DR. OLEKSANDR SELEVERSTOV (MD) – Internal Medicine Physician, NPI 1770841421
Internal Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,056 INTERNAL MEDICINE in WA
Provider Addresses for DR. OLEKSANDR SELEVERSTOV (MD)
9621 RIDGETOP BLVD NW
SILVERDALE, WA 983838502
Phone: (360) 782-3600
Fax: (360) 782-3689
Type: Mailing
146 THUNDER RIDGE DR
WALLA WALLA, WA 993627762
Phone: (518) 801-6446
Type: Mailing
56 N COLLEGE AVE UNIT 2A
COLLEGE PLACE, WA 993241048
Phone: (509) 730-0728
Type: Location
19245 7th Ave NE
Poulsbo, WA 983706551
Phone: (360) 782-3501
Fax: (360) 782-3540
Type: Location
380 Chase Ave
Walla Walla, WA 993622924
Phone: (509) 897-5836
Fax: (509) 897-5743
Type: Location
1129 S 2nd Ave Ste B
Walla Walla, WA 993624100
Phone: (509) 520-5520
Type: Location
19245 7TH AVE NE
POULSBO, WA 983706551
Phone: (360) 782-3501
Fax: (360) 782-3540
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $824.
Total Amount is formed as General ($824) + Research ($0) + Ownership ($0) = $824.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($265).
Total Amount
$824
General + Research + Ownership
Payments
38
Total payment records
General Amount
$824
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $265 |
| Abbott Laboratories | $134 |
| GlaxoSmithKline, LLC. | $83 |
| Lundbeck LLC | $67 |
| ABBVIE INC. | $65 |
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: 2025-06-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200306002541 | I | Internal Medicine | WA | TBD |
| I20250610002752 | I | Internal Medicine | OR | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,111 | 392 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 239 | 239 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 203 | 168 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 116 | 93 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 81 | 81 | $0 |
Insurance plans in this area (ZIP 98383)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | SC | |
| - | WA | |
| Nurse Practitioner | WA | |
| Internal Medicine, Hospitalist, Internal Medicine | CT | |
| Internal Medicine | WA | |
| Internal Medicine | MI | |
| Internal Medicine | ID | |
| Hospitalist, Hospitalist, Internal Medicine | TX | |
| Physician Assistant | TN | |
| Hospitalist, Internal Medicine, Internal Medicine | FL |
Reviews
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