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KENNETH MROCZEK M.D.
NPI 1407842818
Orthopaedic Surgery in New York, NY

Active since September 21, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
530 FIRST AVENUE, 5 D, NEW YORK, NY 10016(212) 263-3491 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth Mroczek M.d. NPPES

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

KENNETH MROCZEK M.D. (NPI 1407842818) is an individual orthopaedic surgery provider in New York, New York, licensed in New York (210377) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1407842818
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKENNETH MROCZEKCredential: M.D.
Location Address530 FIRST AVENUE, 5 DNew York, NY 10016
Mailing Address530 First Avenue, 5 DNew York, NY 10016 · (212) 263-3491
Phone(212) 263-3491
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 21, 2005
Last NPPES UpdateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1407842818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 210377
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
530 FIRST AVENUE, New York, NY 10016
Open in Google Maps ↗

Other Identifiers 1

Medicaid02168707NY

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

Kenneth Mroczek 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 ID143405795
PECOS Enrollment IDI20110426000628
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 5

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.
50 services44 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.
47 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services11 patients

Hospital Affiliations CMS Care Compare

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

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 3

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$13.17 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$6.11 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier37 claims37 services$79.67 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 11

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

WOON YEE WU
Nurse Practitioner (Family)
530 FIRST AVENUE, HCC SUITE 4H
NEW YORK, NY 10016
New York County (646) 501-0568
PHILIP KANE MOSKOWITZ MD
Internal Medicine
530 FIRST AVENUE, SUITE 4E
NEW YORK, NY 10016
New York County (212) 263-7234
DR. HOWARD GINSBURG M.D.
Surgery
530 FIRST AVENUE, 10 W
NEW YORK, NY 10016
New York County (212) 263-7391
PHILIP K. MOSKOWITZ, MD, PC
Internal Medicine
530 FIRST AVENUE, SUITE 4E
NEW YORK, NY 10016
New York County (212) 263-7234
DR. ANTHONY J GRIECO MD
Internal Medicine
530 FIRST AVENUE, SUITE 4H
NEW YORK, NY 10016
New York County (212) 263-7272
JAMIE P LEVINE MD
Plastic Surgery
530 FIRST AVENUE, SUITE 8Y
NEW YORK, NY 10016
New York County (212) 263-8452
NYU MEDICAL CENTER
General Acute Care Hospital
530 FIRST AVENUE, SUITE9V
NEW YORK, NY 10016
New York County (212) 263-3277
DR. SALVATORE CAVALERI MD
Internal Medicine (Cardiovascular Disease)
530 FIRST AVENUE, SKIRBALL 9U
NEW YORK, NY 10016
New York County (212) 263-7751

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 Kenneth Mroczek's NPI number?

The NPI number for Kenneth Mroczek is 1407842818. It was assigned to this individual provider in the NPPES registry on September 21, 2005.

Where is Kenneth Mroczek located?

Kenneth Mroczek practices at 530 First Avenue 5 D, New York, NY 10016. The listed phone number is (212) 263-3491.

What is Kenneth Mroczek's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kenneth Mroczek enrolled in Medicare?

Yes. Kenneth Mroczek 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 Kenneth Mroczek affiliated with any hospitals?

According to CMS data, Kenneth Mroczek is affiliated with Lenox Hill Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Mroczek was last updated on March 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.