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BRIAN J PRZYBYLOWSKI PA
NPI 1376161877
Physician Assistant - Surgical in Cumberland, MD

Active since July 10, 2020PECOS EnrolledAccepts Medicare Assignment
86.92/100
CMS Quality Rating
12502 WILLOWBROOK RD STE 470, CUMBERLAND, MD 21502(240) 964-8724(240) 964-8735 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 16, 2020, Jul 10, 2020 (2 updates tracked since 2020).

About Brian J Przybylowski Pa NPPES

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

BRIAN J PRZYBYLOWSKI PA (NPI 1376161877) is an individual surgical provider in Cumberland, Maryland, licensed in Maryland (C07669) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and maintains a secondary practice location in Cumberland.

NPPES Registry Identity

NPI1376161877
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRIAN J PRZYBYLOWSKICredential: PA
Location Address12502 WILLOWBROOK RD STE 470Cumberland, MD 21502-6593
Mailing AddressPo Box 1671Cumberland, MD 21501-1671 · (240) 964-8342 · Fax (240) 964-8337
Phone(240) 964-8724
Fax(240) 964-8735
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 10, 2020
Last NPPES UpdateSeptember 16, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
✔ NPI 1376161877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MD · C07669
Also ListedPhysician AssistantTaxonomy 363A00000X · License C07669 (MD)
12502 WILLOWBROOK RD STE 470, Cumberland, MD 21502
Open in Google Maps ↗

Secondary Practice Location 1

Location 112500 Willowbrook RdCumberland, MD 21502-6393 · Phone (240) 964-8724 · Fax (240) 964-8735

Accepted Insurance

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

Brian J Przybylowski Pa 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 ID3678991783
PECOS Enrollment IDI20200922000164
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 6

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 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.
55 services47 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services32 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
14 services14 patients
Removal of blood clot and portion of chest, neck, or brain artery 35301
This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.
14 services14 patients
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.
14 services14 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany 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.

86.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.08
Promoting Interoperability100
Improvement Activities40
Cost80.8

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims16 services$16.02 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims16 services$82.56 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

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

LANA E GRUBB PA-C
Physician Assistant (Surgical)
12502 WILLOWBROOK RD STE 470
CUMBERLAND, MD 21502
Allegany County (240) 964-8724

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 Brian Przybylowski's NPI number?

The NPI number for Brian Przybylowski is 1376161877. It was assigned to this individual provider in the NPPES registry on July 10, 2020.

Where is Brian Przybylowski located?

Brian Przybylowski practices at 12502 Willowbrook Rd Ste 470, Cumberland, MD 21502. The listed phone number is (240) 964-8724.

What is Brian Przybylowski's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Brian Przybylowski enrolled in Medicare?

Yes. Brian Przybylowski 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 Brian Przybylowski accept?

Health plans from CareSource list Brian Przybylowski 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 Brian Przybylowski affiliated with any hospitals?

According to CMS data, Brian Przybylowski is affiliated with Western Maryland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Brian Przybylowski was last updated on September 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.