DR. ANDREY PETRIKOVETS M.D.
NPI 1922307123
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Los Angeles, CA

Q: What is Andrey Petrikovets's NPI number?

The NPI number for Andrey Petrikovets is 1922307123. It was assigned to this individual provider in the NPPES registry on March 28, 2011. The provider is also known as Dr. Andre Petrikovets MD Facog.

Q: What is Andrey Petrikovets's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Active since March 28, 2011PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2301994 · Waiver

3312 GLENDALE BLVD, LOS ANGELES, CA 90039(888) 487-6496(323) 250-1361 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2023, Aug 10, 2018 (2 updates tracked since 2018).

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About Dr. Andrey Petrikovets M.d. NPPES

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

DR. ANDREY PETRIKOVETS M.D. (NPI 1922307123) is an individual urogynecology and reconstructive pelvic surgery provider in Los Angeles, California, licensed in California (A127810) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 2, 2028, and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1922307123

Entity TypeIndividualMale

Primary Taxonomy207VF0040X

Provider Legal NameDR. ANDREY PETRIKOVETSCredential: M.D.

Location Address3312 GLENDALE BLVDLos Angeles, CA 90039-1813

Mailing AddressPo Box 39466Los Angeles, CA 90039-0466 · (888) 487-6496 · Fax (323) 250-1361

Phone(888) 487-6496

Fax(323) 250-1361

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 28, 2011

Last NPPES UpdateDecember 4, 20232 updates tracked since enumeration

NPPES CertifiedDecember 4, 2023

✔ NPI 1922307123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in CA · A127810

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

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

3312 GLENDALE BLVD, Los Angeles, CA 90039

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Other Names 1

Other Name (5)Dr. Andre Petrikovets Md Facog

Secondary Practice Location 1

Location 11513 S Grand Ave Ste 400Los Angeles, CA 90015 · Phone (213) 742-6400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Andrey Petrikovets 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 ID7517288913

PECOS Enrollment IDI20181010002640

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2301994

Andrey Petrikovets MD Apc · Los Angeles, CA

Active · expires Apr 2, 2028

CLIA Number05D2301994

Laboratory TypePhysician Office

Certificate Effective DateApril 3, 2026

Certificate Expiration DateApril 2, 2028

Laboratory DirectorAndrey Petrikovets

Laboratory Phone(888) 487-6496

Laboratory LocationAndrey Petrikovets MD Apc3312 Glendale Blvd., Los Angeles, CA 90039

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

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.

255 services113 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

121 services80 patients

Insertion of temporary bladder tube 51701

This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.

98 services91 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

81 services51 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

46 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

41 services41 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

36 services36 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

34 services34 patients

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729

This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.

27 services27 patients

Fitting and insertion of vaginal support device 57160

A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.

27 services19 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

26 services26 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

26 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

26 services25 patients

Pessary, reusable, non rubber, any type A4562

A pessary is a device placed in the body to support areas that have dropped due to age or childbirth. It's made of non-rubber material. It's inserted and removed by a healthcare professional. Regular check-ups are needed to ensure comfort and proper function.

20 services18 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.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90039 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

ANDREY PETRIKOVETS MD A PROFESSIONAL CORPORATION

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

3312 GLENDALE BLVD
LOS ANGELES, CA 90039

Los Angeles County (888) 487-6496

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 Andrey Petrikovets's NPI number?

The NPI number for Andrey Petrikovets is 1922307123. It was assigned to this individual provider in the NPPES registry on March 28, 2011. The provider is also known as Dr. Andre Petrikovets MD Facog.

Where is Andrey Petrikovets located?

Andrey Petrikovets practices at 3312 Glendale Blvd, Los Angeles, CA 90039. The listed phone number is (888) 487-6496.

What is Andrey Petrikovets's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Andrey Petrikovets enrolled in Medicare?

Yes. Andrey Petrikovets 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.

Does Andrey Petrikovets hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2301994) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Andrey Petrikovets accept?

Health plans from CareSource list Andrey Petrikovets 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 Andrey Petrikovets was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.