MIKHAIL SHIPOTKO MD
NPI 1003217977
Hospitalist in Ogden, UT

Q: What is Mikhail Shipotko's NPI number?

The NPI number for Mikhail Shipotko is 1003217977. It was assigned to this individual provider in the NPPES registry on September 10, 2014.

Q: What is Mikhail Shipotko's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Mikhail Shipotko was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 10, 2014PECOS EnrolledAccepts Medicare Assignment

83.98/100

CMS Quality Rating

4401 HARRISON BLVD, OGDEN, UT 84403(801) 387-2800 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 5, 2024, Jun 11, 2018 (2 updates tracked since 2018).

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About Mikhail Shipotko Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKHAIL SHIPOTKO MD (NPI 1003217977) is an individual hospitalist provider in Ogden, Utah, licensed in Utah (13523114-1235) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Mckay-dee Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1003217977

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameMIKHAIL SHIPOTKOCredential: MD

Location Address4401 HARRISON BLVDOgden, UT 84403-3195

Mailing Address4401 Harrison BlvdOgden, UT 84403-3195 · (801) 387-2800

Phone(801) 387-2800

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 10, 2014

Last NPPES UpdateJune 5, 20242 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1003217977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in UT · 13523114-1235

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License R2744 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4401 HARRISON BLVD, Ogden, UT 84403

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Other Identifiers 1

Medicaid370615201TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mikhail Shipotko Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436426657

PECOS Enrollment IDI20231110000056

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Mikhail Shipotko reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc

Same address

Psychiatry

4401 HARRISON BLVD
Ogden, UT 84403

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1154888907 (801) 387-5543

Hospital Medicine Services Of Tx, PLLC

1,101 mi

Hospitalist

7700 FLOYD CURL DR
San Antonio, TX 78229

Reassigned Medicare billing, Texas enrollment
681 clinicians in this Medicare group

NPI 1881392363 (210) 575-4000

Corpus Christi Hospitalists, PLLC

1,241 mi

Hospitalist

3315 SOUTH ALAMEDA
Corpus Christi, TX 78411

Reassigned Medicare billing, Texas enrollment
29 clinicians in this Medicare group

NPI 1518052190 (361) 857-1501

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

201 services77 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

64 services64 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

29 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mckay-Dee Hospital

Acute Care Hospitals · Ogden, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460004

Location4401 Harrison BoulevardOgden, UT 84403 · Weber County

Emergency services Birthing friendly

Intermountain Medical Center

Acute Care Hospitals · Murray, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460010

Location5121 South Cottonwood StreetMurray, UT 84107 · Salt Lake County

Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460021

Location1380 East Medical Center DriveSt George, UT 84790 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.98/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.28

Promoting Interoperability

Improvement Activities

Cost

68.15

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%251 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers26 claims26 services$18.72 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$922.57 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers28 claims28 services$100.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRANDA MARY BRENNAN

Nurse Practitioner