Deactivated NPI 1508953944 Deactivated / Inactive NPI Male Practitioner

Dr. Jacob M Rybczynski , DPM

Podiatrist • Southgate, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jacob Rybczynski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 06, 2006

NPI Deactivation Date August 09, 2023

Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Rybczynski, DPM was a registered Podiatrist practicing in Southgate, MI. Throughout an active medical career spanning 17 years, Dr. Rybczynski provided care at the practice location at 13724 FORT ST until profile deactivation on 2023-08-09.

Historical Medicare Part B clinical services included established patient outpatient office visit, destruction of up to 14 skin growths, simple or single drainage of skin abscess. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

13724 Fort St

Southgate, MI 481951153

Telephone 7342821636

Fax 7342822967

Associated Practice Facility / Clinic

🏢 Jacob M. Rybczynski Dpm Pc Facility NPI 1750570636

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Southgate, MI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.0 Yrs

State Avg: 27.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Southgate, MI (473 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

25.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	278	149	$100.00	$90.97
17110 Destruction of up to 14 skin growths	79	34	$171.00	$114.97
10060 Simple or single drainage of skin abscess	33	26	$186.00	$127.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$145.00	$115.15
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$103.00	$73.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	534	194	$100.00	$92.26
17110 Destruction of up to 14 skin growths	244	51	$171.00	$116.46
10060 Simple or single drainage of skin abscess	130	56	$186.00	$128.85
99202 New patient office or other outpatient visit, typically 20 minutes	83	83	$103.00	$75.64
11721 Removal of fingernails or toenails, 6 or more nails	62	49	$55.00	$45.69
11720 Removal of fingernails or toenails, 1-5 nails	59	57	$50.00	$34.01
73630 X-ray of foot, minimum of 3 views	44	28	$65.00	$28.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$146.00	$130.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$145.00	$116.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails	281	83	$50.00	$34.53
17110 Destruction of up to 14 skin growths	195	46	$145.00	$116.85
99213 Established patient office or other outpatient visit, typically 15 minutes	131	60	$80.00	$79.77
10060 Simple or single drainage of skin abscess	108	44	$170.00	$127.98
11721 Removal of fingernails or toenails, 6 or more nails	97	31	$100.00	$46.15
97597 Removal of tissue from wound, 20.0 sq cm or less	52	14	$125.50	$100.44
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$90.00	$75.81
73630 X-ray of foot, minimum of 3 views	19	16	$55.00	$33.93
73620 X-ray of foot, 2 views	16	13	$55.00	$29.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails	252	85	$50.00	$33.88
17110 Destruction of up to 14 skin growths	193	43	$145.00	$113.43
99213 Established patient office or other outpatient visit, typically 15 minutes	113	63	$80.00	$76.32
10060 Simple or single drainage of skin abscess	108	51	$170.00	$126.39
97597 Removal of tissue from wound, 20.0 sq cm or less	105	18	$125.50	$92.89
11721 Removal of fingernails or toenails, 6 or more nails	89	35	$100.00	$47.46
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$90.00	$79.01
73630 X-ray of foot, minimum of 3 views	37	22	$55.00	$33.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$60.00	$47.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails	367	104	$50.00	$33.61
17110 Destruction of up to 14 skin growths	231	51	$145.00	$110.47
10060 Simple or single drainage of skin abscess	161	67	$170.00	$122.13
11721 Removal of fingernails or toenails, 6 or more nails	124	42	$100.00	$46.52
99213 Established patient office or other outpatient visit, typically 15 minutes	119	71	$80.00	$74.69
97597 Removal of tissue from wound, 20.0 sq cm or less	60	20	$125.50	$87.86
99202 New patient office or other outpatient visit, typically 20 minutes	56	56	$90.00	$77.88
73630 X-ray of foot, minimum of 3 views	55	26	$55.00	$30.56
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	26	14	$100.00	$86.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$60.00	$45.85
11730 Simple separation of fingernail or toenail from nail bed, first nail	21	16	$125.00	$111.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails	392	110	$50.00	$32.57
17110 Destruction of up to 14 skin growths	241	55	$145.00	$108.93
99213 Established patient office or other outpatient visit, typically 15 minutes	184	102	$80.00	$70.48
10060 Simple or single drainage of skin abscess	165	65	$170.00	$117.53
97597 Removal of tissue from wound, 20.0 sq cm or less	130	22	$125.50	$77.24
11721 Removal of fingernails or toenails, 6 or more nails	112	37	$100.00	$45.13
73630 X-ray of foot, minimum of 3 views	71	34	$55.00	$27.96
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$90.00	$74.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	38	$60.00	$43.39
73620 X-ray of foot, 2 views	25	21	$55.00	$25.74
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	25	11	$100.00	$84.12
11730 Simple separation of fingernail or toenail from nail bed, first nail	15	13	$125.00	$105.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails	375	121	$50.00	$31.42
17110 Destruction of up to 14 skin growths	281	75	$145.00	$106.46
99213 Established patient office or other outpatient visit, typically 15 minutes	260	134	$80.00	$71.40
10060 Simple or single drainage of skin abscess	159	65	$170.00	$114.74
97597 Removal of tissue from wound, 20.0 sq cm or less	153	38	$125.50	$72.85
11721 Removal of fingernails or toenails, 6 or more nails	95	35	$100.00	$43.73
73630 X-ray of foot, minimum of 3 views	73	31	$55.00	$28.30
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$90.00	$73.08
J1100 Injection, dexamethasone sodium phosphate, 1 mg	58	14	$10.17	$0.12
64455 Injection of anesthetic and/or steroid drug into foot nerve	51	12	$97.25	$52.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	44	$60.00	$42.68
11730 Simple separation of fingernail or toenail from nail bed, first nail	30	26	$125.00	$100.22
20550 Injection into tendon or ligament	28	16	$133.93	$54.75
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	28	17	$10.18	$6.89
73620 X-ray of foot, 2 views	20	16	$55.00	$25.10
11750 Permanent removal fingernail or toenail	18	17	$300.00	$131.12
73610 X-ray of ankle, minimum of 3 views	13	13	$60.00	$30.68

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License MI 5901000727

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated August 09, 2023

Record deactivated on August 09, 2023

✅

NPI Profile Active March 02, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location March 02, 2010

Registered at 13724 FORT ST, SOUTHGATE, MI 481951153 (Tel: 7342821636)

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Updated Business Mailing Address March 02, 2010

Registered at 13724 FORT ST, SOUTHGATE, MI 481951153 (Tel: 7342821636)

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Provider Name / Credentials Updated March 02, 2010

Recorded as JACOB RYBCZYNSKI, D.P.M.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2010

Podiatrist (License #5901000727 in MI)

🟢

Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508953944

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 06, 2006

Last Update: March 02, 2010

Deactivation Date: August 09, 2023

Update or Correct Profile

Mailing Address

13724 Fort St

Southgate, MI 481951153

Phone: 7342821636

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.