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

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: August 09, 2026.

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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

LA'ASHA BURGESS PA
Physician Assistant
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348
SARA MARIE MAJOR
Physician Assistant
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348
MIA KATHERINE KLEIN
Surgery
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348
DANIEL BROWN PA-C
Physician Assistant
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348
DR. RALPH WESLEY VOSBURG M.D.
Surgery
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348
CASEY CHARLES JONES NP
Nurse Practitioner (Family)
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348
DR. ELEAH D. PORTER M.D.
Surgery
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348
PEYTON LARUS
Physician Assistant
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348

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 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.

Where is Alexander Petkovsek located?

Alexander Petkovsek practices at 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572. The listed phone number is (843) 497-6348.

What is Alexander Petkovsek's specialty?

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

Is Alexander Petkovsek enrolled in Medicare?

Yes. Alexander Petkovsek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexander Petkovsek was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.