IGOR N BEDAREV (MD) – Family Medicine Physician, NPI 1497069918

IGOR N BEDAREV (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD60323859 (WA). The NPI Number for IGOR N BEDAREV (MD) is 1497069918

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
IGOR N BEDAREV (MD)
NPI
1497069918
Phone
(864) 560-4304
Address
PO BOX 743070
Enumeration Date
27 July 2010
Last Update Date
5 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8644722144
Graduation Year
1996 (30 years ago)
PAC ID
5395985048
Group Practice PAC ID
3072425297
Professional Enrollment ID
I20240205001777
Address ID
SC293491845IN12230HWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:15State licenses:2Digital endpointsOther names

2,191 FAMILY PRACTICE in SC

Provider Addresses for IGOR N BEDAREV (MD)

  • PO BOX 743070

    ATLANTA, GA 303743070

    Phone: (864) 560-4304

    Fax: (864) 560-4413

    Type: Mailing

  • 12230 ASHEVILLE HWY

    INMAN, SC 293491845

    Phone: (864) 472-2144

    Fax: (864) 472-4696

    Type: Location

  • 222 STATE AVE N

    KENT, WA 980304544

    Phone: (253) 372-7866

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $218.

Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($66).

Total Amount

$218

General + Research + Ownership

Payments

12

Total payment records

General Amount

$218

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

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: 2024-02-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240205001777IFamily PracticeSCTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes12086$0
99213Established patient office or other outpatient visit, 20-29 minutes6253$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2828$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use2020$0
G0009Administration of pneumococcal vaccine2020$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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Provider's Procedures

IGOR N BEDAREV (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWA90670Pneumococcal vaccine for injection into muscle2121

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072425297View full group profile
NameSpecialtyState
Nurse PractitionerGA
-FL
H E M A T O L O G Y/ O N C O L O G YGA
-GA
Family PracticeSC
U R O L O G YSC
Diagnostic RadiologyTX
G A S T R O E N T E R O L O G YGA
Certified Registered Nurse Anesthetist (Crna)OH
Nurse PractitionerSC

Reviews

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Frequently asked questions

What federal number belongs to IGOR N BEDAREV (MD)?
The federal identifier for IGOR N BEDAREV (MD) is NPI 1497069918.
Is IGOR N BEDAREV (MD) active in the national directory?
IGOR N BEDAREV (MD)'s public NPI profile is in an active state.
What does IGOR N BEDAREV (MD) treat or focus on?
Patients typically see IGOR N BEDAREV (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for IGOR N BEDAREV (MD)?
The page summarizes Atlanta, Georgia for IGOR N BEDAREV (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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