Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARIANNA WORCZAK M.D.
NPI 1609190560
Family Medicine in Hayward, WI

Q: What is Marianna Worczak's NPI number?

The NPI number for Marianna Worczak is 1609190560. It was assigned to this individual provider in the NPPES registry on March 22, 2010.

Q: What is Marianna Worczak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Marianna Worczak was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since March 22, 2010PECOS EnrolledAccepts Medicare Assignment

11040 N STATE ROAD 77, HAYWARD, WI 54843(715) 934-4985(716) 372-6421 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2026, Oct 8, 2025 (2 updates tracked since 2025).

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About Marianna Worczak M.d. NPPES

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

MARIANNA WORCZAK M.D. (NPI 1609190560) is an individual family medicine provider in Hayward, Wisconsin, licensed in Wisconsin (85750) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1609190560

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARIANNA WORCZAKCredential: M.D.

Location Address11040 N STATE ROAD 77Hayward, WI 54843-6391

Mailing Address11040 N State Road 77Hayward, WI 54843-6391 · (715) 934-4985 · Fax (716) 372-6421

Phone(715) 934-4985

Fax(716) 372-6421

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 22, 2010

Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration

NPPES CertifiedAugust 10, 2026

✔ NPI 1609190560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in WI · 85750✔ Licensed in NY · 270703

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11040 N STATE ROAD 77, Hayward, WI 54843

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Other Identifiers 1

Medicaid03643249NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Security Health Plan.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

Marianna Worczak 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 ID2466695069

PECOS Enrollment IDI20130829000713, I20250616002647

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 4

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.

95 services63 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.

83 services80 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

34 services34 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

27 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330250

Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County

Emergency services Birthing friendly

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521336

Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54843 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

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

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$179.11 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.

ASHLAND AUDIOLOGY LLC

Clinic/Center