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MARYANA YEVTUKH DO
NPI 1609281989
Family Medicine in Kenosha, WI

Active since June 25, 2014PECOS EnrolledAccepts Medicare Assignment
10400 75TH ST, KENOSHA, WI 53142(262) 948-7000(414) 385-4436 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 8, 2023, Nov 24, 2021, Oct 31, 2018 and 1 more (4 updates tracked since 2017).

About Maryana Yevtukh Do NPPES

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

MARYANA YEVTUKH DO (NPI 1609281989) is an individual family medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (69990) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2014).

NPPES Registry Identity

NPI1609281989
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARYANA YEVTUKHCredential: DO
Location Address10400 75TH STKenosha, WI 53142
Mailing Address10400 75th StKenosha, WI 53142-7884 · (262) 948-7000 · Fax (414) 385-4436
Phone(262) 948-7000
Fax(414) 385-4436
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2014
Enumeration DateJune 25, 2014
Last NPPES UpdateFebruary 8, 20234 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1609281989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WI · 69990✔ Licensed in IL · 036.143411
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10400 75TH ST, Kenosha, WI 53142
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Other Identifiers 1

Medicaid100081565WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

Maryana Yevtukh Do 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 ID2264738780
PECOS Enrollment IDI20181018000008
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 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.
168 services102 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
87 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
66 services29 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.
50 services42 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services24 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
22 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53142 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims25 services$5.53 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$63.75 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 20

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

DR. UZMA REZVI M. D.
Anesthesiology
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
DAVID B KITE PA
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-7000
MRS. SUSAN H. PERGANDE WHNP
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-6714
DAVID ERIC FARKAS MD
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Kenosha County (262) 697-7000
PAULA MICHELLE OSGOOD CRNA
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
DOROTHY KATHERINE FREE
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5600
ZEBI FATIMA MD
Internal Medicine
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 942-5600
JENNIFER J JOHNSON RN
Registered Nurse (Critical Care Medicine)
10400 75TH ST
KENOSHA, WI 53142
Kenosha County (262) 948-5730

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 Maryana Yevtukh's NPI number?

The NPI number for Maryana Yevtukh is 1609281989. It was assigned to this individual provider in the NPPES registry on June 25, 2014.

Where is Maryana Yevtukh located?

Maryana Yevtukh practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-7000.

What is Maryana Yevtukh's specialty?

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

Is Maryana Yevtukh enrolled in Medicare?

Yes. Maryana Yevtukh 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 Maryana Yevtukh accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Quartz and UnitedHealthcare list Maryana Yevtukh 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 Maryana Yevtukh affiliated with any hospitals?

According to CMS data, Maryana Yevtukh is affiliated with Froedtert South Inc. and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Maryana Yevtukh was last updated on February 8, 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.