DR. TERRY SCOTT KRZNARICH MD
NPI 1467560425
Pathology - Anatomic Pathology & Clinical Pathology in Flint, MI

NPI Status: Active since August 29, 2006

Contact Information

1 HURLEY PLZ
FLINT, MI
ZIP 48503
Phone: (810) 262-9134

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  • Individual
  • Male
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • PECOS Enrolled

About TERRY KRZNARICH

This page provides the complete NPI Profile along with additional information for Terry Krznarich, a provider established in Flint, Michigan with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1467560425 assigned on August 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number 4301059340 (MI). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1467560425
Provider Name
DR. TERRY SCOTT KRZNARICH MD
Gender
Male
Entity Type
Individual
Location Address
1 HURLEY PLZ FLINT, MI 48503
Location Phone
(810) 262-9134
Mailing Address
PO BOX 33321 DRAWER 129 DETROIT, MI 48232
Mailing Phone
(800) 288-8325
Mailing Fax
Is Sole Proprietor?
No
Enumeration Date
08-29-2006
Last Update Date
07-16-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
License No.
4301059340
License State
MI
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
4071216MEDICAID (05)MI 
1002470OTHER (01)MIMCLAREN HEALTH PLAN
0B56001008MEDICARE ID-TYPE UNSPECIFIED (04)MI 
220024584OTHER (01)MIRAILROAD MEDICARE
1002470OTHER (01)MIMCLAREN HEALTH ADVANTAGE
G65013MEDICARE UPIN (02)MI 
36587OTHER (01)MICOMMUNITY CHOICE MI

Medicare Participation & PECOS Enrollment Status

Terry Krznarich is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Cell examination of body fluid, smears

Cell examination of body fluid, or smear, is a laboratory test where a sample of your body fluid is taken. It's then thinly spread on a glass slide and examined under a microscope to check for abnormalities. This can help diagnose various health conditions.

This service was performed 43 times for 32 patients

Evaluation of fine needle aspirate with interpretation and report

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

This service was performed 25 times for 15 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 303 times for 202 patients

Pathology examination of tissue using a microscope, moderately high complexity

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

This service was performed 48 times for 43 patients

Pathology examination of tissue using a microscope, moderately low complexity

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

This service was performed 31 times for 25 patients

Preparation of tissue for examination by removing any calcium present

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

This service was performed 21 times for 21 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 87 times for 20 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 66 times for 60 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48503 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.15
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.68
  • Average New Patient Copayment $31.53
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.67

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.09
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1467560425, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 1 + 0 + 6 + 0 + 4 + 4 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1467560425.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
1 HURLEY PLZ
FLINT, MI 48503
Specialist
1 HURLEY PLZ
FLINT, MI 48503
Specialist
1 HURLEY PLZ
FLINT, MI 48503
Radiology (Diagnostic Radiology)
1 HURLEY PLZ, RADIOLOGY DEPARTMENT
FLINT, MI 48503
Anesthesiology
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Obstetrics & Gynecology
1 HURLEY PLZ
FLINT, MI 48503
Nurse Practitioner
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Physician Assistant
1 HURLEY PLZ
FLINT, MI 48503
Pediatrics (Pediatric Hematology-Oncology)
1 HURLEY PLZ, 3A-WB
FLINT, MI 48503
Emergency Medicine (Emergency Medical Services)
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503
Nurse Anesthetist, Certified Registered
1 HURLEY PLZ
FLINT, MI 48503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467560425, enumerated as an "individual" on August 29, 2006.

The provider is located at 1 HURLEY PLZ FLINT, MI 48503 and the phone number is (810) 262-9134.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.