ANDREW J PELCZAR (MD) – Surgery Physician, NPI 1578645099
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
826 GENERAL SURGERY in WA
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Provider Addresses for ANDREW J PELCZAR (MD)
Boone Road, Jackson Park, Jackson Park Support Area, Kitsap County, Washington, 98312, United States
BREMERTON, WA 983121894
Phone: (360) 475-4221
Fax: (360) 475-5560
Type: Location
PO BOX 1668
SHELTON, WA 985845001
Phone: (360) 427-9549
Fax: (360) 475-5560
Type: Mailing
1701 N 13TH ST
SHELTON, WA 985842077
Phone: (360) 426-2653
Fax: (360) 475-5560
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2023-05-12 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $13 |
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: 2017-07-07
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 |
|---|---|---|---|---|
| I20170707002334 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 25 | 12 | $0 |
Insurance plans in this area (ZIP 98312)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Interventional Cardiology | AK | |
| - | WA | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Physician Assistant | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | PA | |
| Physician Assistant | WA | |
| Physician Assistant | UT |
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