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JAKUB WOLOSZYN MD
NPI 1376839449
Surgery in Loma Linda, CA

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
85.18/100
CMS Quality Rating
11175 CAMPUS ST, LOMA LINDA, CA 92350(909) 558-3650 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2019, May 17, 2017 (2 updates tracked since 2017).

About Jakub Woloszyn Md NPPES

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

JAKUB WOLOSZYN MD (NPI 1376839449) is an individual surgery provider in Loma Linda, California, licensed in California (A124914) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (2011).

NPPES Registry Identity

NPI1376839449
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAKUB WOLOSZYNCredential: MD
Location Address11175 CAMPUS STLoma Linda, CA 92350-1700
Mailing Address25865 Barton Rd Ste 101Loma Linda, CA 92354-3896 · (214) 729-7191
Phone(909) 558-3650
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2011
Enumeration DateJune 27, 2011
Last NPPES UpdateJuly 24, 20192 updates tracked since enumeration
✔ NPI 1376839449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A124914
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedTransplant SurgeryTaxonomy 204F00000X · License 77814 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11175 CAMPUS ST, Loma Linda, CA 92350
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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

Jakub Woloszyn 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 ID2860612546
PECOS Enrollment IDI20140930002912
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 2

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
60 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92350 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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.

85.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.81
Promoting Interoperability82
Improvement Activities40
Cost64.54

Referred Medical Equipment & Supplies CMS DME claims 7

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers95 claims17,820 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers81 claims38,430 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers64 claims13,200 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers34 claims6,840 services$0.88 avg. paid by Medicare
Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant Q0510
Treatment-Chemotherapy · category RH012N
3 suppliers16 claims16 services$38.45 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
7 suppliers93 claims93 services$18.54 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.

DR. REX TONG HYUN CHUNG M.D.
Surgery (Surgical Critical Care)
11175 CAMPUS ST, RM 21008
LOMA LINDA, CA 92350
San Bernardino County (909) 558-8131
RITA SHETH MD
Pediatrics (Pediatric Nephrology)
11175 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-8242
DARLEY R MAGNO
Student in an Organized Health Care Education/Training Program
11175 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4462
DR. DAVID CABA MOLINA M.D, MS, MPH
Surgery (Surgical Oncology)
11175 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-5939
MANJOT KAUR PA-C
Physician Assistant
11175 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-1000
DR. KRISTEN ANNE HUGHES M.D.
Pediatrics
11175 CAMPUS ST, SUITE 11120
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
RITA ARTOUNIAN MILAGERDI
Physician Assistant
11175 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
PROF. GINA DELIA ROQUE TORRES DDS
Clinic/Center (Dental)
11175 CAMPUS ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-5933

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 Jakub Woloszyn's NPI number?

The NPI number for Jakub Woloszyn is 1376839449. It was assigned to this individual provider in the NPPES registry on June 27, 2011.

Where is Jakub Woloszyn located?

Jakub Woloszyn practices at 11175 Campus St, Loma Linda, CA 92350. The listed phone number is (909) 558-3650.

What is Jakub Woloszyn's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jakub Woloszyn enrolled in Medicare?

Yes. Jakub Woloszyn 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.

When was this NPI record last updated?

The NPPES record for Jakub Woloszyn was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.