DR. JOHN ANTHONY LAPCZYNSKI D.O.
NPI 1780947804
Emergency Medicine in Annapolis, MD
NPI Status: Active since June 22, 2012
Contact Information
2001 MEDICAL PKWY
ANNAPOLIS, MD
ZIP 21401
Phone: (443) 481-1293
- Individual
- Male
- Years of Experience 14
- Emergency Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About JOHN LAPCZYNSKI
This page provides the complete NPI Profile along with additional information for John Lapczynski, a provider established in Annapolis, Maryland with a medical specialization in Emergency Medicine and more than 14 years of experience. He graduated from University Of New England, College Of Osteo Medicine in 2012. The healthcare provider is registered in the NPI registry with number 1780947804 assigned on June 2012. The practitioner's primary taxonomy code is 207P00000X with license number H80870 (MD). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1780947804
- Provider Name
- DR. JOHN ANTHONY LAPCZYNSKI D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2001 MEDICAL PKWY ANNAPOLIS, MD 21401
- Location Phone
- (443) 481-1293
- Mailing Address
- 2001 MEDICAL PKWY ANNAPOLIS, MD 21401
- Medical School Name
- UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
- Graduation Year
- 2012
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-22-2012
- Last Update Date
- 12-22-2023
- 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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- H80870
- License State
- MD
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Medicare Participation & PECOS Enrollment Status
John Lapczynski is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
John Lapczynski 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
PECOS PAC ID: 5698079069
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20160921000939
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of mild to moderate severity
Emergency department visit for problem of moderate severity
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 186 times for 184 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 258 times for 255 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 290 times for 287 patientsAn emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
This service was performed 35 times for 35 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 28 times for 28 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $23.52 for a new patient copayment and $26.64 for an established patient copayment.
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 21401 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $94.08
- Minimum New Patient Price $60.73
- Maximum New Patient Price $183.44
- Average New Patient Copayment $23.52
- Minimum New Patient Copayment $15.18
- Maximum New Patient Copayment $45.86
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $106.59
- Minimum Established Patient Price $19.6
- Maximum Established Patient Price $149.17
- Average Established Patient Copayment $26.64
- Minimum Established Patient Copayment $4.9
- Maximum Established Patient Copayment $37.29
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Practice Improvements for Bilateral Exchange of Patient Information | Yes | N/A |
| Ensure that there is bilateral exchange of necessary patient information to guide patient care, such as Open Notes, that could include one or more of the following: • Participate in a Health Information Exchange if available; and/or • Use structured referral notes. | ||
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | Yes | N/A |
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Lapczynski is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC | 2001 MEDICAL PARKWAY ANNAPOLIS, MD 21401 | (443) 481-1000 | Acute Care Hospitals |
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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 | 7 | 8 | 0 | 9 | 4 | 7 | 8 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 16 | 0 | 18 | 4 | 14 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 6 + 0 + 1 + 8 + 4 + 1 + 4 + 8 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1780947804 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1548269343 | DR. KARL DERIVAS HOLSCHUH MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2001 MEDICAL PKWY 2ND FLOOR DONNER PAVILION ANNAPOLIS, MD 21401 (443) 481-3300 |
| 1295735975 | DR. NANCY F SNOW MD Individual | Internal Medicine | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1992705578 | DR. SUZANNE E. SULLIVAN MD Individual | Internal Medicine | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1194725648 | DR. MOHAMED MOUBAREK MD Individual | Internal Medicine | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1356342778 | DR. JUDY JOSEPH-HERBERT MD Individual | Surgery (Surgical Critical Care) | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1154322352 | DR. OKEOWO D IBITOYE MD Individual | Internal Medicine | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1285636217 | DR. BRIAN E HARVEY MD Individual | Internal Medicine | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1952398950 | DR. LARA L DIMICK-SANTOS MD Individual | Surgery | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1437146420 | DR. GARY J DELLA'ZANNA DO Individual | Surgery | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1164410692 | DR. CRAIG C DEWOLFE MD Individual | Pediatrics | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1770571226 | DR. MICHELE E BRENNER MD Individual | Pediatrics | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1487631057 | DR. ELIZABETH F SHADE MD Individual | Internal Medicine | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1205814951 | DR. BRIAN KEITH KIT MD Individual | Pediatrics | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1851379390 | DR. JEANNE H DEFEO MD Individual | Pediatrics | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1750369294 | DR. KEVIN M MACREADY MD Individual | Pediatrics | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1326027731 | HOLLIS M MISIEWICZ MSN, CRNP Individual | Surgery | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-5300 |
| 1730151689 | DR. ELIZABETH L ROBBINS MD Individual | Pediatrics | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1669446548 | DR. HUNG T DAVIS MD Individual | Internal Medicine | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1285601369 | ANNE ARUNDEL MEDICAL CENTER INC Organization | General Acute Care Hospital | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
| 1679541460 | ANNE ARUNDEL MEDICAL CENTER INC Organization | General Acute Care Hospital | 2001 MEDICAL PKWY ANNAPOLIS, MD 21401 (443) 481-1000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780947804, enumerated in the NPI registry as an "individual" on June 22, 2012
The provider is located at 2001 Medical Pkwy Annapolis, Md 21401 and the phone number is (443) 481-1293
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider has more than 14 years of experience. He graduated from University Of New England, College Of Osteo Medicine in 2012.
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 $94.08 with an average copayment of $23.52 for new patient appointments. Established patients should expect a typical charge of $106.59 and an average copayment of 26.64. 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: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of mild to moderate severity and Emergency department visit for problem of moderate severity.
The practitioner is affiliated to the following hospital(s): LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 22, 2012. 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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