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DR. BORIS MEDVEDOVSKY D O
NPI 1689833303
Internal Medicine in Sarasota, FL

Active since June 06, 2008Opted out of Medicare · through May 1, 2027
83.08/100
CMS Quality Rating
1921 WALDEMERE ST STE 814, SARASOTA, FL 34239(941) 953-9080(941) 548-1338 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2025, Jul 14, 2021 (2 updates tracked since 2021).

About Dr. Boris Medvedovsky D O NPPES

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

DR. BORIS MEDVEDOVSKY D O (NPI 1689833303) is an individual internal medicine provider in Sarasota, Florida, licensed in Florida (OS17090) and active in the NPI registry since June 2008. He has opted out of Medicare through May 1, 2027 and remains eligible to order and refer, is affiliated with Sarasota Memorial Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2006).

NPPES Registry Identity

NPI1689833303
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BORIS MEDVEDOVSKYCredential: D O
Location Address1921 WALDEMERE ST STE 814Sarasota, FL 34239-2913
Mailing Address1921 Waldemere St Ste 814Sarasota, FL 34239-2913 · (941) 953-9080 · Fax (941) 548-1338
Phone(941) 953-9080
Fax(941) 548-1338
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2006
Enumeration DateJune 6, 2008
Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1689833303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · OS17090
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.
1921 WALDEMERE ST STE 814, Sarasota, FL 34239
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Boris Medvedovsky D O has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 1, 2023 through May 1, 2027.

Opt-Out Effective DateMay 1, 2023
Opt-Out In Effect ThroughMay 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Hospital Affiliations CMS Care Compare

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

83.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.91
Promoting Interoperability100
Improvement Activities40
Cost64.02

Referred Medical Equipment & Supplies CMS DME claims 7

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
10 suppliers57 claims4,740 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers23 claims4,590 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers23 claims3,780 services$0.55 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers34 claims3,960 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers27 claims3,900 services$0.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
15 suppliers79 claims79 services$18.22 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.

DANIELE MION-BET MD
Family Medicine
1921 WALDEMERE ST STE 814
SARASOTA, FL 34239
Sarasota County (941) 953-9080

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 Boris Medvedovsky's NPI number?

The NPI number for Boris Medvedovsky is 1689833303. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Boris Medvedovsky located?

Boris Medvedovsky practices at 1921 Waldemere St Ste 814, Sarasota, FL 34239. The listed phone number is (941) 953-9080.

What is Boris Medvedovsky's specialty?

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

Is Boris Medvedovsky enrolled in Medicare?

No. Boris Medvedovsky has opted out of Medicare through May 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Boris Medvedovsky accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Boris Medvedovsky 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 Boris Medvedovsky affiliated with any hospitals?

According to CMS data, Boris Medvedovsky is affiliated with Sarasota Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Boris Medvedovsky was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.