MIKHAIL SHIPOTKO (MD) – Hospitalist Physician, NPI 1003217977

MIKHAIL SHIPOTKO (MD) is a healthcare provider. based in Ogden, Utah. specializing in HOSPITALIST. They hold the professional credentials MD. They hold a License No. R2744 (TX). The NPI Number for MIKHAIL SHIPOTKO (MD) is 1003217977

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
MIKHAIL SHIPOTKO (MD)
NPI
1003217977
Phone
(801) 387-2800
Address
4401 HARRISON BLVD
Enumeration Date
10 September 2014
Last Update Date
5 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013874655
Graduation Year
2007 (19 years ago)
PAC ID
9436426657
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20231110000056
Address ID
UT844033195OG4401XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:11State licenses:2Digital endpointsOther names

259 HOSPITALIST in UT

Provider Addresses for MIKHAIL SHIPOTKO (MD)

  • 4401 HARRISON BLVD

    OGDEN, UT 844033195

    Phone: (801) 387-2800

    Type: Mailing

  • PO BOX 60465

    CORPUS CHRISTI, TX 784660465

    Phone: (361) 884-2904

    Fax: (361) 884-1912

    Type: Mailing

  • 3315 S ALAMEDA ST

    CORPUS CHRISTI, TX 78411

    Phone: (361) 761-1100

    Fax: (618) 841-9123

    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 $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

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: 2023-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170518001483IInternal MedicineTXTBD
I20231110000056IHospitalistUTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10345$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2929$0
99239Hospital discharge day management, more than 30 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 84403)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MIKHAIL SHIPOTKO (MD) for billing?
Administrative and clinical systems typically use NPI 1003217977 for MIKHAIL SHIPOTKO (MD).
Should I treat MIKHAIL SHIPOTKO (MD) as an active provider?
Patients and plans typically see MIKHAIL SHIPOTKO (MD) as active in the national extract.
What type of care does MIKHAIL SHIPOTKO (MD) provide?
MIKHAIL SHIPOTKO (MD)'s profile centers on Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MIKHAIL SHIPOTKO (MD)?
MIKHAIL SHIPOTKO (MD) shows a connection to Ogden, Utah in registry-derived data.
Who maintains MIKHAIL SHIPOTKO (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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