ALEC FEDOROV (M.D.) – Orthopaedic Surgery Physician, NPI 1467401554

ALEC FEDOROV (M.D.) is a healthcare provider. based in Florence, Oregon. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. MD22265 (OR). The NPI Number for ALEC FEDOROV (M.D.) is 1467401554

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
ALEC FEDOROV (M.D.)
NPI
1467401554
Phone
(541) 997-7104
Address
530 9TH ST
Enumeration Date
8 May 2006
Last Update Date
27 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
5419977104
Graduation Year
1993 (33 years ago)
PAC ID
1153415153
Group Practice PAC ID
4587573001
Professional Enrollment ID
I20070921000294
Address ID
OR974397388FL530XXSTXX300

Contacts

Secure Messaging
afedorov199227@samhealth.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:20State licenses:1Other names

383 ORTHOPEDIC SURGERY in OR

Provider Addresses for ALEC FEDOROV (M.D.)

  • 530 9TH ST

    FLORENCE, OR 974397388

    Phone: (541) 997-7104

    Fax: (541) 997-5975

    Type: Mailing

  • Eugene Post Office, 520, Willamette Street, River Edge Public Plaza, Eugene, Lane County, Oregon, 97401, United States

    EUGENE, OR 974401648

    Phone: (541) 242-4812

    Fax: (541) 242-4813

    Type: Mailing

  • 1435, G Street, Springfield, Lane County, Oregon, 97477, United States

    SPRINGFIELD, OR 974774113

    Phone: (541) 242-4812

    Fax: (541) 242-4813

    Type: Location

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: 2007-09-21

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
I20070921000294IOrthopedic SurgeryORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97439)

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Provider's Procedures

ALEC FEDOROV (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYOR20610Aspiration and/or injection of large joint or joint capsule220152

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: 4587573001View full group profile
NameSpecialtyState
General SurgeryOR
Nurse PractitionerOR
-OR
Family Practice, Hospice/Palliative CareOR
General SurgeryOK
-OR
-CA
Internal Medicine, Pediatric MedicineOR
Internal MedicineOR
Internal MedicineCA

Reviews

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Frequently asked questions

What is the registry number for ALEC FEDOROV (M.D.)?
The registry entry for ALEC FEDOROV (M.D.) shows NPI 1467401554.
Does the public listing show ALEC FEDOROV (M.D.) as active?
ALEC FEDOROV (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits ALEC FEDOROV (M.D.)?
NPPES ties ALEC FEDOROV (M.D.) to Orthopaedic Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit ALEC FEDOROV (M.D.) in Florence, Oregon?
For routing, start with Florence, Oregon for ALEC FEDOROV (M.D.), then verify phone and hours locally.
Why is information missing for ALEC FEDOROV (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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