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DR. DEREK D KAZNOSKI M.D.
NPI 1689675027
Obstetrics & Gynecology - Gynecology in Martinsburg, WV

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
1178 SHEPHERDSTOWN RD, MARTINSBURG, WV 25404(304) 264-9332 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Derek D Kaznoski M.d. NPPES

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

DR. DEREK D KAZNOSKI M.D. (NPI 1689675027) is an individual gynecology provider in Martinsburg, West Virginia, licensed in West Virginia (23323) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of West Virginia University School Of Medicine (1997).

NPPES Registry Identity

NPI1689675027
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. DEREK D KAZNOSKICredential: M.D.
Location Address1178 SHEPHERDSTOWN RDMartinsburg, WV 25404-0500
Mailing Address1178 Shepherdstown RdMartinsburg, WV 25404-0500 · (304) 264-9332
Phone(304) 264-9332
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1997
Enumeration DateAugust 9, 2005
Last NPPES UpdateFebruary 4, 2013
✔ NPI 1689675027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in WV · 23323
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1178 SHEPHERDSTOWN RD, Martinsburg, WV 25404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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. Derek D Kaznoski 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 ID5890765721
PECOS Enrollment IDI20090604000356
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 11

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 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.
279 services151 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
133 services81 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
96 services73 patients
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.
60 services60 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
37 services37 patients
Complex measurement of pressure of urine flow in bladder with urethra pressure studies 51727
This procedure measures the pressure in your bladder as it fills and empties. It helps to assess how well your bladder and urinary passage work together. It involves the use of small tubes and sensors, ensuring a safe and thorough evaluation.
36 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25404 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%90 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

CHARLES JONATHAN BRIGHT DDS
Dentist (General Practice)
1178 SHEPHERDSTOWN RD
MARTINSBURG, WV 25404
Berkeley County (304) 267-7815
DR. SHANA R KAZNOSKI D.O.
Pediatrics
1178 SHEPHERDSTOWN RD
MARTINSBURG, WV 25404
Berkeley County (304) 264-9332

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 Derek Kaznoski's NPI number?

The NPI number for Derek Kaznoski is 1689675027. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Derek Kaznoski located?

Derek Kaznoski practices at 1178 Shepherdstown Rd, Martinsburg, WV 25404. The listed phone number is (304) 264-9332.

What is Derek Kaznoski's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Derek Kaznoski enrolled in Medicare?

Yes. Derek Kaznoski 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 Derek Kaznoski accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Derek Kaznoski 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 Derek Kaznoski affiliated with any hospitals?

According to CMS data, Derek Kaznoski is affiliated with Berkeley Medical Center and Jefferson Medical Center.

When was this NPI record last updated?

The NPPES record for Derek Kaznoski was last updated on February 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.