DR. MARIUSZ KAJETAN WRZOSEK (D.M.D., M.D.) – Oral and Maxillofacial Surgery (Dentist), NPI 1144274853
Oral and Maxillofacial Surgery (Dentist)
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Profile Insights
NPPES metrics only — not quality of care.
56 ORAL SURGERY in IL
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Provider Addresses for DR. MARIUSZ KAJETAN WRZOSEK (D.M.D., M.D.)
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
MAYWOOD, IL 601533328
Phone: (708) 216-3678
Fax: (708) 216-8966
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $1,314.
Total Amount is formed as General ($1,314) + Research ($0) + Ownership ($0) = $1,314.
Last reported payment date: 2023-10-10 • Largest payer in this snapshot: Synthes GmbH ($1,273).
Total Amount
$1,314
General + Research + Ownership
Payments
5
Total payment records
General Amount
$1,314
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Synthes GmbH | $1,273 |
| DePuy Synthes Sales Inc. | $42 |
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: 2015-09-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20150910002360 | I | Oral Surgery | IL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 48 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 48 | 48 | $0 |
| 70355 | X-ray of lower jaws, upper jaws and teeth | 30 | 29 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 29 | 27 | $0 |
Insurance plans in this area (ZIP 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery | IL | |
| Maxillofacial Surgery, Oral Surgery, Pathology | IL |
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