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DR. ROBERT WYSOCKI MD, PHD
NPI 1922569052
Internal Medicine in Indianapolis, IN

Active since March 29, 2019PECOS Enrolled
84.47/100
CMS Quality Rating
1120 W MICHIGAN ST # CL285, INDIANAPOLIS, IN 46202(317) 278-0042 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2023, Nov 4, 2022, Sep 27, 2022 and 2 more (5 updates tracked since 2019).

About Dr. Robert Wysocki Md, Phd NPPES

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

DR. ROBERT WYSOCKI MD, PHD (NPI 1922569052) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (01089988A) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922569052
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ROBERT WYSOCKICredential: MD, PHD
Location Address1120 W MICHIGAN ST # CL285Indianapolis, IN 46202-5209
Mailing Address1120 W Michigan St # Cl285Indianapolis, IN 46202-5209 · (317) 278-0042
Phone(317) 278-0042
Sole ProprietorNo
Enumeration DateMarch 29, 2019
Last NPPES UpdateJune 26, 20235 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1922569052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IN · 01089988A✔ Licensed in NY · 315719
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 315719 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1120 W MICHIGAN ST # CL285, Indianapolis, IN 46202
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Secondary Practice Locations 2

Location 1222 Station Plz N Ste 509Mineola, NY 11501-3893 · Phone (516) 663-0333
Location 2259 1st StMineola, NY 11501-3957 · Phone (516) 663-8962

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Wysocki Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 5

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

ZACHARY BENNETT FULKERSON MD., PHD
Internal Medicine
1120 W MICHIGAN ST # CL285
INDIANAPOLIS, IN 46202
Marion County (317) 278-0042
CORY MARTIN POWERS MD
Internal Medicine (Pulmonary Disease)
1120 W MICHIGAN ST # CL285
INDIANAPOLIS, IN 46202
Marion County (317) 962-2000
MR. MILAN PATEL M.D.
Student in an Organized Health Care Education/Training Program
1120 W MICHIGAN ST # CL285
INDIANAPOLIS, IN 46202
Marion County (317) 278-0042
SACHIN BHARAT SHAH MD
Internal Medicine
1120 W MICHIGAN ST # CL285
INDIANAPOLIS, IN 46202
Marion County (317) 278-0042
MARK STICE
Emergency Medicine
1120 W MICHIGAN ST # CL285
INDIANAPOLIS, IN 46202
Marion County (317) 278-0042

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 Robert Wysocki's NPI number?

The NPI number for Robert Wysocki is 1922569052. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Robert Wysocki located?

Robert Wysocki practices at 1120 W Michigan St # Cl285, Indianapolis, IN 46202. The listed phone number is (317) 278-0042.

What is Robert Wysocki's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert Wysocki enrolled in Medicare?

Yes. Robert Wysocki is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Wysocki was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.