1. Home
  2. Directory
  3. North Carolina
  4. Jacksonville
  5. Surgery
  6. NPI Profile

VIKTOR VASILYEVICH FEDOROV DO
NPI 1861855140
Surgery in Jacksonville, NC

Active since April 03, 2016PECOS EnrolledAccepts Medicare Assignment
255 MEMORIAL DR, JACKSONVILLE, NC 28546(910) 353-7848 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2024, Sep 7, 2024, Apr 3, 2016 (3 updates tracked since 2016).

About Viktor Vasilyevich Fedorov Do NPPES

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

VIKTOR VASILYEVICH FEDOROV DO (NPI 1861855140) is an individual surgery provider in Jacksonville, North Carolina, licensed in North Carolina (2024-01637) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1861855140
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameVIKTOR VASILYEVICH FEDOROVCredential: DO
Location Address255 MEMORIAL DRJacksonville, NC 28546-6333
Mailing Address255 Memorial DrJacksonville, NC 28546-6333 · (910) 353-7848
Phone(910) 353-7848
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 3, 2016
Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1861855140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2024-01637
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 218430 (NC)
255 MEMORIAL DR, Jacksonville, NC 28546
Open in Google Maps ↗

Other Names 1

Former Name (1)Viktor Vasilyevich Stankovich D.o.

Secondary Practice Location 1

Location 1317 Western BlvdJacksonville, NC 28546-6379 · Phone (910) 577-2345

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Viktor Vasilyevich Fedorov 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 ID3971894775
PECOS Enrollment IDI20241204000370
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

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.

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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Onslow Memorial Hospital

Acute Care Hospitals · Jacksonville, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340042
Location317 Western BoulevardJacksonville, NC 28540 · Onslow County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28546 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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 supplier12 claims12 services$83.83 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.22 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 5

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

ASHLEY GROGAN BACHELLER PA-C
Physician Assistant (Surgical)
255 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-7848
ONSLOW SURGICAL CLINIC PA
Surgery
255 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-7848
ONSLOW AMBULATORY SERVICES, INC.
Surgery
255 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-7848
LENNOX GEORGE WILLIAMS MD
Surgery
255 MEMORIAL DR, ONSLOW SURGICAL CLINIC PA
JACKSONVILLE, NC 28546
Onslow County (910) 353-7848
NIKKI ROSE SWAILES PA-C
Physician Assistant
255 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-7848

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 Viktor Fedorov's NPI number?

The NPI number for Viktor Fedorov is 1861855140. It was assigned to this individual provider in the NPPES registry on April 3, 2016. The provider is also known as Viktor Vasilyevich Stankovich D.O..

Where is Viktor Fedorov located?

Viktor Fedorov practices at 255 Memorial Dr, Jacksonville, NC 28546. The listed phone number is (910) 353-7848.

What is Viktor Fedorov's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Viktor Fedorov enrolled in Medicare?

Yes. Viktor Fedorov 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 Viktor Fedorov accept?

Health plans from Blue Cross and Blue Shield of NC list Viktor Fedorov 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 Viktor Fedorov affiliated with any hospitals?

According to CMS data, Viktor Fedorov is affiliated with Onslow Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Viktor Fedorov was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.