Peter G Pryzbylkowski, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

MD449082 Issued in PA

Practice address

9815 Roosevelt Blvd Ste J
Philadelphia, PA 19114-1035

Phone

(888) 985-2727

NPI assigned

Jun 30, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Pain ManagementAlso: Anesthesiology

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Spine and Pain LLCGroup PAC ID 0648358234, 43 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.69 of 100Reported as group

Quality

69.54

Promoting interoperability

95

Improvement activities

40

Cost

75.44

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peter.pryzbylkowski.1@11679.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Spine and Pain LLC

  dba Relievus

  • Interventional Pain Medicine Physician
  • Hammonton, NJ
  • NPI 1730359084

  PA

  Medicare reassignment Care Compare group NPD
• University of Penn-Medical Group

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1235527342
  Medicare reassignment NPD
• Advanced Spine and Pain, LLC

  • Pain Medicine Physician
  • Phoenixville, PA
  • NPI 1740996586
  NPD
• University of Penn-Medical Group

  • Pain Medicine (Anesthesiology) Physician
  • Philadelphia, PA
  • NPI 1306234414
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD
• Advanced Spine and Pain, LLC

  dba Relievus

  • Pain Medicine Physician
  • Egg Harbor Township, NJ
  • NPI 1447885116
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1174751929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33465",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150612",
            "telephone_number": "888-985-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 ROOSEVELT BLVD STE J",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141035",
            "telephone_number": "888-985-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYZBYLKOWSKI",
        "first_name": "PETER",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD449082",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "PA",
            "license": "MD449082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel A Pryma, MD
• Brian Alan Pryor, D.O.
• Darren Pryor
• Zachary Joseph Pryor, MD
• Ruslan Prytkov, DMD
• Jennifer Przewoznik, LSW
• Matthew Przybylo, PHARMD
• Ashley Przywitowski
• Achilleas C Psillos, MA
• Allyson Psillos, OTR/L

• Pain Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pain Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.