ROBERT A. BAZYLAK (M.D.) – Family Medicine Physician, NPI 1285614263

ROBERT A. BAZYLAK (M.D.) is a healthcare provider. based in Conneaut lake, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD014601E (PA). The NPI Number for ROBERT A. BAZYLAK (M.D.) is 1285614263

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT A. BAZYLAK (M.D.)
NPI
1285614263
Phone
(814) 382-0221
Address
12387 CONNEAUT LAKE RD
Enumeration Date
18 January 2006
Last Update Date
27 January 2017

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
8143734298
Graduation Year
1972 (54 years ago)
PAC ID
2961416292
Group Practice PAC ID
0244452258
Professional Enrollment ID
I20060126000049
Address ID
PA163164203CO12387RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

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Provider Addresses for ROBERT A. BAZYLAK (M.D.)

  • Conneaut Lake Road, Conneaut Lakeshore, Sadsbury Township, Crawford County, Pennsylvania, 16316, United States

    CONNEAUT LAKE, PA 163164203

    Phone: (814) 382-0221

    Fax: (814) 382-0231

    Type: Mailing

  • Meadville Medical Center Grove Street, 1034, Grove Street, Neason Hill, Meadville, Crawford County, Pennsylvania, 16335, United States

    MEADVILLE, PA 163352945

    Phone: (814) 373-4233

    Fax: (814) 724-2196

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 271 Open Payments records for all available years, with a total value of $5,291.

Total Amount is formed as General ($5,291) + Research ($0) + Ownership ($0) = $5,291.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($682).

Total Amount

$5,291

General + Research + Ownership

Payments

271

Total payment records

General Amount

$5,291

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-01-26

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060126000049IFamily PracticePATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample196126$0
99213Established patient office or other outpatient visit, 20-29 minutes153116$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit147147$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month10617$0
G0444Annual depression screening, 5 to 15 minutes105105$0
View full utilization report →

Insurance plans in this area (ZIP 16316)

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Provider's Procedures

ROBERT A. BAZYLAK (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEPA81002Urinalysis, manual test2020

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244452258View full group profile
NameSpecialtyState
Internal MedicinePA
Family PracticePA
Internal MedicinePA
Family PracticePA
Family PracticePA
Family PracticePA
Internal MedicineOH
Internal MedicineOH
Family PracticePA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What is ROBERT A. BAZYLAK (M.D.)'s NPI number?
ROBERT A. BAZYLAK (M.D.)'s NPI is 1285614263 — the number used across U.S. healthcare to identify this provider.
Is ROBERT A. BAZYLAK (M.D.) still an active registrant?
ROBERT A. BAZYLAK (M.D.) carries an active NPI according to the public dataset.
What clinical focus is listed for ROBERT A. BAZYLAK (M.D.)?
At a glance, ROBERT A. BAZYLAK (M.D.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ROBERT A. BAZYLAK (M.D.) associated with Conneaut Lake?
Public fields place ROBERT A. BAZYLAK (M.D.) around Conneaut Lake, Pennsylvania. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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