ANDREW J PELCZAR MD
NPI 1578645099
Surgery in Shelton, WA
About Andrew J Pelczar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW J PELCZAR MD (NPI 1578645099) is an individual surgery provider in Shelton, Washington, licensed in Virginia (0101234384) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mason General Hospital & Family Of Clinics, and is a graduate of Johns Hopkins University School Of Medicine (1999).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andrew J Pelczar 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.
Medicare Billing Reassignment
Medicare enrollment records show Andrew Pelczar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Shelton, WA 98584
- Reassigned Medicare billing, Washington enrollment
- 154 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mason General Hospital & Family Of Clinics
Critical Access Hospitals · Shelton, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98584 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SHELTON, WA 98584
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 Andrew Pelczar's NPI number?
The NPI number for Andrew Pelczar is 1578645099. It was assigned to this individual provider in the NPPES registry on October 20, 2006.
Where is Andrew Pelczar located?
Andrew Pelczar practices at 1701 N 13th St, Shelton, WA 98584. The listed phone number is (360) 426-2653.
What is Andrew Pelczar's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Andrew Pelczar enrolled in Medicare?
Yes. Andrew Pelczar 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.
Which organization bills Medicare for Andrew Pelczar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Pelczar reassigns Medicare benefits to Public Hospital District No 1 Of Mason County (Shelton, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Pelczar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Pelczar accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Andrew Pelczar 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 Andrew Pelczar affiliated with any hospitals?
According to CMS data, Andrew Pelczar is affiliated with Mason General Hospital & Family Of Clinics.
When was this NPI record last updated?
The NPPES record for Andrew Pelczar was last updated on November 17, 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.
# Andrew J Pelczar, MD · NPI 1578645099
Surgery physician in Shelton, Washington. Individual provider, active in the CMS NPPES registry since October 20, 2006.
## Identity
- **NPI:** 1578645099 (Entity type: Individual)
- **Enumerated:** October 20, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 0101234384 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1701 N 13TH ST, Shelton, WA 98584-2077
- **Phone:** (360) 426-2653 · **Fax:** (360) 475-5560
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Public Hospital District No 1 Of Mason County (NPI 1063658953, Shelton, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Johns Hopkins University School Of Medicine, class of 1999
## Record status
- **NPPES last updated:** November 17, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1578645099) · Data from the CMS NPPES public registry.