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DR. ROBERT WOZNIAK M.D.
NPI 1942282470
Internal Medicine - Endocrinology, Diabetes & Metabolism in Rock Hill, SC

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
86.57/100
CMS Quality Rating
410 S HERLONG AVE, SUITE 106, ROCK HILL, SC 29732(803) 329-3899(803) 327-3438 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 6, 2019, Apr 30, 2019 (2 updates tracked since 2019).

About Dr. Robert Wozniak M.d. NPPES

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

DR. ROBERT WOZNIAK M.D. (NPI 1942282470) is an individual endocrinology, diabetes & metabolism provider in Rock Hill, South Carolina, licensed in South Carolina (21019) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1942282470
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. ROBERT WOZNIAKCredential: M.D.
Location Address410 S HERLONG AVE, SUITE 106Rock Hill, SC 29732-8349
Mailing Address410 S Herlong Ave, Suite 106Rock Hill, SC 29732-8349 · (803) 329-3899 · Fax (803) 327-3438
Phone(803) 329-3899
Fax(803) 327-3438
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateNovember 18, 2005
Last NPPES UpdateAugust 6, 20192 updates tracked since enumeration
✔ NPI 1942282470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in SC · 21019
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
410 S HERLONG AVE, Rock Hill, SC 29732
Open in Google Maps ↗

Other Identifiers 3

Other2001726NC · Medicare Legacy
OtherH008727551SC · Medicare Legacy
Medicaid210195SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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. Robert Wozniak 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 ID345153086
PECOS Enrollment IDI20031111000264, I20040427000183
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 9

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.
1,439 services541 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
667 services235 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
576 services214 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.
251 services180 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
218 services197 patients
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.
144 services95 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420002
Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

86.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.58
Promoting Interoperability94
Improvement Activities40
Cost67.67

Reported Quality Measures

Advance Care Plan
0%936 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
96%138 patients5/55-star benchmark: 87%
Colorectal Cancer Screening
3%1,210 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
51%649 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
60%789 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
23%789 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%4,688 patients4/55-star benchmark: 100%
e-Prescribing
98%1,916 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
64%1,801 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%1,735 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 1,357 patients
Patients screened: 99% · 1,357 patients
40%129 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
79%1,099 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%897 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 946 patients
Patients totalRate: 7% · 947 patients
7%947 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
8 suppliers29 claims359 services$17.77 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers28 claims900 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
32 suppliers151 claims531 services$6.34 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers17 claims17 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
18 suppliers48 claims99 services$1.11 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers24 claims24 services$319.14 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 5

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

PHYSICAL THERAPY OF AMERICA, LLC
Physical Therapist
410 S HERLONG AVE
ROCK HILL, SC 29732
York County (803) 283-8442
ROBERT WOZNIAK MD PA
Internal Medicine (Endocrinology, Diabetes & Metabolism)
410 S HERLONG AVE, SUITE 106
ROCK HILL, SC 29732
York County (803) 329-3899
CAROLINA FORENSIC PSYCHIATRY LLC
Specialist
410 S HERLONG AVE, SUITE 105
ROCK HILL, SC 29732
York County (803) 980-2673
DR. DAVID BRIAN NELSON M.D.
General Practice
410 S HERLONG AVE, SUITE 103
ROCK HILL, SC 29732
York County (803) 985-3937
MR. JOHN LEE GARLAND ED.S.,LPC
Counselor (Professional)
410 S HERLONG AVE, SUITE 4-6
ROCK HILL, SC 29732
York County (803) 370-3720

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 Wozniak's NPI number?

The NPI number for Robert Wozniak is 1942282470. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Robert Wozniak located?

Robert Wozniak practices at 410 S Herlong Ave Suite 106, Rock Hill, SC 29732. The listed phone number is (803) 329-3899.

What is Robert Wozniak's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Robert Wozniak enrolled in Medicare?

Yes. Robert Wozniak 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 Robert Wozniak accept?

Health plans from BlueCross BlueShield of South Carolina list Robert Wozniak 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 Robert Wozniak affiliated with any hospitals?

According to CMS data, Robert Wozniak is affiliated with Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Wozniak was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.