DR. ILONA NEKHAYEVA MD., PHD
NPI 1093169203
Family Medicine in Fort Worth, TX

Active since April 14, 2016PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
6100 HARRIS PKWY, FORT WORTH, TX 76132(817) 433-5977 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 13, 2023, Jul 18, 2019 (2 updates tracked since 2019).

About Dr. Ilona Nekhayeva Md., Phd NPPES

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

DR. ILONA NEKHAYEVA MD., PHD (NPI 1093169203) is an individual family medicine provider in Fort Worth, Texas, licensed in Texas (S0033) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with U S M D Hospital At Arlington L P, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1093169203
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ILONA NEKHAYEVACredential: MD., PHD
Location Address6100 HARRIS PKWYFort Worth, TX 76132-4101
Mailing Address1001 Lake Carolyn Pkwy Apt 217Irving, TX 75039-4808
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 14, 2016
Last NPPES UpdateMarch 13, 20232 updates tracked since enumeration
NPPES CertifiedMarch 13, 2023
NPI 1093169203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · S0033
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6100 HARRIS PKWY, Fort Worth, TX 76132

Secondary Practice Locations 3

Location 1701 W 5th StOdessa, TX 79763-4206 · Phone (432) 703-5238
Location 21001 Lake Carolyn Pkwy Apt 217Irving, TX 75039-4808 · Phone (832) 506-3959
Location 31001 Lake Carolyn PkwyIrving, TX 75039-4806 · Phone (832) 506-3959

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. Ilona Nekhayeva Md., Phd 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 ID8022303122
PECOS Enrollment IDI20190812000241
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.

Areas of Expertise CMS Part B claims 7

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.
158 services73 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.
55 services53 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
40 services40 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.
26 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

U S M D Hospital At Arlington L P

Acute Care Hospitals · Arlington, TX
OwnershipPhysician
CMS Certification Number450872
Location801 W Interstate 20Arlington, TX 76017 · Tarrant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76132 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

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.

Nurse Practitioner (Acute Care)
6100 HARRIS PKWY
FORT WORTH, TX 76132
Nurse Practitioner (Family)
6100 HARRIS PKWY
FORT WORTH, TX 76132
Internal Medicine
6100 HARRIS PKWY, SUITE 240
FORT WORTH, TX 76132
Specialist/Technologist, Other (Surgical Assistant)
6100 HARRIS PKWY
FORT WORTH, TX 76132
Internal Medicine
6100 HARRIS PKWY
FORT WORTH, TX 76132
Internal Medicine
6100 HARRIS PKWY, SUITE 240
FORT WORTH, TX 76132
Family Medicine
6100 HARRIS PKWY, STE 350
FORT WORTH, TX 76132
Obstetrics & Gynecology
6100 HARRIS PKWY, #245
FORT WORTH, TX 76132

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 Ilona Nekhayeva's NPI number?

The NPI number for Ilona Nekhayeva is 1093169203. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Where is Ilona Nekhayeva located?

Ilona Nekhayeva practices at 6100 Harris Pkwy, Fort Worth, TX 76132. The listed phone number is (817) 433-5977.

What is Ilona Nekhayeva's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ilona Nekhayeva enrolled in Medicare?

Yes. Ilona Nekhayeva 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 Ilona Nekhayeva accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Ilona Nekhayeva 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 Ilona Nekhayeva affiliated with any hospitals?

According to CMS data, Ilona Nekhayeva is affiliated with U S M D Hospital At Arlington L P.

When was this NPI record last updated?

The NPPES record for Ilona Nekhayeva was last updated on March 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.