DR. TERRY SCOTT KRZNARICH MD
NPI 1467560425
Pathology - Anatomic Pathology & Clinical Pathology in Flint, MI
NPI Status: Active since August 29, 2006
- Individual
- Male
- Pathology
- Anatomic Pathology & Clinical Pathology
- Accepts Insurance
- PECOS Enrolled
About TERRY KRZNARICH
This page provides the complete NPI Profile along with additional information for Terry Krznarich, a provider established in Flint, Michigan with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1467560425 assigned on August 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number 4301059340 (MI). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1467560425
- Provider Name
- DR. TERRY SCOTT KRZNARICH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1 HURLEY PLZ FLINT, MI 48503
- Location Phone
- (810) 262-9134
- Mailing Address
- PO BOX 33321 DRAWER 129 DETROIT, MI 48232
- Mailing Phone
- (800) 288-8325
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-29-2006
- Last Update Date
- 07-16-2013
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301059340
- License State
- MI
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
4071216 | MEDICAID (05) | MI | |
1002470 | OTHER (01) | MI | MCLAREN HEALTH PLAN |
0B56001008 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | |
220024584 | OTHER (01) | MI | RAILROAD MEDICARE |
1002470 | OTHER (01) | MI | MCLAREN HEALTH ADVANTAGE |
G65013 | MEDICARE UPIN (02) | MI | |
36587 | OTHER (01) | MI | COMMUNITY CHOICE MI |
Medicare Participation & PECOS Enrollment Status
Terry Krznarich is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Cell examination of body fluid, smears
Evaluation of fine needle aspirate with interpretation and report
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, moderately high complexity
Pathology examination of tissue using a microscope, moderately low complexity
Preparation of tissue for examination by removing any calcium present
Special stained specimen slides to examine tissue, each additional procedure
Special stained specimen slides to examine tissue, initial procedure
Cell examination of body fluid, or smear, is a laboratory test where a sample of your body fluid is taken. It's then thinly spread on a glass slide and examined under a microscope to check for abnormalities. This can help diagnose various health conditions.
This service was performed 43 times for 32 patientsThis procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
This service was performed 25 times for 15 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 303 times for 202 patientsA pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
This service was performed 48 times for 43 patientsA pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
This service was performed 31 times for 25 patientsThis procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
This service was performed 21 times for 21 patientsSpecial stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
This service was performed 87 times for 20 patientsThis procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
This service was performed 66 times for 60 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48503 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.15
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.68
- Average New Patient Copayment $31.53
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.67
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.09
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 6 | 7 | 5 | 6 | 0 | 4 | 2 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 12 | 7 | 10 | 6 | 0 | 4 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 1 + 2 + 7 + 1 + 0 + 6 + 0 + 4 + 4 + 24 = 55 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 55 = 5 | 5 |
The NPI number 1467560425 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1386622926 | DR. EPIFANIA ARANAS MD Individual | Specialist | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9026 |
1619955259 | DR. WALID ABUHAMMOUR MD Individual | Specialist | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9283 |
1013995158 | DR. ALADDIN ABDEL-RAHMAN MD Individual | Specialist | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9026 |
1023068103 | KAVITA RAJKOTIA M.D. Individual | Radiology (Diagnostic Radiology) | 1 HURLEY PLZ RADIOLOGY DEPARTMENT FLINT, MI 48503 (810) 424-4761 |
1790739068 | SURYA RAO THOTA M.D. Individual | Anesthesiology | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9284 |
1295774800 | MS. EVIA L. MCGEE CRNA Individual | Nurse Anesthetist, Certified Registered | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9000 |
1134159379 | DR. PHILLIP H. HARDY JR. M.D. Individual | Obstetrics & Gynecology | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9000 |
1932130754 | MRS. ANITA G. HARRAND C.N.P. Individual | Nurse Practitioner | 1 HURLEY PLZ FLINT, MI 48503 (810) 262-9000 |
1073539656 | MS. MARGARET EINHEUSER CRNA Individual | Nurse Anesthetist, Certified Registered | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9000 |
1689690109 | MS. TERRI R. WINTERLEE CRNA Individual | Nurse Anesthetist, Certified Registered | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9000 |
1891714515 | MS. JENNIFER J. LARA CRNA Individual | Nurse Anesthetist, Certified Registered | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9000 |
1437160561 | MS. CHERYL J. HOPKINS CRNA Individual | Nurse Anesthetist, Certified Registered | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9000 |
1023029063 | MR. WILLIAM A. BARRON CRNA Individual | Nurse Anesthetist, Certified Registered | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9000 |
1477667905 | MS. DENISE A. FOTENAKES CRNA Individual | Nurse Anesthetist, Certified Registered | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9000 |
1942314489 | MR. JOHN C. GACOSCOS CRNA Individual | Nurse Anesthetist, Certified Registered | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9000 |
1801989181 | MR. NORBERT EDMUND DLUGOKINSKI PA-C Individual | Physician Assistant | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9000 |
1063506335 | SUSUMU INOUE M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 1 HURLEY PLZ 3A-WB FLINT, MI 48503 (810) 762-7303 |
1154419562 | DR. HERNAN F. GOMEZ M.D. Individual | Emergency Medicine (Emergency Medical Services) | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9429 |
1912096447 | DR. ERIC M. BARACH M.D. Individual | Emergency Medicine (Emergency Medical Services) | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9429 |
1629150032 | MR. GEOFFREY P. TAUB CRNA Individual | Nurse Anesthetist, Certified Registered | 1 HURLEY PLZ FLINT, MI 48503 (810) 257-9000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467560425, enumerated in the NPI registry as an "individual" on August 29, 2006
The provider is located at 1 Hurley Plz Flint, Mi 48503 and the phone number is (810) 262-9134
The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.15 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Cell examination of body fluid, smears, Evaluation of fine needle aspirate with interpretation and report, Pathology examination of tissue using a microscope, intermediate complexity, Pathology examination of tissue using a microscope, moderately high complexity, Pathology examination of tissue using a microscope, moderately low complexity, Preparation of tissue for examination by removing any calcium present, Special stained specimen slides to examine tissue, each additional procedure and Special stained specimen slides to examine tissue, initial procedure.
This NPI record was last updated on August 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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