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DR. MARKO IVANCICH M.D.
NPI 1336836915
Psychiatry & Neurology - Psychiatry in Fayetteville, NC

Active since April 24, 2023PECOS Enrolled
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-3333 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2026, May 11, 2026 (2 updates tracked since 2026).

About Dr. Marko Ivancich M.d. NPPES

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

DR. MARKO IVANCICH M.D. (NPI 1336836915) is an individual psychiatry provider in Fayetteville, North Carolina, licensed in North Carolina (2025-02692) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1336836915
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARKO IVANCICHCredential: M.D.
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing Address1638 Owen DrFayetteville, NC 28304-3424 · (910) 615-3333
Phone(910) 615-3333
Sole ProprietorYes
Enumeration DateApril 24, 2023
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1336836915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 2025-02692
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1638 OWEN DR, Fayetteville, NC 28304
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Secondary Practice Location 1

Location 1711 Executive PlFayetteville, NC 28305-5193 · Phone (910) 615-1623

Other Identifiers 1

OtherI152-5579-6049-07WI · Drivers License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marko Ivancich M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 28304 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

HEATHER MCPHAIL COAXUM NP
Nurse Practitioner (Family)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5680
CAPE FEAR VALLEY MEDICAL CENTER
Pharmacist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-7968
WENDY LYNN BROCK NNP
Nurse Practitioner
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5490
ABHISHEK GOEL MD
Hospitalist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-3960
LAUREN WOHLRAB
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-5000
JINGCHUAN WANG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4000
KENNETH RUSSELL MANNING M.D.
Internal Medicine (Medical Oncology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-6910
CUMBERLAND COUNTY HOSPITAL SYSTEM, INC
Surgery (Trauma Surgery)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-8000

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 Marko Ivancich's NPI number?

The NPI number for Marko Ivancich is 1336836915. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Marko Ivancich located?

Marko Ivancich practices at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 615-3333.

What is Marko Ivancich's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Marko Ivancich enrolled in Medicare?

Yes. Marko Ivancich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marko Ivancich was last updated on May 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.