GENNADIY IVANOV M.D.
NPI 1861720815
Obstetrics & Gynecology in Feasterville Trevose, PA

Active since December 03, 2009PECOS EnrolledAccepts Medicare Assignment
520 BUSTLETON PIKE, FEASTERVILLE TREVOSE, PA 19053(215) 631-3873(215) 631-3899 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 25, 2021, Oct 5, 2018, Dec 8, 2015 (3 updates tracked since 2015).

About Gennadiy Ivanov M.d. NPPES

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

GENNADIY IVANOV M.D. (NPI 1861720815) is an individual obstetrics & gynecology provider in Feasterville Trevose, Pennsylvania, licensed in Pennsylvania (MD454021) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1861720815
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameGENNADIY IVANOVCredential: M.D.
Location Address520 BUSTLETON PIKEFeasterville Trevose, PA 19053
Mailing Address520 Bustleton PikeFeasterville Trevose, PA 19053-6052 · (215) 631-3873 · Fax (215) 631-3899
Fax(215) 631-3899
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 3, 2009
Last NPPES UpdateMay 25, 20213 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1861720815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD454021
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
520 BUSTLETON PIKE, Feasterville Trevose, PA 19053

Secondary Practice Locations 2

Location 11155 East Mountain blvd.Wilkes-barre, PA 18702-3377 · Phone (570) 808-7916 · Fax (570) 808-6006
Location 21203 Langhorne Newtown Rd Ste 226Langhorne, PA 19047-1224 · Phone (215) 710-4460 · Fax (215) 710-4465

Other Identifiers 1

Other464979PA · Medicare Number

Accepted Insurance

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

Gennadiy Ivanov 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 ID6406997394
PECOS Enrollment IDI20150323002040
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

2

Medicare enrollment records show Gennadiy Ivanov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialty
520 BUSTLETON PIKE
Feasterville Trevose, PA 19053
  • Reassigned Medicare billing, Pennsylvania enrollment
Family Medicine
295 BUCK RD, SUITE 204
Holland, PA 18966
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 646 clinicians in this Medicare group

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 6

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.
51 services39 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.
37 services30 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
27 services22 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
26 services26 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
14 services13 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19053 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES

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

Clinic/Center (Medical Specialty)
520 BUSTLETON PIKE
FEASTERVILLE TREVOSE, PA 19053

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 Gennadiy Ivanov's NPI number?

The NPI number for Gennadiy Ivanov is 1861720815. It was assigned to this individual provider in the NPPES registry on December 3, 2009.

Where is Gennadiy Ivanov located?

Gennadiy Ivanov practices at 520 Bustleton Pike, Feasterville Trevose, PA 19053. The listed phone number is (215) 631-3873.

What is Gennadiy Ivanov's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Gennadiy Ivanov enrolled in Medicare?

Yes. Gennadiy Ivanov 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.

Which organizations bill Medicare for Gennadiy Ivanov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gennadiy Ivanov reassigns Medicare benefits to 2 organizations: We Care Medical Group PC (Feasterville Trevose, PA) and Trinity Health Mid-Atlantic Medical Group (Holland, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gennadiy Ivanov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gennadiy Ivanov accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Gennadiy Ivanov 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.

When was this NPI record last updated?

The NPPES record for Gennadiy Ivanov was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.