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Active NPI 1003837410 Individual Practitioner Male Practitioner

Dr. Michael Mstislavovich Ivanitsky , MD

Orthopaedic Surgery • Coquille, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Ivanitsky, MD is a certified Orthopaedic Surgery practicing in Coquille, OR. With approximately 33 years of clinical experience since graduating from Mayo Medical School in 1993, Dr. Ivanitsky delivers high-quality medical care to the local community at 940 E 5TH ST.

Dr. Ivanitsky is affiliated with Lower Umpqua Hospital District and accepts Medicare assignment.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee, replacement of thigh bone and hip joint with prosthesis, computer-assisted surgery for muscle and bone procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

940 E 5th St

Coquille, OR 974231699

Telephone 5413963111
Fax 5413968135
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Mayo Medical School

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Coquille, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs Matches City Avg
City Avg: 33.0 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Coquille, OR (360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ivanitsky (33 Years) 33 Yrs
Coquille Specialty Average (33.0 Years) 33.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
27447 Replacement of knee joint, both sides of knee
26 25 $4862.92 $1339.88
27130 Replacement of thigh bone and hip joint with prosthesis
17 17 $4728.00 $1340.57
20985 Computer-assisted surgery for muscle and bone procedure
11 11 $500.00 $145.37

Medical Specialties & State Licenses

CMS Verified: 2020-09-04
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OR MD22589

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
288121 (OR)

Hospital & Practice Group Affiliations

Lower Umpqua Hospital District

600 Ranch Rd, Reedsport, OR 974671720

Phone: 5412712171

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dr. German Ferrer , MD

Family Medicine

NPI 1003391046

Doctor of Medicine (M.D.)

Dr. Nancy Keller , MD

Family Medicine

NPI 1063496602

Doctor of Medicine (M.D.)

Susan Sinnott , MS, LMFT, LD

Marriage & Family Therapist

NPI 1083749394

Master of Science, Licensed Marriage and Family Therapist, Licensed Dietitian

Dr. Megan Holland , MD

Family Medicine

NPI 1184632366

Doctor of Medicine (M.D.)

NPI 1225534597

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. John Brazer , MD

Family Medicine

NPI 1306821731

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location September 04, 2020

Registered at 940 E 5TH ST, COQUILLE, OR 974231699 (Tel: 5413963111)

📍
Updated Business Mailing Address September 04, 2020

Registered at 940 E 5TH ST, COQUILLE, OR 974231666 (Tel: 5413963111)

📍
Updated Practice Location September 25, 2018

Registered at 790 E 5TH ST, COQUILLE, OR 97423 (Tel: 5413963111)

📍
Updated Business Mailing Address September 25, 2018

Registered at 790 E 5TH ST, COQUILLE, OR 97423 (Tel: 5413963101)

👤
Provider Name / Credentials Updated September 25, 2018

Recorded as MICHAEL IVANITSKY, MD

NPI Profile Active June 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2015

Registered at 940 EAST FIFTH STREET, COQUILLE, OR 974231699 (Tel: 5413963111)

📍
Updated Business Mailing Address June 05, 2015

Registered at 940 EAST FIFTH STREET, COQUILLE, OR 974231699 (Tel: 5413963101)

👤
Provider Name / Credentials Updated June 05, 2015

Recorded as MICHAEL IVANITSKY, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2015

Orthopaedic Surgery (License #MD22589 in OR)

🟢
Initial NPI Registration & Enumeration July 21, 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: 1003837410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2006
Last Update: September 04, 2020
Sole Proprietor: No

Mailing Address

940 E 5th St

Coquille, OR 974231666

Phone: 5413963111

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.