NPIMap

Individual provider Active NPI

Alec Fedorov, M.D.

  • Orthopaedic Surgery Physician
  • Florence, OR
National Provider Identifier
1467401554
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD22265 Issued in OR
Practice address
530 9TH St
Florence, OR 97439-7388
Phone
(541) 997-7104
Fax
(541) 997-5975
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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 MD22265 OR Primary

Addresses

Primary practice location

530 9TH St
Florence, OR 97439-7388

Mailing address

530 9TH St
Florence, OR 97439-7388
Phone (541) 997-7104

Other identifiers 2

IdentifierTypeStateIssuer
288355MedicaidOR
MD22265OtherORSTATE LICENSE

Other names 1

  • Igor Fyodorov Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070921000294 OR Practitioner - Orthopedic Surgery 1153415153 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of California, Geffen School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 4587573001, 26 clinicians

Practice addresses (Care Compare)

530 9TH St
Florence, OR 97439-7388
Phone (541) 997-7104

Hospital & facility affiliations

  • Peace Harbor Medical Center Hospital, Florence, OR, CCN 381316
  • Samaritan Pacific Community Hospital Hospital, Newport, OR, CCN 381314

Procedures performed for Medicare patients

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD22265ORMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Oct 10, 2022 Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Feb 1, 2011 Accepting new patients
Peacehealth CurrentSince Dec 1, 2025 Accepting new patients

Locations

600 Country Club Rd
Eugene, OR 97401
Phone (541) 242-4172

920 Country Club Rd
Ste 100A
Eugene, OR 97401
Phone (541) 242-4162

530 9th St
Florence, OR 97439
Phone (541) 997-7104

400 9th St
Florence, OR 97439
Phone (541) 997-8412

1435 G St
Springfield, OR 97477
Phone (541) 514-5213

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

Interoperability endpoints

  • Direct secure messaging: afedorov@yourcarecommunity.org
  • Direct secure messaging: afedorov12216@direct.peacehealth.org

Organizations & group practices 4

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1467401554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 9TH ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974397388",
            "telephone_number": "541-997-7104",
            "fax_number": "541-997-5975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 9TH ST",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974397388",
            "telephone_number": "541-997-7104",
            "fax_number": "541-997-5975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDOROV",
        "first_name": "ALEC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD22265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288355",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD22265",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IGOR",
            "last_name": "FYODOROV",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Florence, OR

Sources for this page

Verify at the official NPI Registry.