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IVAN PIVOVAROV MD
NPI 1467662148
Family Medicine in Madison, AL

Active since May 23, 2007Opted out of Medicare · through Oct 1, 2027
279 HUGHES RD, MADISON, AL 35758(256) 289-1733 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 25, 2017 and 1 more (4 updates tracked since 2017).

About Ivan Pivovarov Md NPPES

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

IVAN PIVOVAROV MD (NPI 1467662148) is an individual family medicine provider in Madison, Alabama, licensed in Alabama (29030) and active in the NPI registry since May 2007. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer, maintains a secondary practice location in Decatur, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1467662148
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameIVAN PIVOVAROVCredential: MD
Location Address279 HUGHES RDMadison, AL 35758-1142
Mailing Address279 Hughes RdMadison, AL 35758-1142 · (256) 325-0480 · Fax (256) 325-0481
Phone(256) 289-1733
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1467662148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 29030
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
279 HUGHES RD, Madison, AL 35758
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Secondary Practice Location 1

Location 11215 7th Street, SE, Suite G-300Decatur, AL 35601-3384 · Phone (256) 280-9335 · Fax (256) 280-9337

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ivan Pivovarov Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims

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 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.
58 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35758 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
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.

CUSTOM FAMILY CARE, LLC
Family Medicine
279 HUGHES RD
MADISON, AL 35758
Madison County (256) 289-1733

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 Ivan Pivovarov's NPI number?

The NPI number for Ivan Pivovarov is 1467662148. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Ivan Pivovarov located?

Ivan Pivovarov practices at 279 Hughes Rd, Madison, AL 35758. The listed phone number is (256) 289-1733.

What is Ivan Pivovarov's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ivan Pivovarov enrolled in Medicare?

No. Ivan Pivovarov has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ivan Pivovarov accept?

Health plans from Blue Cross and Blue Shield of Alabama list Ivan Pivovarov 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 Ivan Pivovarov was last updated on July 21, 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.