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VITALIY VIKTOR KOSTYUKEVICH PA-C
NPI 1376881227
Physician Assistant in Sacramento, CA

Active since January 28, 2013PECOS Enrolled
4112 E COMMERCE WAY, SACRAMENTO, CA 95834(916) 396-2929 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vitaliy Viktor Kostyukevich Pa-c NPPES

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

VITALIY VIKTOR KOSTYUKEVICH PA-C (NPI 1376881227) is an individual physician assistant in Sacramento, California, licensed in California (PA22576) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376881227
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameVITALIY VIKTOR KOSTYUKEVICHCredential: PA-C
Location Address4112 E COMMERCE WAYSacramento, CA 95834-9680
Mailing Address4112 E Commerce WaySacramento, CA 95834-9680
Phone(916) 396-2929
Sole ProprietorNo
Enumeration DateJanuary 28, 2013
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1376881227 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 CA · PA22576
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.
4112 E COMMERCE WAY, Sacramento, CA 95834
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitaliy Viktor Kostyukevich Pa-c 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 95834 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

Other Providers at the Same Location NPPES

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

MS. TAWNY N BLANKINSHIP PA-C
Physician Assistant (Medical)
4112 E COMMERCE WAY
SACRAMENTO, CA 95834
Sacramento County (916) 447-6337

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 Vitaliy Kostyukevich's NPI number?

The NPI number for Vitaliy Kostyukevich is 1376881227. It was assigned to this individual provider in the NPPES registry on January 28, 2013.

Where is Vitaliy Kostyukevich located?

Vitaliy Kostyukevich practices at 4112 E Commerce Way, Sacramento, CA 95834. The listed phone number is (916) 396-2929.

What is Vitaliy Kostyukevich's specialty?

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

Is Vitaliy Kostyukevich enrolled in Medicare?

Yes. Vitaliy Kostyukevich is registered in the Medicare PECOS enrollment system.

What insurance does Vitaliy Kostyukevich accept?

Health plans from Kaiser Permanente list Vitaliy Kostyukevich 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.

When was this NPI record last updated?

The NPPES record for Vitaliy Kostyukevich was last updated on January 3, 2022. 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.