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PAULA SZCZEPANCZYK
NPI 1487096129
Internal Medicine - Endocrinology, Diabetes & Metabolism in Kokomo, IN

Active since July 23, 2013PECOS EnrolledAccepts Medicare Assignment
3509 S REED RD, KOKOMO, IN 46902(765) 776-8550 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paula Szczepanczyk NPPES

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

PAULA SZCZEPANCZYK (NPI 1487096129) is an individual endocrinology, diabetes & metabolism provider in Kokomo, Indiana, licensed in Indiana (01080830A) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and is a graduate of Other (2013).

NPPES Registry Identity

NPI1487096129
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NamePAULA SZCZEPANCZYK
Location Address3509 S REED RDKokomo, IN 46902
Mailing Address263 Farmington AveFarmington, CT 06032-1956
Phone(765) 776-8550
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 23, 2013
Last NPPES UpdateAugust 2, 2018
✔ NPI 1487096129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in IN · 01080830A
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3509 S REED RD, Kokomo, IN 46902
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Paula Szczepanczyk 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 ID5092036202
PECOS Enrollment IDI20180820000698
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 10

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,260 services12 patients
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.
647 services369 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
299 services146 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
253 services181 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
166 services66 patients
Urine microalbumin (protein) analysis 82044
Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.
53 services52 patients

Hospital Affiliations CMS Care Compare 5

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

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150007
Location3500 S Lafountain StKokomo, IN 46902 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Logansport, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150072
Location1101 Michigan AveLogansport, IN 46947 · Cass County
Emergency services Birthing friendly

Woodlawn Hospital

Critical Access Hospitals · Rochester, IN
OwnershipGovernment - Local
CMS Certification Number151313
Location1400 E 9th StRochester, IN 46975 · Fulton County
Emergency services

Dukes Memorial Hospital

Critical Access Hospitals · Peru, IN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number151318
Location275 W 12th StPeru, IN 46970 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46902 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers23 claims298 services$18.46 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers22 claims684 services$2.27 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers18 claims18 services$173.10 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
24 suppliers81 claims295 services$6.24 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers11 claims12 services$2.20 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers27 claims52 services$1.08 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 4

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

MRS. MELISSA ANN PIXLEY APRN
Nurse Practitioner (Family)
3509 S REED RD
KOKOMO, IN 46902
Howard County (765) 776-8550
MEGAN S DAY DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3509 S REED RD
KOKOMO, IN 46902
Howard County (765) 776-8550
BOARD OF TRUSTEES OF HOWARD COMMUNITY HOSPITAL
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3509 S REED RD
KOKOMO, IN 46902
Howard County (765) 453-8550
ZEHRA HAIDER MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3509 S REED RD
KOKOMO, IN 46902
Howard County (765) 453-8550

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 Paula Szczepanczyk's NPI number?

The NPI number for Paula Szczepanczyk is 1487096129. It was assigned to this individual provider in the NPPES registry on July 23, 2013.

Where is Paula Szczepanczyk located?

Paula Szczepanczyk practices at 3509 S Reed Rd, Kokomo, IN 46902. The listed phone number is (765) 776-8550.

What is Paula Szczepanczyk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Paula Szczepanczyk enrolled in Medicare?

Yes. Paula Szczepanczyk 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 Paula Szczepanczyk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Paula Szczepanczyk 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 Paula Szczepanczyk affiliated with any hospitals?

According to CMS data, Paula Szczepanczyk is affiliated with Community Howard Regional Health Inc., Ascension St Vincent Kokomo, Memorial Hospital, Woodlawn Hospital and Dukes Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Paula Szczepanczyk was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.