvania, licensed in Pennsylvania (MD039665L) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1346218104
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLEOCADIA T PRAWDZIKCredential: MD
Location Address1090 N CHURCH STHazleton, PA 18202-1446
Mailing Address1090 N Church StHazleton, PA 18202-1446 · (570) 459-1485 · Fax (570) 459-6354
Fax(570) 459-6354
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateMarch 9, 2006
Last NPPES UpdateDecember 17, 2009
NPI 1346218104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD039665L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1090 N CHURCH ST, Hazleton, PA 18202

Other Identifiers 2

Medicare UPINB41774
Medicare ID-Type Unspecified435009PA

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

Leocadia T Prawdzik Md 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 ID2668554775
PECOS Enrollment IDI20100924000772
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 14

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
216 services63 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.
131 services81 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
93 services44 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
75 services39 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.
58 services45 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
39 services37 patients

Hospital Affiliations CMS Care Compare 4

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18202 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

22.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality20
Improvement Activities0
Cost23.07

Referred Medical Equipment & Supplies CMS DME claims 22

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers43 claims92 services$5.54 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers24 claims30 services$1.08 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each A4414
DME-Orthotic Devices · category DF010N
1 supplier13 claims260 services$4.75 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
2 suppliers12 claims596 services$6.32 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier13 claims260 services$2.61 avg. paid by Medicare
Ostomy pouch, urinary; with barrier attached (1 piece), each A5071
DME-Orthotic Devices · category DF010N
1 supplier13 claims260 services$5.80 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 7

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

Internal Medicine
1090 N CHURCH ST
HAZLETON, PA 18202
Nurse Practitioner (Family)
1090 N CHURCH ST
HAZLE TOWNSHIP, PA 18202
Podiatrist (Primary Podiatric Medicine)
1090 N CHURCH ST
HAZLETON, PA 18202
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1090 N CHURCH ST, 200 HAZLETON PROFESSIONAL PLAZA
HAZLE TOWNSHIP, PA 18202
Nurse Practitioner (Family)
1090 N CHURCH ST
HAZLE TOWNSHIP, PA 18202
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1090 N CHURCH ST, 200 HAZLETON PROFESSIONAL PLAZA
HAZLE TOWNSHIP, PA 18202
Internal Medicine
1090 N CHURCH ST
HAZLETON, PA 18202

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 Leocadia Prawdzik's NPI number?

The NPI number for Leocadia Prawdzik is 1346218104. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Leocadia Prawdzik located?

Leocadia Prawdzik practices at 1090 N Church St, Hazleton, PA 18202. The listed phone number is (570) 459-1485.

What is Leocadia Prawdzik's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Leocadia Prawdzik enrolled in Medicare?

Yes. Leocadia Prawdzik 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.

Is Leocadia Prawdzik affiliated with any hospitals?

According to CMS data, Leocadia Prawdzik is affiliated with Geisinger Medical Center, St Luke's Miners Memorial Hospital, Lehigh Valley Hospital - Hazleton and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Leocadia Prawdzik was last updated on December 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.