Individual provider Active NPI

Igor A. Jercinovich, M.D.

  • Orthopaedic Surgery Physician
  • Murrieta, CA
National Provider Identifier
1295788933
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G56290 Issued in CA
Practice address
25150 Hancock Ave Ste 200
Murrieta, CA 92562-5988
Phone
(951) 698-4660
Fax
(951) 698-4659
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G56290 CA Primary

Addresses

Primary practice location

25150 Hancock Ave Ste 200
Murrieta, CA 92562-5988

Mailing address

25150 Hancock Ave Ste 200
Murrieta, CA 92562-5988
Phone (951) 698-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071017000744 CA Practitioner - Orthopedic Surgery 1557457801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical College of Wisconsin, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25150 Hancock Ave
Suite 200
Murrieta, CA 92562-5988
Phone (951) 698-4660

Hospital & facility affiliations

  • Salus Home Health Home health agency, Irvine, CA, CCN 058237
  • Mission Home Health of North County San Diego Home health agency, San Marcos, CA, CCN 059474
  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775

Merit-based Incentive Payment System (MIPS)

Final score
17.76 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
59.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement32
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Temecula Valley Hospital Inc Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ijercinovich181963@direct.llu.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1295788933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25150 HANCOCK AVE STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625988",
            "telephone_number": "951-698-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25150 HANCOCK AVE STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625988",
            "telephone_number": "951-698-4660",
            "fax_number": "951-698-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERCINOVICH",
        "first_name": "IGOR",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G56290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.