Ilya Ivanov, DO
NPI 1487848149ActiveIndividual· Psychiatry & Neurology, Psychiatry· Mount Laurel, NJ
Psychiatry & Neurology, Psychiatry (DO) in Mount Laurel, New Jersey, trained at Rowan University School of Osteopathic Medicine (class of 2005). In 2024 Medicare paid $32,081 for 59 patients, and Part D covered 100 of their prescriptions, 86% of them generic.
Overview
| NPI | 1487848149 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Sep 5, 2007 |
| Last updated in NPPES | Mar 14, 2024 |
| Certified by provider | Mar 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | 025MB8329500 | NJ |
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 - Psychiatry (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 59 |
|---|---|
| Services billed | 325 across 8 procedure codes |
| Paid by Medicare | $32,081 |
Part D prescriptions in 2024
| Prescriptions (claims) | 100 · 100 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $8,627 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | Rowan University School of Osteopathic Medicine |
|---|---|
| Graduation year | 2005 |
| Medicare specialty | Psychiatry |
Medical group
- Virtua Medical Group, PACherry Hill, NJ · 1,688 clinicians
Hospital affiliation
- Jefferson Stratford HospitalStratford, NJ
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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All 37 psychiatrists in Mount Laurel · All psychiatrists in New Jersey