ANDREW THOMAS TKACZUK (M.D.) – Otolaryngology Physician, NPI 1154663748
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
392 OTOLARYNGOLOGY in GA
Provider Addresses for ANDREW THOMAS TKACZUK (M.D.)
510 E PONCE DE LEON AVE APT C
DECATUR, GA 300301971
Phone: (443) 538-3769
Type: Mailing
550 PEACHTREE ST NE FL 9
ATLANTA, GA 30308
Phone: (404) 778-3381
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $231.
Total Amount is formed as General ($231) + Research ($0) + Ownership ($0) = $231.
Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($142).
Total Amount
$231
General + Research + Ownership
Payments
2
Total payment records
General Amount
$231
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fisher & Paykel Healthcare Inc | $142 |
| Inspire Medical Systems, Inc. | $88 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-07-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180817002136 | I | Otolaryngology | GA | TBD |
| I20250708002750 | I | Otolaryngology | SC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | 187 | 96 | $0 |
| 31579 | Exam to assess movement of vocal cord flaps using an endoscope | 101 | 86 | $0 |
| 92524 | Analysis of voice and resonance production | 86 | 82 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 84 | 84 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 61 | $0 |
Insurance plans in this area (ZIP 30030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| Internal Medicine | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| A L L E R G Y/ I M M U N O L O G Y | GA | |
| Physician Assistant | GA | |
| Qualified Audiologist | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| O T O L A R Y N G O L O G Y | GA |
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