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MR. ALEXANDER PUTKOVICH PA-C
NPI 1316717259
Physician Assistant in Greenwood, IN

Active since January 02, 2024PECOS EnrolledAccepts Medicare Assignment
679 E COUNTY LINE RD, GREENWOOD, IN 46143(317) 890-2000(317) 859-7220 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2025, Jan 2, 2024 (2 updates tracked since 2024).

About Mr. Alexander Putkovich Pa-c NPPES

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

MR. ALEXANDER PUTKOVICH PA-C (NPI 1316717259) is an individual physician assistant in Greenwood, Indiana and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS and is a graduate of University Of Toledo College Of Medicine (2024).

NPPES Registry Identity

NPI1316717259
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ALEXANDER PUTKOVICHCredential: PA-C
Location Address679 E COUNTY LINE RDGreenwood, IN 46143-1049
Mailing Address679 E County Line RdGreenwood, IN 46143-1049 · (317) 890-2000 · Fax (317) 859-7220
Phone(317) 890-2000
Fax(317) 859-7220
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2024
Enumeration DateJanuary 2, 2024
Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1316717259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
679 E COUNTY LINE RD, Greenwood, IN 46143
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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. Alexander Putkovich 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 ID5597252122
PECOS Enrollment IDI20251016001448
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 46143 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

DR. JAMES WILLIAM FAULKNER III MD
Urology
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 890-2000
DR. WESTON RILEY KITLEY MD
Urology
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 890-2000
DR. EUGENE BLANCHARD CONE M.D.
Urology
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 890-2000
MRS. CHRISTINE ELIZABETH DUBBLE APN
Nurse Practitioner
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 890-2000
DR. SAMUEL T THOMPSON M.D.
Urology
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 859-7222
DR. HUSSEIN AHMED WARDA MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 890-2000
GLEN A. BRUNK M.D.
Urology
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 859-7222
UROLOGY OF INDIANA, L.L.C.
Durable Medical Equipment & Medical Supplies (Customized Equipment)
679 E COUNTY LINE RD
GREENWOOD, IN 46143
Johnson County (317) 885-1250

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 Putkovich's NPI number?

The NPI number for Alexander Putkovich is 1316717259. It was assigned to this individual provider in the NPPES registry on January 2, 2024.

Where is Alexander Putkovich located?

Alexander Putkovich practices at 679 E County Line Rd, Greenwood, IN 46143. The listed phone number is (317) 890-2000.

What is Alexander Putkovich's specialty?

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

Is Alexander Putkovich enrolled in Medicare?

Yes. Alexander Putkovich 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.

When was this NPI record last updated?

The NPPES record for Alexander Putkovich was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.