DEJAN ZIVKOVIC (MS) – Anesthesiologist Assistant, NPI 1255333282
Anesthesiologist Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
424 ANESTHESIOLOGY ASSISTANT in OH
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Provider Addresses for DEJAN ZIVKOVIC (MS)
North Shore Gastroenterology & Endoscopy Center, 850, Columbia Road, Westlake, Cuyahoga County, Ohio, 44070, United States
WESTLAKE, OH 441451493
Phone: (440) 808-4000
Type: Location
PO BOX 567
CHAGRIN FALLS, OH 440220567
Phone: (216) 464-5160
Fax: (216) 464-5982
Type: Mailing
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 $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2023-06-30 • Largest payer in this snapshot: EAGLE PHARMACEUTICALS, INC. ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| EAGLE PHARMACEUTICALS, INC. | $14 |
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: 2005-11-16
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 |
|---|---|---|---|---|
| I20051116000329 | I | Anesthesiology Assistant | OH | 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 27 | 27 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 20 | 19 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 16 | 16 | $0 |
| 01480 | Anesthesia for other procedure on lower leg, ankle, and foot bones | 14 | 14 | $0 |
Insurance plans in this area (ZIP 44145)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Anesthesiology Assistant | CO | |
| - | OH | |
| Anesthesiology Assistant | OH | |
| - | OH | |
| - | OH |
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