Doctor profile · Federal record

Dr. JACOB ITSKOVICH, DMD

Student in an Organized Health Care Education/Training Program · FARMINGTON, CT

  • NPI 1194350140
  • 6 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
263 FARMINGTON AVE
FARMINGTON, CT 060300001
(860) 679-2000
Mailing address
6855 LEYTONSTONE BLVD
WEST BLOOMFIELD, MI 483221243

Credentials & registration

NPPES · NUCC
NPI registered
March 2020 — 6 yrs on file
Profile last updated
August 4, 2020
Specialty taxonomy
390200000X — NUCC code
State license (1)
Connecticut #12877

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1194350140. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$63
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
ZIMVIE INC. 1 $62.50

By nature of payment

Food and Beverage
$63

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
19
Patients
18
Total drug cost
$60
Drug Type Claims Patients Total cost
Amoxicillin Generic 19 18 $60

Methodology · sources used on this page

All figures on this page come from publicly available federal datasets. We do not edit, score, or summarise the underlying data. Profile generated May 18, 2026.

NPPES Provider identifiers and practice info May 11, 2026
Open Payments Industry payments to providers (Sunshine Act) May 11, 2026
Medicare Procedure Utilization Services and allowed amounts by HCPCS May 11, 2026
Medicare Part D Prescription drug claims May 11, 2026
CMS MIPS Quality performance scores May 11, 2026
OIG LEIE Federal exclusion / sanctions list May 11, 2026

Information based on publicly available federal data. Not medical advice. Report incorrect data ›