Ivan S. Kotchetkov
NPI 1356634356ActiveIndividual· Psychiatry & Neurology, Neurology· New York, NY
Psychiatry & Neurology, Neurology in New York, New York, trained at Columbia University College of Physicians and Surgeons (class of 2012). Medicare paid $23,861 for services to 122 patients in 2024.
Overview
| NPI | 1356634356 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 24, 2011 |
| Last updated in NPPES | Jun 22, 2020 |
| Certified by provider | Jun 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Neurology Primary | 2084N0400X | 293300 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Neurology (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 122 |
|---|---|
| Services billed | 205 across 8 procedure codes |
| Paid by Medicare | $23,861 |
Education and affiliations
| Medical school | Columbia University College of Physicians and Surgeons |
|---|---|
| Graduation year | 2012 |
| Medicare specialty | Neurology |
Medical group
- Memorial Neurology GroupNew York, NY · 93 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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