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Active NPI 1457732950 Individual Practitioner Male Practitioner

Dr. Sergei Borisovich Ivanov , MD

Internal Medicine • Spokane, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sergei Ivanov, MD is a certified Internal Medicine practicing in Spokane, WA. With approximately 9 years of clinical experience since completing medical education in 2017, Dr. Ivanov delivers high-quality medical care to the local community at 62 W 7TH AVE STE 320.

Dr. Ivanov is affiliated with Providence Health And Services Washington and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

62 W 7th Ave Ste 320

Spokane, WA 992042321

Telephone 5093816505
Fax 5092277070
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Spokane, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -9.7 yrs vs City Avg
City Avg: 18.7 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
235 Specialists

Practicing in Spokane, WA (3169 Statewide)

Telehealth Adoption Rate
16.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
61.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ivanov (9 Years) 9 Yrs
Spokane Specialty Average (18.7 Years) 18.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
257 191 $391.00 $130.87
99213 Established patient office or other outpatient visit, typically 15 minutes
203 164 $276.00 $92.87
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
164 164 $395.00 $136.30
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
125 108 $46.00 $16.72
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
124 14 $153.00 $50.24
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
69 14 $149.00 $51.03
G0008 Administration of influenza virus vaccine
34 34 $38.00 $32.37
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage
29 29 $34.00 $21.90
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
28 19 $105.00 $34.98
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
21 21 $482.00 $291.20
G0009 Administration of pneumococcal vaccine
21 21 $48.00 $32.37
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
13 12 $20.00 $6.61
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
11 11 $506.00 $173.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
11 11 $546.00 $173.56
99496 Transitional care management services for problem of high complexity
11 11 $844.00 $292.25

Medical Specialties & State Licenses

CMS Verified: 2023-11-28
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD61120400

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Providence Health And Services Washington

1200 E Columbia Ave, Colville, WA 991143354

Phone: 5096843701

Providence Health And Services Washington

546 N Jefferson Ln, Spokane, WA 992017104

Providence Health And Services Washington

62 W 7th Ave, Spokane, WA 992042321

Phone: 5096269440

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003374265
NPI 1003811712

Doctor of Philosophy (Ph.D.)

Dr. Robert Wales , MD, FACC

Internal Medicine - Cardiovascular Disease

NPI 1003820275

Doctor of Medicine (M.D.), FACC

Kevin Kellogg , PA-C

Physician Assistant - Surgical

NPI 1003899493

Physician Assistant (Certified)

Breanna Bergeron , RD

Dietitian, Registered

NPI 1013040849

Registered Dietitian

NPI 1013086693

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

23 Historical Events
📍
Updated Business Mailing Address November 28, 2023

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 8667472455)

📍
Updated Practice Location September 26, 2023

Registered at 62 W 7TH AVE STE 320, SPOKANE, WA 992042321 (Tel: 5093816505)

📍
Updated Practice Location August 09, 2023

Registered at 62 W 7TH AVE STE 300C, SPOKANE, WA 992042321 (Tel: 5093816505)

📍
Updated Practice Location June 22, 2021

Registered at 1959 NE PACIFIC ST., SEATTLE, WA 981950001 (Tel: 2065205000)

📍
Updated Business Mailing Address June 22, 2021

Registered at PO BOX 50095, SEATTLE, WA 981455095

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2021

Internal Medicine (License #MD61120400 in WA)

📍
Updated Practice Location June 07, 2021

Registered at 10400 E ALAMEDA AVE, DENVER, CO 802475104 (Tel: 3033384545)

📍
Updated Business Mailing Address June 07, 2021

Registered at 10350 E DAKOTA AVE, DENVER, CO 802471314

📍
Updated Practice Location July 10, 2020

Registered at 10400 E ALAMEDA AVE, AURORA, CO 802475104 (Tel: 3033384545)

📍
Updated Business Mailing Address July 10, 2020

Registered at 2500 S HAVANA ST, AURORA, CO 800141618 (Tel: 3033384545)

👤
Provider Name / Credentials Updated July 10, 2020

Recorded as SERGEI IVANOV, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2020

Internal Medicine (License #DR.0064127 in CO)

NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2017

Registered at 13001 E 17TH PL, AURORA, CO 800452570 (Tel: 3037241784)

📍
Updated Business Mailing Address June 15, 2017

Registered at 13001 E. 17TH PLACE, AURORA, CO 800452581 (Tel: (303) 724-1784)

👤
Provider Name / Credentials Updated June 15, 2017

Recorded as SERGEI IVANOV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Student in an Organized Health Care Education/Training Program

NPI Profile Active June 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2015

Registered at UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, 1959 NE PACIFIC STREET, SEATTLE, WA 981950001 (Tel: 2065437212)

📍
Updated Business Mailing Address June 11, 2015

Registered at UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE, 1959 NE PACIFIC STREET, SEATTLE, WA 981950001 (Tel: 2065437212)

👤
Provider Name / Credentials Updated June 11, 2015

Recorded as SERGEI IVANOV

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 11, 2015

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: 1457732950
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2015
Last Update: November 28, 2023
Sole Proprietor: No

Mailing Address

Po Box 421

Liberty Lake, WA 990190421

Phone: 8667472455

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.