IRINA KOSTOVA DIMITROVA (M.D.) – Obstetrics & Gynecology Physician, NPI 1003847237
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,038 OBSTETRICS/GYNECOLOGY in WA
Provider Addresses for IRINA KOSTOVA DIMITROVA (M.D.)
2121 NE 139th St Ste 120
Vancouver, WA 986862301
Phone: (360) 487-1717
Type: Location
Henry Ford West Bloomfield Hospital, 6777, West Maple Road, West Bloomfield Township, Oakland County, Michigan, 48322, United States
WEST BLOOMFIELD, MI 483223013
Phone: (248) 325-1000
Type: Mailing
1500 S Fairfield Ave
Chicago, IL 606081782
Phone: (773) 542-2000
Type: Location
400 W RIVER WOODS PKWY
GLENDALE, WI 532121060
Phone:
Type: Mailing
2350 N LAKE DR
MILWAUKEE, WI 532114528
Phone: (414) 585-1949
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $3,010.
Total Amount is formed as General ($3,010) + Research ($0) + Ownership ($0) = $3,010.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Asensus Surgical, Inc. ($1,156).
Total Amount
$3,010
General + Research + Ownership
Payments
19
Total payment records
General Amount
$3,010
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Asensus Surgical, Inc. | $1,156 |
| Intuitive Surgical, Inc. | $1,134 |
| ABBVIE INC. | $151 |
| GlaxoSmithKline, LLC. | $125 |
| Eisai Inc. | $124 |
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: 2024-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20180419002099 | I | Gynecological Oncology | IL | TBD |
| I20180907002626 | I | Obstetrics/Gynecology | MI | TBD |
| I20220722002655 | I | Gynecological Oncology | OR | TBD |
| I20230508002053 | I | Obstetrics/Gynecology | IL | TBD |
| I20240131002090 | I | Obstetrics/Gynecology | WI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 98686)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | IL | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Radiation Oncology, Diagnostic Radiology | IL | |
| Hematology/Oncology, Internal Medicine | IL | |
| Endocrinology, Internal Medicine | IL | |
| Internal Medicine | IL | |
| Internal Medicine, Sleep Medicine | IL | |
| - | IL | |
| P A T H O L O G Y | IL | |
| General Surgery, Colorectal Surgery (Proctology) | IL |
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