DR. ILYA GORBACHINSKY M.D.
NPI 1588959977
Urology in Las Vegas, NV

Active since June 14, 2011PECOS EnrolledAccepts Medicare Assignment
86.89/100
CMS Quality Rating
7150 W SUNSET RD, SUITE 201A, LAS VEGAS, NV 89113(702) 316-1622(702) 951-0782 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 25, 2024, Jun 30, 2016 (2 updates tracked since 2016).

About Dr. Ilya Gorbachinsky M.d. NPPES

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

DR. ILYA GORBACHINSKY M.D. (NPI 1588959977) is an individual urology provider in Las Vegas, Nevada, licensed in Nevada (16508) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - Siena Campus, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1588959977
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. ILYA GORBACHINSKYCredential: M.D.
Location Address7150 W SUNSET RD, SUITE 201ALas Vegas, NV 89113-1981
Mailing Address7150 W Sunset Rd, Suite 201aLas Vegas, NV 89113-1981 · (702) 316-1622 · Fax (702) 951-0782
Fax(702) 951-0782
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 14, 2011
Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
NPI 1588959977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NV · 16508
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
7150 W SUNSET RD, Las Vegas, NV 89113

Accepted 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

Dr. Ilya Gorbachinsky 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 ID6901106186
PECOS Enrollment IDI20160725002988
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 21

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.

Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
601 services337 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.
591 services331 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
519 services290 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.
281 services190 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
238 services20 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
199 services160 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290045
Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County
Emergency services Birthing friendly

Southern Hills Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV
4/5 CMS rating
OwnershipProprietary
CMS Certification Number290047
Location9300 West Sunset RdLas Vegas, NV 89148 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89113 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

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.

86.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.82
Improvement Activities40
Cost60.29

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.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers12 claims3,000 services$6.19 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 2

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

Nurse Practitioner (Family)
7150 W SUNSET RD
LAS VEGAS, NV 89113
Radiology (Radiation Oncology)
7150 W SUNSET RD, SUITE 100
LAS VEGAS, NV 89113

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 Ilya Gorbachinsky's NPI number?

The NPI number for Ilya Gorbachinsky is 1588959977. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Ilya Gorbachinsky located?

Ilya Gorbachinsky practices at 7150 W Sunset Rd Suite 201A, Las Vegas, NV 89113. The listed phone number is (702) 316-1622.

What is Ilya Gorbachinsky's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Ilya Gorbachinsky enrolled in Medicare?

Yes. Ilya Gorbachinsky 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 Ilya Gorbachinsky accept?

Health plans from Ambetter from Arizona Complete Health list Ilya Gorbachinsky 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 Ilya Gorbachinsky affiliated with any hospitals?

According to CMS data, Ilya Gorbachinsky is affiliated with Saint Rose Dominican Hospitals - Siena Campus and Southern Hills Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Ilya Gorbachinsky was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.