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KIRA L PRZYBYLKO M.D.
NPI 1962474841
Obstetrics & Gynecology in Lawrenceville, NJ

Active since February 03, 2006PECOS EnrolledAccepts Medicare Assignment
95.77/100
CMS Quality Rating
123 FRANKLIN CORNER RD, SUITE 124, LAWRENCEVILLE, NJ 08648(609) 896-1400(609) 896-3986 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kira L Przybylko M.d. NPPES

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

KIRA L PRZYBYLKO M.D. (NPI 1962474841) is an individual obstetrics & gynecology provider in Lawrenceville, New Jersey, licensed in New Jersey (25MA06569800) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Rutgers New Jersey Medical School (1993).

NPPES Registry Identity

NPI1962474841
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKIRA L PRZYBYLKOCredential: M.D.
Location Address123 FRANKLIN CORNER RD, SUITE 124Lawrenceville, NJ 08648-2526
Mailing Address123 Franklin Corner Rd, Suite 124Lawrenceville, NJ 08648-2526 · (609) 896-1400 · Fax (609) 771-0619
Phone(609) 896-1400
Fax(609) 896-3986
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1993
Enumeration DateFebruary 3, 2006
Last NPPES UpdateMay 26, 2021
NPPES CertifiedMay 26, 2021
✔ NPI 1962474841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NJ · 25MA06569800✔ Licensed in NJ · MA065698
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
123 FRANKLIN CORNER RD, Lawrenceville, NJ 08648
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Kira L Przybylko 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 ID8527954700
PECOS Enrollment IDI20060125000658
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
69 services69 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.
68 services51 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
49 services49 patients

Hospital Affiliations CMS Care Compare 4

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
94%402 patients5/55-star benchmark: 93%
Cervical Cancer Screening
99%731 patients5/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
39%137 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
60%561 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
75%138 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
35%55 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
90%1,438 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
81%132 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
46%1,006 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
78%999 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%1,069 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 93% · 927 patients
Patients screened: 97% · 927 patients
33%58 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.

Other Providers at the Same Location NPPES 20

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

MICHAEL ROY DASH M.D.
Internal Medicine
123 FRANKLIN CORNER RD, SUITE 216
LAWRENCEVILLE, NJ 08648
Mercer County (609) 895-6800
MS. KATIE SOTO LAC,LCADC
Counselor (Mental Health)
123 FRANKLIN CORNER RD
LAWRENCEVILLE, NJ 08648
Mercer County (609) 256-4200
STEVEN SUSSMAN M.D.
Obstetrics & Gynecology
123 FRANKLIN CORNER RD, SUITE 214
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-1400
MR. RICHARD TONY KAUFFMAN B.S., M.P.T
Physical Therapist
123 FRANKLIN CORNER RD, SUITE 103
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-9054
KATHLEEN GATER CNM
Advanced Practice Midwife
123 FRANKLIN CORNER RD, SUITE 214
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-1400
ASHLEY MARIE SHEMANSKY APN
Nurse Practitioner (Family)
123 FRANKLIN CORNER RD
LAWRENCE TOWNSHIP, NJ 08648
Mercer County (609) 537-7200
STEVEN PAUL ELLIS M.D.
Ophthalmology
123 FRANKLIN CORNER RD, STE 207
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-9448
INTERNAL MEDICINE ASSOCIATES OF LAWRENCE P C
Internal Medicine
123 FRANKLIN CORNER RD, SUITE 216
LAWRENCEVILLE, NJ 08648
Mercer County (609) 895-6800

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 Kira Przybylko's NPI number?

The NPI number for Kira Przybylko is 1962474841. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Kira Przybylko located?

Kira Przybylko practices at 123 Franklin Corner Rd Suite 124, Lawrenceville, NJ 08648. The listed phone number is (609) 896-1400.

What is Kira Przybylko's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kira Przybylko enrolled in Medicare?

Yes. Kira Przybylko 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 Kira Przybylko accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kira Przybylko 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 Kira Przybylko affiliated with any hospitals?

According to CMS data, Kira Przybylko is affiliated with University Medical Center Of Princeton At Plainsboro, Capital Health Medical Center - Hopewell, Robert Wood Johnson University Hospital At Hamilton and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Kira Przybylko was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.