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Dr. Michael Mstislavovich Ivanitsky , MD

Orthopaedic Surgery • Coquille, OR

Active NPI 1003837410 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

940 E 5th St
Coquille, OR 974231699

Call 5413963111 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

940 E 5th St

Coquille, OR 974231699

Telephone 5413963111
Fax 5413968135
Organization at the Same NPPES Address or Phone
Coquille Valley Hospital District Facility NPI 1164557179

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Lower Umpqua Hospital District. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Mayo Medical School

Graduation Year

1993

Medicare-allowed amount

About $59,226 in 2019

The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.

Paid by Medicare

About $47,207 in 2019

The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019.

30-day fills

63 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,324 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2024

All general payments: $1,753.61 across 13 records.

By nature of payment

  • Travel and Lodging: $1,523.40 across 7 records.
  • Food and Beverage: $230.21 across 6 records.

Reporting-company totals

  • Smith+Nephew, Inc.: $1,753.61 across 13 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

33 years (graduated 1993)

CMS Doctors and Clinicians data list 1993 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Ivanitsky has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Ivanitsky as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Coquille and Oregon

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 65% of clinicians listed under Orthopaedic Surgery in Oregon (2024, 143 clinicians with data). Median for this group: 101. Middle half: 40 to 252.

Too few clinicians listed under Orthopaedic Surgery in Coquille have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Orthopaedic Surgery in Oregon (2024, 143 clinicians with data). Median for this group: $678. Middle half: $253 to $1,619.

Too few clinicians listed under Orthopaedic Surgery in Coquille have Medicare Part D data for 2024 to compare.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Ivanitsky are from 2019.

1 active clinicians are listed under Orthopaedic Surgery with a practice address in Coquille, OR (336 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): 13 records totaling $1,753.61.

Manufacturer Payment Nature Product Type Amount ($)
Smith+Nephew, Inc.
Travel and Lodging
In-kind items and services
REAL INTELLIGENCE General $520.18
Smith+Nephew, Inc.
Travel and Lodging
In-kind items and services
REAL INTELLIGENCE General $271.50
Smith+Nephew, Inc.
Travel and Lodging
In-kind items and services
REAL INTELLIGENCE General $254.41
Smith+Nephew, Inc.
Travel and Lodging
In-kind items and services
REAL INTELLIGENCE General $248.42
Smith+Nephew, Inc.
Travel and Lodging
In-kind items and services
REAL INTELLIGENCE General $124.04
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
REAL INTELLIGENCE General $106.14
Smith+Nephew, Inc.
Travel and Lodging
In-kind items and services
REAL INTELLIGENCE General $63.74
Smith+Nephew, Inc.
Travel and Lodging
In-kind items and services
REAL INTELLIGENCE General $41.11
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
REAL INTELLIGENCE General $41.00
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
REAL INTELLIGENCE General $31.75
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
REAL INTELLIGENCE General $22.02
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
REAL INTELLIGENCE General $16.56
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
REAL INTELLIGENCE General $12.74

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2019.

CMS Part B · Data Year 2019
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2018 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2019; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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

Source: CMS Part B by Provider and Service, 2019; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 27 115 $142.24 20
Celecoxib Celecoxib 18 570 $1,090.06 17
Mupirocin Mupirocin 17 156 $91.29 16

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-04
Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
288121 (OR)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ORTHOPEDIC SURGERY

Medicare Enrollment ID

I20080508000761

Enrollment State Jurisdiction

OR

PECOS Control ID

6901985498

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Lower Umpqua Hospital District

600 Ranch Rd, Reedsport, OR 974671720

Phone: 5412712171

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Rebecca Brisco , PA-C

Physician Assistant

NPI 1780780619

Physician Assistant (Certified)

Adam Clark , LCSW

Social Worker - Clinical

NPI 1699276287

Licensed Clinical Social Worker

Dr. William Croson , MD

Pain Medicine - Pain Medicine

NPI 1376610915

Doctor of Medicine (M.D.)

NPI 1851351191

Doctor of Medicine (M.D.)

Dr. German Ferrer , MD

Family Medicine

NPI 1003391046

Doctor of Medicine (M.D.)

Dr. Megan Holland , MD

Family Medicine

NPI 1184632366

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

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

📍
Practice Location (Initial Record) June 05, 2015

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

📍
Business Mailing Address (Initial Record) June 05, 2015

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

👤
Provider Name / Credentials (Initial Record) June 05, 2015

Recorded as MICHAEL IVANITSKY, M.D.

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

Orthopaedic Surgery (license number reported to NPPES: OR MD22589)

🟢
Initial NPI Registration & Enumeration July 21, 2006

First registered as active Individual Practitioner in NPPES Database.

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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

More public profiles in Oregon

Directory navigation, in NPI number order.

Mailing Address

940 E 5th St

Coquille, OR 974231666

Phone: 5413963111

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.