DR. GAVRIIL KHAIMOV DPM
NPI 1669483426
Podiatrist - Foot & Ankle Surgery in Fort Lee, NJ

Active since August 10, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
185 BRIDGE PLZ N, SUITE #4, FORT LEE, NJ 07024(201) 363-9844 Get Directions Write a Review

NPPES record last updated: October 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gavriil Khaimov Dpm NPPES

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

DR. GAVRIIL KHAIMOV DPM (NPI 1669483426) is an individual foot & ankle surgery provider in Fort Lee, New Jersey, licensed in New Jersey (25MD00295000) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of New York College Of Podiatric Medicine (2003).

NPPES Registry Identity

NPI1669483426
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. GAVRIIL KHAIMOVCredential: DPM
Location Address185 BRIDGE PLZ N, SUITE #4Fort Lee, NJ 07024-5907
Mailing Address6909 138th St, 2cFlushing, NY 11367-1603 · (718) 263-4013
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2003
Enumeration DateAugust 10, 2006
Last NPPES UpdateOctober 1, 2011
NPI 1669483426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses Licensed in NJ · 25MD00295000 Licensed in NY · N006045
185 BRIDGE PLZ N, Fort Lee, NJ 07024

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. Gavriil Khaimov Dpm 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 ID9638179344
PECOS Enrollment IDI20070103000201, I20080421000215
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 17

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.
1,148 services391 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.
241 services87 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
194 services64 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.
148 services148 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
146 services41 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.
137 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%1,175 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
100%530 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
100%530 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
8%360 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%7,790 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%3,120 patients5/55-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 3

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

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier24 claims24 services$7.07 avg. paid by Medicare
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf L1906
DME-Orthotic Devices · category DF003N
1 supplier12 claims14 services$94.15 avg. paid by Medicare
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined L2275
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$98.02 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 4

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

Podiatrist
185 BRIDGE PLZ N, SUITE 4
FORT LEE, NJ 07024
Podiatrist (Foot Surgery)
185 BRIDGE PLZ N, SUITE 4
FORT LEE, NJ 07024
Clinic/Center (Urgent Care)
185 BRIDGE PLZ N, SUITE 10
FORT LEE, NJ 07024
Dentist (Prosthodontics)
185 BRIDGE PLZ N, SUITE 2
FORT LEE, NJ 07024

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 Gavriil Khaimov's NPI number?

The NPI number for Gavriil Khaimov is 1669483426. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Gavriil Khaimov located?

Gavriil Khaimov practices at 185 Bridge Plz N Suite #4, Fort Lee, NJ 07024. The listed phone number is (201) 363-9844.

What is Gavriil Khaimov's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Gavriil Khaimov enrolled in Medicare?

Yes. Gavriil Khaimov 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.

Is Gavriil Khaimov affiliated with any hospitals?

According to CMS data, Gavriil Khaimov is affiliated with Englewood Hospital And Medical Center and New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Gavriil Khaimov was last updated on October 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.