PETER G PRYZBYLKOWSKI (MD) – Pain Medicine Physician, NPI 1174751929
Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
497 PAIN MANAGEMENT in PA
Provider Addresses for PETER G PRYZBYLKOWSKI (MD)
PO BOX 33465
BELFAST, ME 049150612
Phone: (888) 985-2727
Type: Mailing
9815 ROOSEVELT BLVD STE J
PHILADELPHIA, PA 191141035
Phone: (888) 985-2727
Type: Location
Hospital of the University of Pennsylvania, 3400, Spruce Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States
6 DULLES
PHILADELPHIA, PA 191044238
Phone: (215) 349-8310
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 254 Open Payments records for all available years, with a total value of $203,008.
Total Amount is formed as General ($203,008) + Research ($0) + Ownership ($0) = $203,008.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Vertos Medical, Inc. ($104,019).
Total Amount
$203,008
General + Research + Ownership
Payments
254
Total payment records
General Amount
$203,008
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vertos Medical, Inc. | $104,019 |
| Nevro Corp. | $69,780 |
| Stryker Corporation | $25,011 |
| Ferring Pharmaceuticals Inc. | $2,379 |
| Abbott Laboratories | $357 |
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: 2016-02-29
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 |
|---|---|---|---|---|
| I20140808000430 | I | Pain Management | PA | TBD |
| I20160229000100 | I | Pain Management | NJ | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 3,461 | 176 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,250 | 516 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 251 | 251 | $0 |
| 62323 | Injection of substance into lower spine canal using imaging guidance | 241 | 192 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 180 | 137 | $0 |
Insurance plans in this area (ZIP 04915)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Physical Medicine And Rehabilitation | PA | |
| Nurse Practitioner | PA | |
| Physical Medicine And Rehabilitation | NJ | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | NJ | |
| N E U R O L O G Y | NJ | |
| Anesthesiology, Pain Management | PA | |
| Nurse Practitioner | NJ |
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