DR. MICHAEL MSTISLAVOVICH IVANITSKY MD
NPI 1003837410
Orthopaedic Surgery in Coquille, OR

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
940 E 5TH ST, COQUILLE, OR 97423(541) 396-3111(541) 396-8135 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 4, 2020, Sep 25, 2018 (2 updates tracked since 2018).

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

NPI1003837410
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL MSTISLAVOVICH IVANITSKYCredential: MD
Location Address940 E 5TH STCoquille, OR 97423-1699
Mailing Address940 E 5th StCoquille, OR 97423-1666 · (541) 396-3111 · Fax (541) 396-8135
Fax(541) 396-8135
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 1993
Enumeration DateJuly 21, 2006
Last NPPES UpdateSeptember 4, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2020
NPI 1003837410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in OR · MD22589
Definition

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.

940 E 5TH ST, Coquille, OR 97423

Other Identifiers 1

Medicaid288121OR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID6901985498
PECOS Enrollment IDI20080508000761
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.

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, OR
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380090
Location1775 Thompson RoadCoos Bay, OR 97420 · Coos County
Emergency services

Lower Umpqua Hospital District

Critical Access Hospitals · Reedsport, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381311
Location600 Ranch RoadReedsport, OR 97467 · Douglas County
Emergency services

Physician 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.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Medicare Defined Swing Bed Unit
940 E 5TH ST
COQUILLE, OR 97423
Emergency Medicine
940 E 5TH ST
COQUILLE, OR 97423
Pharmacist (Pharmacotherapy)
940 E 5TH ST
COQUILLE, OR 97423
Surgery
940 E 5TH ST
COQUILLE, OR 97423
Physician Assistant
940 E 5TH ST
COQUILLE, OR 97423
Medicare Defined Swing Bed Unit
940 E 5TH ST
COQUILLE, OR 97423
Emergency Medicine
940 E 5TH ST
COQUILLE, OR 97423
Family Medicine
940 E 5TH ST
COQUILLE, OR 97423

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.

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 with the weekly NPPES data releases published by CMS.