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HALINA PRITULA M.D.
NPI 1912193855
Psychiatry & Neurology - Neurology in Marion, OH

Active since September 24, 2007PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
990 S PROSPECT ST STE 2, MARION, OH 43302(740) 383-7833(740) 387-5244 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2024, Dec 15, 2021 (2 updates tracked since 2021).

About Halina Pritula M.d. NPPES

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

HALINA PRITULA M.D. (NPI 1912193855) is an individual neurology provider in Marion, Ohio, licensed in Ohio (35.091831) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1912193855
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameHALINA PRITULACredential: M.D.
Location Address990 S PROSPECT ST STE 2Marion, OH 43302-6283
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(740) 383-7833
Fax(740) 387-5244
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateSeptember 24, 2007
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1912193855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in OH · 35.091831
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License 35.091831 (OH)
990 S PROSPECT ST STE 2, Marion, OH 43302
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Other Names 1

Former Name (1)Halyna Stechyshyn M.d.

Other Identifiers 2

Other000000568962OH · Anthem
Medicaid2836695OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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

Halina Pritula 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 ID9537233267
PECOS Enrollment IDI20080730000005
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
242 services112 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.
172 services105 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
45 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
32 services32 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
26 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Hardin Memorial Hospital

Critical Access Hospitals · Kenton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361315
Location921 East Franklin StreetKenton, OH 43326 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.45
Promoting Interoperability96.03
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers34 claims34 services$45.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers43 claims43 services$108.33 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers48 claims61 services$36.54 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers27 claims73 services$24.21 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers19 claims62 services$17.51 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers36 claims36 services$71.05 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 3

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

DR. ALEX PERCHUK M.D.
Psychiatry & Neurology (Vascular Neurology)
990 S PROSPECT ST STE 2
MARION, OH 43302
Marion County (740) 383-7833
ASHLEY NICOLE SOWERS NP
Nurse Practitioner (Family)
990 S PROSPECT ST STE 2
MARION, OH 43302
Marion County (740) 383-7833
BRYAN MATTHEW GOUGH M.D.
Psychiatry & Neurology (Neurology)
990 S PROSPECT ST STE 2
MARION, OH 43302
Marion County (740) 383-7833

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 Halina Pritula's NPI number?

The NPI number for Halina Pritula is 1912193855. It was assigned to this individual provider in the NPPES registry on September 24, 2007. The provider is also known as Halyna Stechyshyn M.D..

Where is Halina Pritula located?

Halina Pritula practices at 990 S Prospect St Ste 2, Marion, OH 43302. The listed phone number is (740) 383-7833.

What is Halina Pritula's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Halina Pritula enrolled in Medicare?

Yes. Halina Pritula 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 Halina Pritula accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Halina Pritula 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 Halina Pritula affiliated with any hospitals?

According to CMS data, Halina Pritula is affiliated with Marion General Hospital and Hardin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Halina Pritula was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.