SERGII KHODAKIVSKYI MD
NPI 1609368935
Internal Medicine in Palm Springs, CA

Q: What is Sergii Khodakivskyi's NPI number?

The NPI number for Sergii Khodakivskyi is 1609368935. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Q: What is Sergii Khodakivskyi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 01, 2018PECOS EnrolledAccepts Medicare Assignment

83.63/100

CMS Quality Rating

1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262(951) 764-2863 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sergii Khodakivskyi Md NPPES

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

SERGII KHODAKIVSKYI MD (NPI 1609368935) is an individual internal medicine provider in Palm Springs, California, licensed in California (A174583) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1609368935

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSERGII KHODAKIVSKYICredential: MD

Location Address1150 N INDIAN CANYON DRPalm Springs, CA 92262-4872

Mailing Address12 Belmonte DrPalm Desert, CA 92211-9073 · (917) 724-7072

Phone(951) 764-2863

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateJune 1, 2018

Last NPPES UpdateSeptember 22, 2021

NPPES CertifiedSeptember 22, 2021

✔ NPI 1609368935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A174583

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1150 N INDIAN CANYON DR, Palm Springs, CA 92262

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sergii Khodakivskyi Md 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 ID4688062680

PECOS Enrollment IDI20211025001498

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.

Medicare Billing Reassignments

Medicare enrollment records show Sergii Khodakivskyi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Desert Physicians Medical Group Health

0.2 mi

Family Medicine

555 E TACHEVAH DR STE 1E204
Palm Springs, CA 92262

Reassigned Medicare billing, California enrollment
33 clinicians in this Medicare group

NPI 1134742703 (760) 424-8731

Fountain Valley Group Services PC

20 mi

Hospitalist

47111 MONROE ST
Indio, CA 92201

Reassigned Medicare billing, California enrollment
56 clinicians in this Medicare group

NPI 1013310309 (760) 347-6191

Desert Group Services, PC

25 mi

Geriatric Medicine

6722 WHITE FEATHER RD
Joshua Tree, CA 92252

Reassigned Medicare billing, California enrollment
25 clinicians in this Medicare group

NPI 1932760337 (706) 366-1500

White Feather Physicians PC

25 mi

Geriatric Medicine

6601 WHITE FEATHER RD
Joshua Tree, CA 92252

Reassigned Medicare billing, California enrollment
23 clinicians in this Medicare group

NPI 1710595392 (760) 366-3711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

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.

100 services51 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.

61 services51 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

59 services55 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

54 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92262 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

$136.04 typical visit price

range $59.60 – $179.42

Typical copayment $34.01 (range $14.90 – $44.85)

Most-billed visit code 99204

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

83.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.79

Promoting Interoperability

Improvement Activities

Cost

62.56

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.

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 supplier19 claims19 services$65.67 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.

MICHAEL OLSGAARD

Emergency Medicine