DMITRI PETRYCHENKO (M.D.) – Interventional Pain Medicine Physician, NPI 1588644272
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,343 ANESTHESIOLOGY in FL
Provider Addresses for DMITRI PETRYCHENKO (M.D.)
2100 E Hallandale Beach Blvd Ste 210
Hallandale Beach, FL 330093770
Phone: (954) 374-9146
Fax: (718) 336-5137
Type: Location
200 Craig Rd Ste 101
Manalapan, NJ 077268735
Phone: (732) 402-8228
Fax: (718) 336-5137
Type: Location
7305 Metropolitan Ave
Middle Village, NY 113792649
Phone: (718) 336-5123
Fax: (718) 336-5137
Type: Location
Ocean Avenue, Brooklyn, Kings County, New York, 11229, United States
BROOKLYN, NY 112353202
Phone: (718) 336-5123
Fax: (718) 336-5137
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 44 Open Payments records for all available years, with a total value of $955.
Total Amount is formed as General ($955) + Research ($0) + Ownership ($0) = $955.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($280).
Total Amount
$955
General + Research + Ownership
Payments
44
Total payment records
General Amount
$955
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-07-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040107000529 | I | Interventional Pain Management | NY | TBD |
| I20041112000760 | I | Anesthesiology | NJ | TBD |
| I20210714000050 | I | Pain Management | FL | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 4,959 | 236 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,316 | 286 | $0 |
| 77002 | Fluoroscopic guidance for needle placement | 286 | 102 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 258 | 93 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 204 | 136 | $0 |
Insurance plans in this area (ZIP 33009)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | NY | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 43 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | NY |
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