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DR. BORIS V KOVALENKO M.D.
NPI 1366838278
Orthopaedic Surgery in Auburn, ME

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
15 GRACELAWN RD STE 101, AUBURN, ME 04210(207) 333-4710(207) 333-4715 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2021, Aug 12, 2021, Jul 9, 2020 (3 updates tracked since 2020).

About Dr. Boris V Kovalenko M.d. NPPES

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

DR. BORIS V KOVALENKO M.D. (NPI 1366838278) is an individual orthopaedic surgery provider in Auburn, Maine, licensed in Georgia (85472) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with St Mary's Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366838278
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. BORIS V KOVALENKOCredential: M.D.
Location Address15 GRACELAWN RD STE 101Auburn, ME 04210-6347
Mailing Address325 9th Ave, Box 359798, Dept Of Orthopaedics & Sports MedicineSeattle, WA 98104-2420 · (206) 744-3466 · Fax (206) 744-3227
Phone(207) 333-4710
Fax(207) 333-4715
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2015
Enumeration DateApril 8, 2015
Last NPPES UpdateAugust 18, 20213 updates tracked since enumeration
NPPES CertifiedAugust 18, 2021
✔ NPI 1366838278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 85472
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
15 GRACELAWN RD STE 101, Auburn, ME 04210
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1325 9th Ave, Box 359798, Dept of Orthopaedics & Sports MedicineSeattle, WA 98104-2420 · Phone (206) 744-3466 · Fax (206) 744-3227
Location 2117 Auburn StPortland, ME 04103-6003 · Phone (207) 797-4791 · Fax (207) 317-5390

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Dr. Boris V Kovalenko M.d. 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 ID2769797984
PECOS Enrollment IDI20210813002424
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 7

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.
144 services99 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.
108 services92 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.
36 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 patients
Computer-assisted surgery for muscle and bone procedure 20985
Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.
19 services19 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Regional Medical Center

Acute Care Hospitals · Lewiston, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200034
Location93 Campus Avenue - PO Box 291Lewiston, ME 04243 · Androscoggin County
Emergency services

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04210 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

DR. JEFFREY NEIL DAVILA M.D.
Orthopaedic Surgery (Sports Medicine)
15 GRACELAWN RD STE 101
AUBURN, ME 04210
Androscoggin County (207) 333-4710
MICHELLE BOUTIN PA
Physician Assistant (Surgical)
15 GRACELAWN RD STE 101
AUBURN, ME 04210
Androscoggin County (207) 333-4710
MATTHEW PARENT MITCHELL PA
Physician Assistant (Surgical)
15 GRACELAWN RD STE 101
AUBURN, ME 04210
Androscoggin County (207) 333-4710
LAURA M. GLASER PA-C
Physician Assistant (Surgical)
15 GRACELAWN RD STE 101
AUBURN, ME 04210
Androscoggin County (207) 333-4710
DANIEL CHESTER BUCK D.P.M.
Podiatrist (Foot & Ankle Surgery)
15 GRACELAWN RD STE 101
AUBURN, ME 04210
Androscoggin County (207) 333-4710

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 Boris Kovalenko's NPI number?

The NPI number for Boris Kovalenko is 1366838278. It was assigned to this individual provider in the NPPES registry on April 8, 2015.

Where is Boris Kovalenko located?

Boris Kovalenko practices at 15 Gracelawn Rd Ste 101, Auburn, ME 04210. The listed phone number is (207) 333-4710.

What is Boris Kovalenko's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Boris Kovalenko enrolled in Medicare?

Yes. Boris Kovalenko 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 Boris Kovalenko accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Boris Kovalenko 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 Boris Kovalenko affiliated with any hospitals?

According to CMS data, Boris Kovalenko is affiliated with St Mary's Regional Medical Center and Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Boris Kovalenko was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.