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DR. KRZYSZTOF KACPRZAK M.D.
NPI 1952364523
Internal Medicine in Webster, MA

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
72 CUDWORTH RD, WEBSTER, MA 01570(508) 461-0011(508) 949-8104 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Krzysztof Kacprzak M.d. NPPES

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

DR. KRZYSZTOF KACPRZAK M.D. (NPI 1952364523) is an individual internal medicine provider in Webster, Massachusetts, licensed in Massachusetts (223405) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1952364523
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KRZYSZTOF KACPRZAKCredential: M.D.
Location Address72 CUDWORTH RDWebster, MA 01570-3157
Mailing Address72 Cudworth RdWebster, MA 01570-3157 · (508) 949-8118 · Fax (508) 461-0013
Phone(508) 461-0011
Fax(508) 949-8104
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateApril 6, 2006
Last NPPES UpdateAugust 27, 2010
✔ NPI 1952364523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 223405
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.
72 CUDWORTH RD, Webster, MA 01570
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Other Identifiers 1

Medicare UPINI28428MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Krzysztof Kacprzak 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 ID7911947957
PECOS Enrollment IDI20050509000925
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 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.
409 services147 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
109 services109 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.
108 services108 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
98 services71 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
91 services91 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.
65 services45 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01570 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost84.53

Reported Quality Measures

Breast Cancer Screening
70%218 patients4/55-star benchmark: 93%
Cervical Cancer Screening
42%321 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
9%759 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
56%666 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
89%371 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
2%130 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
22%143 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%3,608 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
61%265 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
98%386 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
74%851 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%613 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 943 patients
Patients screened: 90% · 980 patients
39%886 patients2/55-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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers23 claims52 services$4.82 avg. paid by Medicare
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
2 suppliers12 claims12 services$209.08 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.

INTER MED ASSOCIATES, P.C.
Internal Medicine (Cardiovascular Disease)
72 CUDWORTH RD
WEBSTER, MA 01570
Worcester County (508) 461-0011
SHEENA SHARMA M.D.
Internal Medicine (Cardiovascular Disease)
72 CUDWORTH RD, INTER MED ASSOCIATES, PC
WEBSTER, MA 01570
Worcester County (508) 461-0011
LINDSEY JAE GIROUX
Internal Medicine
72 CUDWORTH RD
WEBSTER, MA 01570
Worcester County (508) 461-0011
DR. KENNETH FRANK GUARNIERI M.D.
Internal Medicine
72 CUDWORTH RD
WEBSTER, MA 01570
Worcester County (508) 461-0011
DR. ISHWARA SHARMA M.D.
Internal Medicine (Cardiovascular Disease)
72 CUDWORTH RD
WEBSTER, MA 01570
Worcester County (508) 461-0011

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 Krzysztof Kacprzak's NPI number?

The NPI number for Krzysztof Kacprzak is 1952364523. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Krzysztof Kacprzak located?

Krzysztof Kacprzak practices at 72 Cudworth Rd, Webster, MA 01570. The listed phone number is (508) 461-0011.

What is Krzysztof Kacprzak's specialty?

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

Is Krzysztof Kacprzak enrolled in Medicare?

Yes. Krzysztof Kacprzak 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 Krzysztof Kacprzak accept?

Health plans from Anthem Blue Cross and Blue Shield list Krzysztof Kacprzak 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 Krzysztof Kacprzak affiliated with any hospitals?

According to CMS data, Krzysztof Kacprzak is affiliated with Umass Memorial Health - Harrington Hospital, Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Krzysztof Kacprzak was last updated on August 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.