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WILLIAM S PRZYBYSZ III MD
NPI 1386064723
Family Medicine in Wheeling, WV

Active since April 24, 2014PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
20 MEDICAL PARK, SUITE 301, WHEELING, WV 26003(304) 277-2992(304) 277-2179 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2022, Feb 7, 2020, Feb 9, 2016 (3 updates tracked since 2016).

About William S Przybysz Iii Md NPPES

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

WILLIAM S PRZYBYSZ III MD (NPI 1386064723) is an individual family medicine provider in Wheeling, West Virginia, licensed in West Virginia (27604) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Barnesville Hospital Association, Inc, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2014).

NPPES Registry Identity

NPI1386064723
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILLIAM S PRZYBYSZ IIICredential: MD
Location Address20 MEDICAL PARK, SUITE 301Wheeling, WV 26003
Mailing Address1 Medical Park, Physician Billing Dept-nttcWheeling, WV 26003 · (304) 243-7181 · Fax (304) 243-7181
Phone(304) 277-2992
Fax(304) 277-2179
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2014
Enumeration DateApril 24, 2014
Last NPPES UpdateSeptember 19, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1386064723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 27604
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

20 MEDICAL PARK, Wheeling, WV 26003
Open in Google Maps ↗

Other Identifiers 1

Medicaid0234766OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, Molina Healthcare.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

William S Przybysz Iii 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 ID3678791092
PECOS Enrollment IDI20170918003490
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 7

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 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.
379 services212 patients
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.
145 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
135 services135 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.
69 services64 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
46 services44 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.
40 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Barnesville Hospital Association, Inc

Critical Access Hospitals · Barnesville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361321
Location639 West Main StreetBarnesville, OH 43713 · Belmont County
Emergency services

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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 claims106 services$6.08 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims72 services$2.06 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers47 claims47 services$15.73 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers13 claims13 services$14.30 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
3 suppliers55 claims56 services$85.49 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 16

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

LAURA MAY MILLER DO
Family Medicine
20 MEDICAL PARK, SUITE 301
WHEELING, WV 26003
Ohio County (304) 243-7074
BYRON L VANPELT MD
Internal Medicine
20 MEDICAL PARK, STE 303
WHEELING, WV 26003
Ohio County (304) 242-4646
KHOURY SURGICAL GROUP, INC.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
20 MEDICAL PARK, SUITE 203
WHEELING, WV 26003
Ohio County (304) 233-2455
DENNIS RICHARD NIESS MD
Family Medicine
20 MEDICAL PARK, SUITE 306
WHEELING, WV 26003
Ohio County (304) 243-7030
CLINT SHEPARD PA-C
Physician Assistant
20 MEDICAL PARK, SUITE 306
WHEELING, WV 26003
Ohio County (304) 243-7030
AMY ELIZABETH PATRICK NP
Nurse Practitioner (Adult Health)
20 MEDICAL PARK, SUITE 102
WHEELING, WV 26003
Ohio County (304) 243-8362
MANISH MONGA MD
Internal Medicine (Hematology & Oncology)
20 MEDICAL PARK, SUITE 202
WHEELING, WV 26003
Ohio County (304) 243-6442
BRADLEY ADAM SCHMITT MD
Family Medicine
20 MEDICAL PARK, SUITE 306
WHEELING, WV 26003
Ohio County (304) 243-7030

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 William Przybysz's NPI number?

The NPI number for William Przybysz is 1386064723. It was assigned to this individual provider in the NPPES registry on April 24, 2014.

Where is William Przybysz located?

William Przybysz practices at 20 Medical Park Suite 301, Wheeling, WV 26003. The listed phone number is (304) 277-2992.

What is William Przybysz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Przybysz enrolled in Medicare?

Yes. William Przybysz 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 William Przybysz accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list William Przybysz 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 William Przybysz affiliated with any hospitals?

According to CMS data, William Przybysz is affiliated with Barnesville Hospital Association, Inc, Reynolds Memorial Hospital and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for William Przybysz was last updated on September 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.