DMITRI PETRYCHENKO M.D.
NPI 1588644272
Pain Medicine - Interventional Pain Medicine in Brooklyn, NY

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
2960 OCEAN AVE FL 6, BROOKLYN, NY 11235(718) 336-5123(718) 336-5137 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dmitri Petrychenko M.d. NPPES

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

DMITRI PETRYCHENKO M.D. (NPI 1588644272) is an individual interventional pain medicine provider in Brooklyn, New York, licensed in New York (227434) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1588644272
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDMITRI PETRYCHENKOCredential: M.D.
Location Address2960 OCEAN AVE FL 6Brooklyn, NY 11235-3202
Mailing Address2960 Ocean Ave Fl 6Brooklyn, NY 11235-3202 · (718) 336-5123 · Fax (718) 336-5137
Fax(718) 336-5137
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 19, 2006
Last NPPES UpdateAugust 16, 2023
NPPES CertifiedAugust 16, 2023
NPI 1588644272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Licenses Licensed in NY · 227434 Licensed in NJ · 25MA07665400 Licensed in FL · ME107824
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedSpecialistTaxonomy 174400000X · License 227434 (NY)
2960 OCEAN AVE FL 6, Brooklyn, NY 11235

Secondary Practice Locations 3

Location 12100 E Hallandale Beach Blvd Ste 210Hallandale Beach, FL 33009-3770 · Phone (954) 374-9146 · Fax (718) 336-5137
Location 27305 Metropolitan AveMiddle Village, NY 11379-2649 · Phone (718) 336-5123 · Fax (718) 336-5137
Location 3200 Craig Rd Ste 101Manalapan, NJ 07726-8735 · Phone (732) 402-8228 · Fax (718) 336-5137

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

Dmitri Petrychenko 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 ID2365341575
PECOS Enrollment IDI20040107000529, I20041112000760, I20210714000050
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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
4,694 services217 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.
1,229 services255 patients
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.
214 services78 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
201 services124 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
104 services14 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
92 services91 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11235 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0631
DME-Orthotic Devices · category DF007N
1 supplier32 claims32 services$830.75 avg. paid by Medicare
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
3 suppliers31 claims51 services$183.76 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.

Specialist
2960 OCEAN AVE FL 6
BROOKLYN, NY 11235

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 Dmitri Petrychenko's NPI number?

The NPI number for Dmitri Petrychenko is 1588644272. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Dmitri Petrychenko located?

Dmitri Petrychenko practices at 2960 Ocean Ave Fl 6, Brooklyn, NY 11235. The listed phone number is (718) 336-5123.

What is Dmitri Petrychenko's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Dmitri Petrychenko enrolled in Medicare?

Yes. Dmitri Petrychenko 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 Dmitri Petrychenko was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.