DR. ANDY JEDRZEJCZYK (M.D.) – Diagnostic Radiology Physician, NPI 1215318217
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,262 DIAGNOSTIC RADIOLOGY in WA
Provider Addresses for DR. ANDY JEDRZEJCZYK (M.D.)
203 S Western Ave
Tonasket, WA 988558803
Phone: (509) 486-2151
Fax: (509) 223-1640
Type: Location
3355 OLD WEYMOUTH RD
MEDINA, OH 442569206
Phone: (216) 470-8120
Type: Mailing
18101 OAKWOOD BLVD
DEARBORN, MI 481244089
Phone: (313) 593-7000
Type: Location
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 $10,655.
Total Amount is formed as General ($10,655) + Research ($0) + Ownership ($0) = $10,655.
Last reported payment date: 2024-03-13 • Largest payer in this snapshot: GE HEALTHCARE ($10,655).
Total Amount
$10,655
General + Research + Ownership
Payments
5
Total payment records
General Amount
$10,655
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GE HEALTHCARE | $10,655 |
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: 2025-01-10
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 |
|---|---|---|---|---|
| I20200702002050 | I | Diagnostic Radiology | OH | TBD |
| I20250110002594 | I | Diagnostic Radiology | WA | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 419 | 390 | $0 |
| 71046 | X-ray of chest, 2 views | 103 | 103 | $0 |
| 72197 | Mri scan of pelvis before and after contrast | 82 | 82 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 81 | 79 | $0 |
| 70450 | Ct scan head or brain without contrast | 74 | 74 | $0 |
Insurance plans in this area (ZIP 98855)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WA | |
| - | WA | |
| Diagnostic Radiology | WA | |
| - | WA | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | WA | |
| Diagnostic Radiology | TN |
Reviews
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