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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. IVAN IVANOVICH DRAZEK PA-C
NPI 1285814616
Physician Assistant in Fayetteville, NY

Active since November 14, 2007PECOS Enrolled
4000 MEDICAL CENTER DRIVE, #115, FAYETTEVILLE, NY 13066(315) 329-2555(315) 744-1957 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Ivan Ivanovich Drazek Pa-c NPPES

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

MR. IVAN IVANOVICH DRAZEK PA-C (NPI 1285814616) is an individual physician assistant in Fayetteville, New York, licensed in New York (1074875) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285814616
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. IVAN IVANOVICH DRAZEKCredential: PA-C
Location Address4000 MEDICAL CENTER DRIVE, #115Fayetteville, NY 13066
Mailing Address307 Broadmoor DrCamillus, NY 13031-2443 · (315) 777-5798
Phone(315) 329-2555
Fax(315) 744-1957
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateNovember 14, 2007
Last NPPES UpdateOctober 22, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1285814616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 1074875
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4000 MEDICAL CENTER DRIVE, Fayetteville, NY 13066
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15301 W Genesee StCamillus, NY 13031-2238 · Phone (315) 833-9303 · Fax (315) 833-9992
Location 2301 Prospect AveSyracuse, NY 13203-1807 · Phone (315) 448-5111

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

Mr. Ivan Ivanovich Drazek Pa-c 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 ID6608945191
PECOS Enrollment IDI20080523000453
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 11

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
169 services91 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
134 services95 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.
90 services75 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
80 services31 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
72 services55 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
60 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330157
Location830 Washington StreetWatertown, NY 13601 · Jefferson County
Emergency services Birthing friendly

River Hospital Clinics

Critical Access Hospitals · Alexandria Bay, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331309
Location4 Fuller StreetAlexandria Bay, NY 13607 · Jefferson County
Emergency services

Gouverneur Hospital

Critical Access Hospitals · Gouverneur, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331315
Location77 West Barney StreetGouverneur, NY 13642 · St. Lawrence County
Emergency services

Carthage Area Hospital, Inc

Critical Access Hospitals · Carthage, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331318
Location1001 West StreetCarthage, NY 13619 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13066 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%495 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
61%746 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
29%1,630 patients2/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
95%214 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%254 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
83%1,630 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,630 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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 supplier11 claims12 services$20.30 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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON PHAN
Counselor (Mental Health)
4000 MEDICAL CENTER DRIVE, SUITE 504
FAYETTEVILLE, NY 13066
Onondaga County (315) 329-2650
BIBY RAJAN-GEORGE M.D PLLC
Internal Medicine
4000 MEDICAL CENTER DRIVE
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-2665
SYRACUSE FAMILY CHIROPRACTIC LLC
Chiropractor
4000 MEDICAL CENTER DRIVE, SUITE 301
FAYETTEVILLE, NY 13066
Onondaga County (315) 761-6311
SYRACUSE FAMILY CHIROPRACTIC LLC
Chiropractor
4000 MEDICAL CENTER DRIVE, SUITE 301
FAYETTEVILLE, NY 13066
Onondaga County (315) 761-6311
SYRACUSE SUPPLY INC
Durable Medical Equipment & Medical Supplies
4000 MEDICAL CENTER DRIVE, SUITE 301
FAYETTEVILLE, NY 13066
Onondaga County (315) 373-9834
JUSTIN IORIO M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4000 MEDICAL CENTER DRIVE, SUITE 115
FAYETTEVILLE, NY 13066
Onondaga County (315) 329-2555
VITKUS, SCUTARI & CARDOSO ORAL SURGERY PC
Dentist (Oral and Maxillofacial Surgery)
4000 MEDICAL CENTER DRIVE, SUITE B13
FAYETTEVILLE, NY 13066
Onondaga County (315) 671-4289
AUBREY LYNN MORRIS NP
Nurse Practitioner (Family)
4000 MEDICAL CENTER DRIVE, SUITE 117
FAYETTEVILLE, NY 13066
Onondaga County (315) 744-1551

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 Ivan Drazek's NPI number?

The NPI number for Ivan Drazek is 1285814616. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Where is Ivan Drazek located?

Ivan Drazek practices at 4000 Medical Center Drive #115, Fayetteville, NY 13066. The listed phone number is (315) 329-2555.

What is Ivan Drazek's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ivan Drazek enrolled in Medicare?

Yes. Ivan Drazek 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.

Is Ivan Drazek affiliated with any hospitals?

According to CMS data, Ivan Drazek is affiliated with Samaritan Medical Center, River Hospital Clinics, Gouverneur Hospital and Carthage Area Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Ivan Drazek was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.