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ANDREW THOMAS SZAFLARSKI M.D.
NPI 1366695363
Obstetrics & Gynecology in Crossville, TN

Active since November 04, 2008PECOS EnrolledAccepts Medicare Assignment
49 CLEVELAND ST STE 300, CROSSVILLE, TN 38555(931) 459-7911(865) 374-1039 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2025, Mar 7, 2025, Jun 23, 2020 and 1 more (4 updates tracked since 2016).

About Andrew Thomas Szaflarski M.d. NPPES

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

ANDREW THOMAS SZAFLARSKI M.D. (NPI 1366695363) is an individual obstetrics & gynecology provider in Crossville, Tennessee, licensed in Tennessee (48543) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1366695363
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameANDREW THOMAS SZAFLARSKICredential: M.D.
Location Address49 CLEVELAND ST STE 300Crossville, TN 38555-2854
Mailing Address49 Cleveland St Ste 340Crossville, TN 38555-2854 · (865) 331-1720
Phone(931) 459-7911
Fax(865) 374-1039
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 4, 2008
Last NPPES UpdateDecember 3, 20254 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1366695363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TN · 48543
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
49 CLEVELAND ST STE 300, Crossville, TN 38555
Open in Google Maps ↗

Other Identifiers 1

Medicaid1529378TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Thomas Szaflarski M.d. 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 ID5890941447
PECOS Enrollment IDI20120821000912
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Andrew Szaflarski reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Covenant Medical Group, Inc.
49 mi
Family Medicine
1420 CENTERPOINT BLVD
Knoxville, TN 37932
  • Reassigned Medicare billing, Tennessee enrollment
  • 504 clinicians in this Medicare group
NPI 1457302010 (865) 374-5200
Fort Sanders Perinatal Center
61 mi
Maternal & Fetal Medicine
501 19TH ST, STE 304
Knoxville, TN 37916
  • Reassigned Medicare billing, Tennessee enrollment
  • 89 clinicians in this Medicare group
NPI 1003811381 (865) 541-2020
Regional Obstetrical Consultants PC
64 mi
Maternal & Fetal Medicine
902 MCCALLIE AVE
Chattanooga, TN 37403
  • Reassigned Medicare billing, Tennessee enrollment
  • 45 clinicians in this Medicare group
NPI 1861485146 (423) 664-4460
Columbia St. Mary's Hospital Milwaukee, Inc
514 mi
Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1023064482 (414) 585-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38555 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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

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

MRS. MAKENZIE BROOKE TABOR MSN, APRN, WHNP-BC
Nurse Practitioner (Women's Health)
49 CLEVELAND ST STE 300
CROSSVILLE, TN 38555
Cumberland County (931) 459-7911

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 Szaflarski's NPI number?

The NPI number for Andrew Szaflarski is 1366695363. It was assigned to this individual provider in the NPPES registry on November 4, 2008.

Where is Andrew Szaflarski located?

Andrew Szaflarski practices at 49 Cleveland St Ste 300, Crossville, TN 38555. The listed phone number is (931) 459-7911.

What is Andrew Szaflarski's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Andrew Szaflarski enrolled in Medicare?

Yes. Andrew Szaflarski 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.

Which organizations bill Medicare for Andrew Szaflarski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Szaflarski reassigns Medicare benefits to 4 organizations: Covenant Medical Group, Inc. (Knoxville, TN), Fort Sanders Perinatal Center (Knoxville, TN), Regional Obstetrical Consultants PC (Chattanooga, TN) and Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Szaflarski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Szaflarski accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter of Alabama and 4 other insurers list Andrew Szaflarski 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 Andrew Szaflarski affiliated with any hospitals?

According to CMS data, Andrew Szaflarski is affiliated with Cumberland Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Szaflarski was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.