VICTORIA IVANUKOFF (DO) – Vascular Surgery Physician, NPI 1598095929
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
218 VASCULAR SURGERY in GA
Provider Addresses for VICTORIA IVANUKOFF (DO)
1035 SOUTHCREST DR
STE 250
STOCKBRIDGE, GA 30281
Phone: (770) 996-9945
Fax: (844) 269-9596
Type: Location
Southcrest Drive, Stockbridge, Henry County, Georgia, 30236:30281, United States
STE 250
STOCKBRIDGE, GA 302816117
Phone: (770) 996-9945
Fax: (844) 269-9596
Type: Mailing
405, Lone Oak Road, Paducah, McCracken County, Kentucky, 42001, United States
PADUCAH, KY 420037942
Phone: (270) 441-4300
Fax: (270) 441-4370
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $1,987.
Total Amount is formed as General ($1,987) + Research ($0) + Ownership ($0) = $1,987.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Cardiovascular Systems Inc. ($677).
Total Amount
$1,987
General + Research + Ownership
Payments
46
Total payment records
General Amount
$1,987
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cardiovascular Systems Inc. | $677 |
| Inari Medical, Inc. | $606 |
| Bard Peripheral Vascular, Inc. | $204 |
| Abbott Laboratories | $138 |
| Endologix LLC | $134 |
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: 2019-04-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190411001861 | I | Vascular Surgery | KY | 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 |
|---|---|---|---|---|
| 93880 | Ultrasound of both sides of head and neck blood flow | 307 | 296 | $0 |
| 93923 | Complete ultrasound study of arm and leg arteries | 185 | 173 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 129 | 117 | $0 |
| 93922 | Ultrasound study of arm and leg arteries | 74 | 61 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 57 | 54 | $0 |
Insurance plans in this area (ZIP 30281)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Internal Medicine | TN | |
| Nurse Practitioner | KY | |
| P S Y C H I A T R Y | OH | |
| Nurse Practitioner | OH | |
| N E U R O S U R G E R Y | VA | |
| Nurse Practitioner | KY | |
| Certified Clinical Nurse Specialist (Cns) | OH | |
| Neurology, Internal Medicine | KY | |
| N E U R O L O G Y | OH |
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