IDA M MINEVICH (MD) – Internal Medicine Physician, NPI 1891780367
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,735 INTERNAL MEDICINE in MA
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Provider Addresses for IDA M MINEVICH (MD)
Brighton Marine Health Center, 77, Warren Street, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States
BRIGHTON, MA 02135
Phone: (617) 562-5250
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)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-04-09 • Largest payer in this snapshot: Exact Sciences Corporation ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $15 |
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: 2009-01-22
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20090122000477 | I | Internal Medicine | MA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 525 | 173 | $0 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 228 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 185 | 116 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 174 | 94 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 141 | 141 | $0 |
Insurance plans in this area (ZIP 02135)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | MA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 83 | 76 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MA | |
| Family Practice | MA | |
| Family Practice | MA | |
| Nurse Practitioner | MA | |
| Family Practice | MA | |
| Family Practice | MA | |
| Internal Medicine | MA | |
| Internal Medicine | MA | |
| R H E U M A T O L O G Y | MA | |
| Nurse Practitioner | MA |
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