Doctor profile · Federal record
Dr. Inta Davidyuk, FNP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Bolivar, MO
- NPI 1902577141
- Accepts Medicare
- 5 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3817 S Springfield Ave Ste 140
Bolivar, MO 656139129
(417) 422-4769
Credentials & registration
- NPI registered
- September 2021 — 5 yrs on file
- Profile last updated
- November 18, 2021
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Missouri #2021021667
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902577141. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
260
Distinct HCPCS
6
Medicare allowed
$21,816
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 92 | 63 | $71 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 86 | 60 | $100 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 33 | 33 | $101 | |
G0008 |
Administration of influenza virus vaccine | 21 | 21 | $28 | |
90662 |
Influenza vaccine split virus, preservative free | 17 | 17 | $72 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 11 | 11 | $141 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 56. This provider delivers 4.6× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
1,016
Patients
386
Total drug cost
$10,575
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 98 | 39 | $885 |
| Gabapentin | Generic | 95 | 27 | $1,794 |
| Lisinopril | Generic | 92 | 40 | $533 |
| Amlodipine Besylate | Generic | 84 | 30 | $545 |
| Levothyroxine Sodium | Generic | 76 | 31 | $967 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 72 | 35 | $1,726 |
| Losartan Potassium | Generic | 69 | 20 | $602 |
| Pantoprazole Sodium | Generic | 63 | 22 | $603 |
| Sertraline Hcl | Generic | 59 | 23 | $369 |
| Montelukast Sodium | Generic | 56 | 18 | $561 |
Frequently asked questions
What is Dr. Inta Davidyuk's medical specialty?
Dr. Inta Davidyuk practices Family Nurse Practitioner in Bolivar, MO.
Where does Dr. Inta Davidyuk practice?
Dr. Inta Davidyuk practices at 3817 S Springfield Ave Ste 140, Bolivar, MO 656139129. Office phone: 4174224769.
What is Dr. Inta Davidyuk's NPI?
Dr. Inta Davidyuk's National Provider Identifier (NPI) is 1902577141, issued by NPPES.
Does Dr. Inta Davidyuk accept Medicare assignment?
Yes. Dr. Inta Davidyuk accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Inta Davidyuk commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.