ALEXEY MAKOGONOV (MD) – Internal Medicine Physician, NPI 1417944877

ALEXEY MAKOGONOV (MD) is a healthcare provider. based in Beverly, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 151220 (MA). The NPI Number for ALEXEY MAKOGONOV (MD) is 1417944877

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
ALEXEY MAKOGONOV (MD)
NPI
1417944877
Phone
(978) 922-3000
Address
BEVERLY HOSPITAL
Enumeration Date
30 September 2005
Last Update Date
3 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
0648347070
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20080926000008
Address ID
MA018050001Bu41XXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

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Provider Addresses for ALEXEY MAKOGONOV (MD)

  • Beverly Hospital, 85, Herrick Street, Beverly, Essex County, Massachusetts, 01915, United States

    85 HERRICK STREET

    BEVERLY, MA 019151790

    Phone: (978) 922-3000

    Fax: (978) 921-7048

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-09-26

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
I20080926000008IInternal MedicineMATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes265110$0
99239Hospital discharge day management, more than 30 minutes118113$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6558$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5755$0
View full utilization report →

Insurance plans in this area (ZIP 01915)

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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: 2264336528View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

Can I cross-check ALEXEY MAKOGONOV (MD) using NPI 1417944877?
NPI 1417944877 belongs to ALEXEY MAKOGONOV (MD); compare other details if you need extra assurance.
Is there an active status for ALEXEY MAKOGONOV (MD)?
For scheduling context, ALEXEY MAKOGONOV (MD) is shown as active in the registry.
What area of care is associated with ALEXEY MAKOGONOV (MD)?
ALEXEY MAKOGONOV (MD)'s record emphasizes Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is ALEXEY MAKOGONOV (MD) registered?
Use Beverly, Massachusetts as the headline location for ALEXEY MAKOGONOV (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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