DMITRIY SIVTSOV MD
NPI 1467553958
Psychiatry & Neurology - Psychiatry in San Diego, CA

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
2250 3RD AVE, SAN DIEGO, CA 92101(858) 230-7585(858) 658-0857 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2017, Jul 26, 2017 (2 updates tracked since 2017).

About Dmitriy Sivtsov Md NPPES

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

DMITRIY SIVTSOV MD (NPI 1467553958) is an individual psychiatry provider in San Diego, California, licensed in California (A88348) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1467553958
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDMITRIY SIVTSOVCredential: MD
Location Address2250 3RD AVESan Diego, CA 92101-2024
Mailing Address2250 3rd AveSan Diego, CA 92101-2024 · (858) 230-7585 · Fax (858) 658-0857
Fax(858) 658-0857
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMarch 13, 20242 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
NPI 1467553958 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 CA · A88348
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.

2250 3RD AVE, San Diego, CA 92101

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

Dmitriy Sivtsov Md 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 ID2264450162
PECOS Enrollment IDI20051109000722
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 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
84 services22 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
48 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92101 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
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Psychologist (Prescribing (Medical))
2250 3RD AVE
SAN DIEGO, CA 92101

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 Dmitriy Sivtsov's NPI number?

The NPI number for Dmitriy Sivtsov is 1467553958. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Dmitriy Sivtsov located?

Dmitriy Sivtsov practices at 2250 3rd Ave, San Diego, CA 92101. The listed phone number is (858) 230-7585.

What is Dmitriy Sivtsov's specialty?

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

Is Dmitriy Sivtsov enrolled in Medicare?

Yes. Dmitriy Sivtsov 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 Dmitriy Sivtsov was last updated on March 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.