DR. IVANKA KOVALYSHYN (D.O) – Dermatology Physician, NPI 1114242039

DR. IVANKA KOVALYSHYN (D.O) is a healthcare provider. based in Boca raton, Florida. specializing in DERMATOLOGY. They hold the professional credentials D.O. They hold a License No. 34.011030 (OH). The NPI Number for DR. IVANKA KOVALYSHYN (D.O) is 1114242039

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. IVANKA KOVALYSHYN (D.O)
NPI
1114242039
Phone
(561) 247-4984
Address
4700 EXCHANGE CT STE 110
Enumeration Date
3 April 2010
Last Update Date
5 June 2024

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
2961629159
Professional Enrollment ID
I20250716001133
Address ID
TX750194435CO1111XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,366 DERMATOLOGY in FL

Provider Addresses for DR. IVANKA KOVALYSHYN (D.O)

  • 4700 EXCHANGE CT STE 110

    BOCA RATON, FL 334314450

    Phone: (561) 247-4984

    Fax: (561) 431-2821

    Type: Mailing

  • 470, Columbia Drive, West Palm Beach, Palm Beach County, Florida, 33409, United States

    SUITE 102A

    WEST PALM BEACH, FL 334091997

    Phone: (561) 640-4400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-06-09 • Largest payer in this snapshot: Janssen Biotech, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Janssen Biotech, Inc.$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151201000896IDermatologyFLTBD
I20250716001133IDermatologyMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33431)

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Provider's Procedures

DR. IVANKA KOVALYSHYN (D.O) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYFL88304Pathology examination of tissue using a microscope, moderately low complexity3533
DERMATOLOGYFL88312Special stained specimen slides to identify organisms including interpretation and report2922

Reviews

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Frequently asked questions

Is DR. IVANKA KOVALYSHYN (D.O) listed with a National Provider Identifier?
Yes — DR. IVANKA KOVALYSHYN (D.O) has NPI 1114242039 on file in the registry.
Is DR. IVANKA KOVALYSHYN (D.O) shown as active in public data?
Registry records indicate DR. IVANKA KOVALYSHYN (D.O) maintains an active NPI.
How would a patient describe DR. IVANKA KOVALYSHYN (D.O)'s focus?
For DR. IVANKA KOVALYSHYN (D.O), the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. IVANKA KOVALYSHYN (D.O)?
Directory geography for DR. IVANKA KOVALYSHYN (D.O) centers on Boca Raton, Florida.
When was this NPI issued?
Enumeration for DR. IVANKA KOVALYSHYN (D.O) is noted as April 3, 2010 where the registry provides it.

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