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EDWIN GONCHARUK D.O.
NPI 1255872453
Internal Medicine - Gastroenterology in Burlington, VT

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
111 COLCHESTER AVE, UVMMC, BURLINGTON, VT 05401(802) 847-2345 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2025, Jul 6, 2020, Mar 20, 2017 (3 updates tracked since 2017).

About Edwin Goncharuk D.o. NPPES

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

EDWIN GONCHARUK D.O. (NPI 1255872453) is an individual gastroenterology provider in Burlington, Vermont, licensed in Vermont (032-0133900) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255872453
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameEDWIN GONCHARUKCredential: D.O.
Location Address111 COLCHESTER AVE, UVMMCBurlington, VT 05401-1473
Mailing Address111 Colchester Ave, UvmmcBurlington, VT 05401-1473
Phone(802) 847-2345
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2017
Enumeration DateMarch 20, 2017
Last NPPES UpdateAugust 27, 20253 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1255872453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in VT · 032-0133900✔ Licensed in NY · 330524
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 032-0133900 (VT)
Also ListedHospitalistTaxonomy 208M00000X · License 032-0133900 (VT)
111 COLCHESTER AVE, Burlington, VT 05401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1130 Fisher RdBerlin, VT 05602-9516 · Phone (802) 225-1743
Location 277 Plaza BlvdPlattsburgh, NY 12901-6438 · Phone (518) 825-4437

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Edwin Goncharuk D.o. 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 ID7012289507
PECOS Enrollment IDI20200716000429, I20250825003342
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 4

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
23 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services20 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
16 services16 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470005
Location160 Allen StRutland, VT 05701 · Rutland County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

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.

ELENA KOZAKEWICH
Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Chittenden County (802) 847-2700
ANDREW HUY NGUYEN MD
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
DR. KELLY CURTIS BLANCHET MD
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
LINDSAY ANNE CALDARONE MD
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
SHAWN LANSING
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
HANNA S LOVING PHD
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-5121
KAITLYN MARIE DILLON DNP, APRN, FNP-C
Registered Nurse (Medical-Surgical)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
MS. MERJA CAHOON NNP
Nurse Practitioner (Neonatal)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2370

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 Edwin Goncharuk's NPI number?

The NPI number for Edwin Goncharuk is 1255872453. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Edwin Goncharuk located?

Edwin Goncharuk practices at 111 Colchester Ave Uvmmc, Burlington, VT 05401. The listed phone number is (802) 847-2345.

What is Edwin Goncharuk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Edwin Goncharuk enrolled in Medicare?

Yes. Edwin Goncharuk 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 Edwin Goncharuk accept?

Health plans from Anthem Blue Cross and Blue Shield list Edwin Goncharuk 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 Edwin Goncharuk affiliated with any hospitals?

According to CMS data, Edwin Goncharuk is affiliated with Champlain Valley Physicians Hospital Medical Ctr, Univ. Of Vermont - Fletcher Allen Health Care, Rutland Regional Medical Center, Northwestern Medical Center Inc and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Edwin Goncharuk was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.