ALEXANDER PETKOVSEK
NPI 1013455302
Nurse Practitioner - Family in Myrtle Beach, SC

Q: What is Alexander Petkovsek's NPI number?

The NPI number for Alexander Petkovsek is 1013455302. It was assigned to this individual provider in the NPPES registry on February 7, 2017.

Q: What is Alexander Petkovsek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since February 07, 2017PECOS Enrolled

920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC 29572(843) 497-6348(843) 497-6351 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2022, Feb 24, 2020, Feb 7, 2017 (3 updates tracked since 2017).

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About Alexander Petkovsek NPPES

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

ALEXANDER PETKOVSEK (NPI 1013455302) is an individual family provider in Myrtle Beach, South Carolina, licensed in South Carolina (20710) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013455302

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameALEXANDER PETKOVSEK

Location Address920 DOUG WHITE DR STE 210Myrtle Beach, SC 29572-4181

Mailing Address920 Doug White Dr Ste 210Myrtle Beach, SC 29572-4181 · (843) 497-6348 · Fax (843) 497-6351

Phone(843) 497-6348

Fax(843) 497-6351

Sole ProprietorNo

Enumeration DateFebruary 7, 2017

Last NPPES UpdateJanuary 27, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2020

✔ NPI 1013455302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 20710

920 DOUG WHITE DR STE 210, Myrtle Beach, SC 29572

Open in Google Maps ↗

Other Identifiers 1

Medicaid12SC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexander Petkovsek is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Alexander Petkovsek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Acs Primary Care Physicians - Southeast PC

5.7 mi

Emergency Medicine

809 82ND PKWY
Myrtle Beach, SC 29572

Reassigned Medicare billing, South Carolina enrollment
559 clinicians in this Medicare group

NPI 1861430555 (843) 692-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29572 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$22.68 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier12 claims12 services$9.03 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.

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