Doctor profile · Federal record
Dr. Dmitriy Khodorskiy, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Internal Medicine Physician · Internal Medicine Physician · Internal Medicine Physician · Gastroenterology Physician · Gastroenterology Physician · Mineola, NY
- NPI 1689803736
- Accepts Medicare
- 18 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
222 Station Plz N Ste 429
Mineola, NY 115013889
(516) 663-4623
fax (516) 663-8500
Credentials & registration
- NPI registered
- July 2009 — 17 yrs on file
- Profile last updated
- June 6, 2017
- Year of graduation
- 2008 — 18 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State licenses (3)
- New York #265957 · California #A132741 · Connecticut #054753
- Medicaid
- NY #03530641
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689803736. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
281
Distinct HCPCS
8
Medicare allowed
$61,595
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
96360 |
Infusion into a vein for hydration, 31-60 minutes | 70 | 55 | $38 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 44 | 32 | $146 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 42 | 40 | $211 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 32 | 32 | $195 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 31 | 29 | $322 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 31 | 30 | $537 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 20 | 15 | $207 | |
43251 |
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | 11 | 11 | $600 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 51. This provider delivers 5.5× the peer median.Open Payments
Industry payments received
All-time total
$762
Transactions
36
Manufacturers
12
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 13 | $191.93 | |
| Ardelyx, Inc. | 4 | $126.58 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 7 | $126.53 | |
| Madrigal Pharmaceuticals | 3 | $83.03 | |
| Intra-Sana Laboratories | 1 | $58.91 | |
| Merck Sharp & Dohme LLC | 2 | $39.24 | |
| Janssen Biotech, Inc. | 1 | $28.02 | |
| Gilead Sciences, Inc. | 1 | $25.63 | |
| IRONWOOD PHARMACEUTICALS, INC | 1 | $23.94 | |
| RedHill Biopharma Inc. | 1 | $21.64 | |
| PFIZER INC. | 1 | $18.96 | |
| Phathom Pharmaceuticals, Inc. | 1 | $17.76 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
423
Patients
322
Total drug cost
$9,635
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 155 | 149 | $2,861 |
| Omeprazole | Generic | 105 | 51 | $1,664 |
| Famotidine | Generic | 37 | 16 | $186 |
| Pantoprazole Sodium | Generic | 34 | 15 | $356 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates) | Brand | 27 | 26 | $1,792 |
| Peg-3350 And Electrolytes (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 23 | 23 | $345 |
| Gavilyte-C (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 20 | 20 | $399 |
| Metronidazole | Generic | 11 | 11 | $146 |
| Sutab (Sod Sulf/Pot Chloride/Mag Sulf) | Brand | 11 | 11 | $1,886 |
Frequently asked questions
What is Dr. Dmitriy Khodorskiy's medical specialty?
Dr. Dmitriy Khodorskiy practices Gastroenterology Physician in Mineola, NY.
Where does Dr. Dmitriy Khodorskiy practice?
Dr. Dmitriy Khodorskiy practices at 222 Station Plz N Ste 429, Mineola, NY 115013889. Office phone: 5166634623.
What is Dr. Dmitriy Khodorskiy's NPI?
Dr. Dmitriy Khodorskiy's National Provider Identifier (NPI) is 1689803736, issued by NPPES.
Does Dr. Dmitriy Khodorskiy accept Medicare assignment?
Yes. Dr. Dmitriy Khodorskiy accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dmitriy Khodorskiy commonly perform?
Top Medicare-reported procedures in 2023: Infusion into a vein for hydration (HCPCS 96360); Established patient office or other outpatient visit (HCPCS 99214); Biopsy of large bowel using a flexible endoscope (HCPCS 45380). Source: CMS Medicare Physician & Other Practitioners file.