DR. MICHAEL MSTISLAVOVICH IVANITSKY MD
NPI 1003837410
Orthopaedic Surgery in Coquille, OR
About Dr. Michael Mstislavovich Ivanitsky Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL MSTISLAVOVICH IVANITSKY MD (NPI 1003837410) is an individual orthopaedic surgery provider in Coquille, Oregon, licensed in Oregon (MD22589) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Bay Area Hospital, and is a graduate of Mayo Medical School (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Dr. Michael Mstislavovich Ivanitsky 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michael Ivanitsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Coos Bay, OR 97420
- Reassigned Medicare billing, Oregon enrollment
- 220 clinicians in this Medicare group
Reedsport, OR 97467
- Reassigned Medicare billing, Oregon enrollment
- 59 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bay Area Hospital
Acute Care Hospitals · Coos Bay, ORLower Umpqua Hospital District
Critical Access Hospitals · Reedsport, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michael Ivanitsky's NPI number?
The NPI number for Michael Ivanitsky is 1003837410. It was assigned to this individual provider in the NPPES registry on July 21, 2006.
Where is Michael Ivanitsky located?
Michael Ivanitsky practices at 940 E 5th St, Coquille, OR 97423. The listed phone number is (541) 396-3111.
What is Michael Ivanitsky's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Michael Ivanitsky enrolled in Medicare?
Yes. Michael Ivanitsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Michael Ivanitsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Ivanitsky reassigns Medicare benefits to 2 organizations: North Bend Medical Center Inc (Coos Bay, OR) and Lower Umpqua Hospital District (Reedsport, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Ivanitsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Ivanitsky accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Michael Ivanitsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Michael Ivanitsky affiliated with any hospitals?
According to CMS data, Michael Ivanitsky is affiliated with Bay Area Hospital and Lower Umpqua Hospital District.
When was this NPI record last updated?
The NPPES record for Michael Ivanitsky was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Michael Mstislavovich Ivanitsky, MD · NPI 1003837410
Orthopaedic Surgery physician in Coquille, Oregon. Individual provider, active in the CMS NPPES registry since July 21, 2006.
## Identity
- **NPI:** 1003837410 (Entity type: Individual)
- **Enumerated:** July 21, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** MD22589 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 940 E 5TH ST, Coquille, OR 97423-1699
- **Phone:** (541) 396-3111 · **Fax:** (541) 396-8135
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Bend Medical Center Inc (NPI 1063428308, Coos Bay, OR); Lower Umpqua Hospital District (NPI 1003874819, Reedsport, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Mayo Medical School, class of 1993
## Record status
- **NPPES last updated:** September 4, 2020
- **Other identifiers:** Medicaid 288121 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1003837410) · Data from the CMS NPPES public registry.