DR. SUSAN LYASKO KLUGEWICZ M.D.
NPI 1992763981
Pediatrics in Elizabethton, TN

Q: What is Susan Klugewicz's NPI number?

The NPI number for Susan Klugewicz is 1992763981. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Q: What is Susan Klugewicz's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Klugewicz was last updated on September 12, 2018. 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.

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment

88.95/100

CMS Quality Rating

1500 W ELK AVE, ELIZABETHTON, TN 37643(423) 543-2584(423) 722-2060 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2018, Jul 27, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Susan Lyasko Klugewicz M.d. NPPES

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

DR. SUSAN LYASKO KLUGEWICZ M.D. (NPI 1992763981) is an individual pediatrics provider in Elizabethton, Tennessee, licensed in Tennessee (MD45116) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Johnson City, and is a graduate of University Of Cincinnati College Of Medicine (1991).

NPPES Registry Identity

NPI1992763981

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SUSAN LYASKO KLUGEWICZCredential: M.D.

Location Address1500 W ELK AVEElizabethton, TN 37643

Mailing Address401 E Main StJohnson City, TN 37601-4877 · (423) 929-2584 · Fax (423) 722-2060

Phone(423) 543-2584

Fax(423) 722-2060

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1991

Enumeration DateMay 2, 2006

Last NPPES UpdateSeptember 12, 20184 updates tracked since enumeration

✔ NPI 1992763981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in TN · MD45116✔ Licensed in FL · ME78055

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1500 W ELK AVE, Elizabethton, TN 37643

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Secondary Practice Location 1

Location 1401 E Main StJohnson City, TN 37601-4877 · Phone (423) 929-2584 · Fax (423) 722-2060

Other Identifiers 1

Medicaid1514567TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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. Susan Lyasko Klugewicz 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 ID3476786872

PECOS Enrollment IDI20140509002005

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 37643 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

88.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.22

Promoting Interoperability

Improvement Activities

Cost

86.62

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.

TERESA L PAYNE NP

Nurse Practitioner (Family)