ROBERT GERARD IDZAKOVICH FNP
NPI 1275994048
Nurse Practitioner - Family in Portsmouth, OH

Q: What is Robert Idzakovich's NPI number?

The NPI number for Robert Idzakovich is 1275994048. It was assigned to this individual provider in the NPPES registry on March 8, 2016.

Q: What is Robert Idzakovich's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Robert Idzakovich was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 08, 2016PECOS EnrolledAccepts Medicare Assignment

81.43/100

CMS Quality Rating

2511 GRANDVIEW AVE, PORTSMOUTH, OH 45662(740) 464-8125 Get Directions Write a Review

NPPES record last updated: March 8, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Robert Gerard Idzakovich Fnp NPPES

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

ROBERT GERARD IDZAKOVICH FNP (NPI 1275994048) is an individual family provider in Portsmouth, Ohio, licensed in Ohio (RN391062) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (2016).

NPPES Registry Identity

NPI1275994048

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameROBERT GERARD IDZAKOVICHCredential: FNP

Location Address2511 GRANDVIEW AVEPortsmouth, OH 45662-2770

Mailing Address2511 Grandview AvePortsmouth, OH 45662-2770 · (740) 464-8125

Phone(740) 464-8125

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2016

Enumeration DateMarch 8, 2016

✔ NPI 1275994048 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 OH · RN391062

2511 GRANDVIEW AVE, Portsmouth, OH 45662

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.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

Robert Gerard Idzakovich Fnp 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 ID6608159892

PECOS Enrollment IDI20170214001381

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 2

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.

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.

64 services62 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

37 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Holzer Medical Center

Acute Care Hospitals · Gallipolis, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360054

Location100 Jackson PikeGallipolis, OH 45631 · Gallia County

Emergency services Birthing friendly

Holzer Medical Center Jackson

Critical Access Hospitals · Jackson, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361320

Location500 Burlington RoadJackson, OH 45640 · Jackson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

81.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.55

Improvement Activities

Cost

60.73

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 Robert Idzakovich's NPI number?

The NPI number for Robert Idzakovich is 1275994048. It was assigned to this individual provider in the NPPES registry on March 8, 2016.

Where is Robert Idzakovich located?

Robert Idzakovich practices at 2511 Grandview Ave, Portsmouth, OH 45662. The listed phone number is (740) 464-8125.

What is Robert Idzakovich's specialty?

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

Is Robert Idzakovich enrolled in Medicare?

Yes. Robert Idzakovich 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 Robert Idzakovich accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Robert Idzakovich 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 Robert Idzakovich affiliated with any hospitals?

According to CMS data, Robert Idzakovich is affiliated with Holzer Medical Center and Holzer Medical Center Jackson.

When was this NPI record last updated?

The NPPES record for Robert Idzakovich was last updated on March 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.