DR. LADISLAV FEDORKO (MD) – Family Medicine Physician, NPI 1245291913

DR. LADISLAV FEDORKO (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 35-071881 (OH). The NPI Number for DR. LADISLAV FEDORKO (MD) is 1245291913

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. LADISLAV FEDORKO (MD)
NPI
1245291913
Phone
Not provided
Address
PO BOX 638269
Enumeration Date
31 March 2006
Last Update Date
21 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4408165970
Graduation Year
1970 (56 years ago)
PAC ID
1759275076
Group Practice PAC ID
4082682778
Professional Enrollment ID
I20040209000977
Address ID
OH441303417MI18697RDXX300
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

4,431 FAMILY PRACTICE in OH

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Provider Addresses for DR. LADISLAV FEDORKO (MD)

  • PO BOX 638269

    CINCINNATI, OH 452638269

    Phone:

    Type: Mailing

  • West Bagley Road, Berea, Cuyahoga County, Ohio, 44017, United States

    BEREA, OH 440172912

    Phone: (440) 816-5188

    Type: Location

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 $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-09-13 • Largest payer in this snapshot: Melinta Therapeutics, LLC ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-02-09

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
I20040209000977IFamily PracticeOHTBD

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
99183Management of oxygen chamber therapy5615$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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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: 4082682778View full group profile
NameSpecialtyState
-OH
Nurse PractitionerTN
Nurse PractitionerTN
Cardiac Surgery, Emergency Medicine, Thoracic SurgeryPA
Nurse PractitionerOH
Family PracticeOH
Emergency MedicineOH
General Practice, General SurgeryOH
Family PracticeTN
-OH

Reviews

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Frequently asked questions

What is DR. LADISLAV FEDORKO (MD)'s NPI number?
DR. LADISLAV FEDORKO (MD)'s NPI is 1245291913 — the number used across U.S. healthcare to identify this provider.
Is DR. LADISLAV FEDORKO (MD) still an active registrant?
DR. LADISLAV FEDORKO (MD) carries an active NPI according to the public dataset.
What area of care is associated with DR. LADISLAV FEDORKO (MD)?
DR. LADISLAV FEDORKO (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. LADISLAV FEDORKO (MD)?
Travel planning: use Cincinnati, Ohio as the reference point for DR. LADISLAV FEDORKO (MD), then confirm.
When was this NPI issued?
Enumeration for DR. LADISLAV FEDORKO (MD) is noted as March 31, 2006 where the registry provides it.

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