DR. DAVID GERARD RZEPCZYNSKI M.D.
NPI 1497862817
Internal Medicine - Gastroenterology in Elkhorn, WI

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
W3985 COUNTY ROAD NN, ELKHORN, WI 53121(262) 741-2000 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Gerard Rzepczynski M.d. NPPES

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

DR. DAVID GERARD RZEPCZYNSKI M.D. (NPI 1497862817) is an individual gastroenterology provider in Elkhorn, Wisconsin, licensed in Wisconsin (74250) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Saint James Hospital, and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1497862817
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. DAVID GERARD RZEPCZYNSKICredential: M.D.
Location AddressW3985 COUNTY ROAD NNElkhorn, WI 53121-4337
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (414) 389-2131
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1980
Enumeration DateAugust 23, 2006
Last NPPES UpdateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
NPI 1497862817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in WI · 74250 Licensed in IL · 036-063747
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
W3985 COUNTY ROAD NN, Elkhorn, WI 53121

Secondary Practice Location 1

Location 11701 E College AveBloomington, IL 61704-2101 · Phone (309) 664-4040 · Fax (309) 664-3350

Other Identifiers 1

Medicaid036-063747IL

Accepted 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

Dr. David Gerard Rzepczynski 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 ID1850380007
PECOS Enrollment IDI20040511001561
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.

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.
35 services35 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
25 services24 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.
20 services18 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.
19 services18 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
17 services17 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53121 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 2

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

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims4,708 services$0.37 avg. paid by Medicare
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims336 services$0.59 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.

Student in an Organized Health Care Education/Training Program
W3985 COUNTY ROAD NN
ELKHORN, WI 53121
Nurse Anesthetist, Certified Registered
W3985 COUNTY ROAD NN
ELKHORN, WI 53121
Nurse Practitioner
W3985 COUNTY ROAD NN
ELKHORN, WI 53121
Preventive Medicine (Undersea and Hyperbaric Medicine)
W3985 COUNTY ROAD NN
ELKHORN, WI 53121
Hospitalist
W3985 COUNTY ROAD NN
ELKHORN, WI 53121
Physical Therapist
W3985 COUNTY ROAD NN
ELKHORN, WI 53121
Registered Nurse (Diabetes Educator)
W3985 COUNTY ROAD NN
ELKHORN, WI 53121
Pharmacist
W3985 COUNTY ROAD NN
ELKHORN, WI 53121

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 David Rzepczynski's NPI number?

The NPI number for David Rzepczynski is 1497862817. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is David Rzepczynski located?

David Rzepczynski practices at W3985 County Road Nn, Elkhorn, WI 53121. The listed phone number is (262) 741-2000.

What is David Rzepczynski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is David Rzepczynski enrolled in Medicare?

Yes. David Rzepczynski 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 David Rzepczynski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list David Rzepczynski 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 David Rzepczynski affiliated with any hospitals?

According to CMS data, David Rzepczynski is affiliated with Saint James Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for David Rzepczynski was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.