ALEXANDRA DUBIKOVSKY GOLDEN (MD) – Anesthesiology Physician, NPI 1215355714
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ALEXANDRA DUBIKOVSKY GOLDEN (MD)
3181 SW SAM JACKSON PARK RD
MAILCODE SJH-2
PORTLAND, OR 972393011
Phone: (503) 494-7641
Fax: (503) 494-8368
Type: Mailing
5520 LBJ FWY STE 290
DALLAS, TX 752406246
Phone: (972) 636-5727
Fax: (972) 408-0711
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $489.
Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.
Last reported payment date: 2024-01-09 • Largest payer in this snapshot: Medtronic, Inc. ($154).
Total Amount
$489
General + Research + Ownership
Payments
12
Total payment records
General Amount
$489
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $154 |
| Boston Scientific Corporation | $129 |
| PFIZER INC. | $53 |
| Ipsen Biopharmaceuticals, Inc | $44 |
| Abbott Laboratories | $42 |
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: 2022-10-17
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 |
|---|---|---|---|---|
| I20221017002768 | I | Anesthesiology | TX | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 299 | 31 | $0 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 143 | 55 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 141 | 54 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 121 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 106 | 27 | $0 |
Insurance plans in this area (ZIP 97239)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | FL | |
| - | OR | |
| - | OR | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Certified Registered Nurse Anesthetist (Crna) | HI | |
| A N E S T H E S I O L O G Y | MN | |
| A N E S T H E S I O L O G Y | CA |
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