1. Home
  2. Directory
  3. Florida
  4. St Augustine
  5. Podiatrist
  6. NPI Profile

ROMAN IVANKIV
NPI 1528517331
Podiatrist - Foot Surgery in St Augustine, FL

Active since September 22, 2016PECOS EnrolledAccepts Medicare Assignment
86.11/100
CMS Quality Rating
1740 TREE BLVD STE 112, ST AUGUSTINE, FL 32084(904) 826-1900(904) 826-1920 Get Directions Write a Review

NPPES record last updated: March 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2021, Sep 25, 2018, Sep 22, 2016 (3 updates tracked since 2016).

About Roman Ivankiv NPPES

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

ROMAN IVANKIV (NPI 1528517331) is an individual foot surgery provider in St Augustine, Florida, licensed in Florida (PO4215) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and maintains a secondary practice location in Dothan.

NPPES Registry Identity

NPI1528517331
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameROMAN IVANKIV
Location Address1740 TREE BLVD STE 112St Augustine, FL 32084-5720
Mailing Address1740 Tree Blvd Ste 112St Augustine, FL 32084-5720 · (904) 826-1900 · Fax (904) 826-1920
Phone(904) 826-1900
Fax(904) 826-1920
Sole ProprietorYes
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2015
Enumeration DateSeptember 22, 2016
Last NPPES UpdateMarch 28, 20213 updates tracked since enumeration
NPPES CertifiedMarch 28, 2021
✔ NPI 1528517331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
Licenses✔ Licensed in FL · PO4215✔ Licensed in AL · 338
1740 TREE BLVD STE 112, St Augustine, FL 32084
Open in Google Maps ↗

Secondary Practice Location 1

Location 1204 Luds WayDothan, AL 36303-6350 · Phone (334) 678-7036

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Roman Ivankiv 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 ID4880946235
PECOS Enrollment IDI20210409001826
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 11

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 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.
521 services218 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
413 services162 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.
413 services209 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
168 services76 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.
100 services100 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
80 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Hca Florida Putnam Hospital

Acute Care Hospitals · Palatka, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100232
Location611 Zeagler DrPalatka, FL 32177 · Putnam County
Emergency services

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.

86.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality71.25
Promoting Interoperability94
Improvement Activities40

Reported Quality Measures

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
100%70 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
13%32 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%255 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 85% · 102 patients
84%102 patients
Provide Patients Electronic Access to Their Health Information
96%974 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier19 claims19 services$226.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

COASTAL FOOT & ANKLE WELLNESS CENTER LLC
Podiatrist (Foot & Ankle Surgery)
1740 TREE BLVD STE 112
ST AUGUSTINE, FL 32084
St. Johns County (904) 826-1900

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 Roman Ivankiv's NPI number?

The NPI number for Roman Ivankiv is 1528517331. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Roman Ivankiv located?

Roman Ivankiv practices at 1740 Tree Blvd Ste 112, St Augustine, FL 32084. The listed phone number is (904) 826-1900.

What is Roman Ivankiv's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Roman Ivankiv enrolled in Medicare?

Yes. Roman Ivankiv 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 Roman Ivankiv accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and UnitedHealthcare list Roman Ivankiv 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 Roman Ivankiv affiliated with any hospitals?

According to CMS data, Roman Ivankiv is affiliated with Flagler Hospital and Hca Florida Putnam Hospital.

When was this NPI record last updated?

The NPPES record for Roman Ivankiv was last updated on March 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.