Doctor profile · Federal record

Dr. Gennady Miroshnichenko, MD

Gynecologic Oncology Physician (CMS: Gynecological Oncology) · Obstetrics & Gynecology Physician · Fort Worth, TX

  • NPI 1164784450
  • Accepts Medicare
  • MIPS 84.0 / 100 · 2023
  • 32 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1201 S Main St
Fort Worth, TX 761044804
(817) 702-6500
fax (817) 702-6561
Mailing address
Po Box 732973
Dallas, TX 753732973

Credentials & registration

NPPES · NUCC
NPI registered
June 2012 — 14 yrs on file
Profile last updated
February 1, 2021
Year of graduation
1994 — 32 yrs since
Specialty taxonomy
207VX0201X — NUCC code
State license (1)
Texas #P4595
Medicaid
TX #307460101

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1164784450. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
113
Distinct HCPCS
2
Medicare allowed
$7,430
HCPCS Description Services Patients Avg allowed
99213 Established patient office or other outpatient visit, 20-29 minutes 89 49 $66
99213 Established patient office or other outpatient visit, 20-29 minutes 24 21 $66

In context: peer comparison

Among 5 peers in Fort Worth Gynecologic Oncology Physician, average services per provider: 780. This provider delivers 0.1× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$1,472
Transactions
8
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Intuitive Surgical, INC. 4 $1,234.29
GlaxoSmithKline, LLC. 3 $204.49
AstraZeneca Pharmaceuticals Lp 1 $33.63

By nature of payment

Food and Beverage
$898
Travel and Lodging
$559
Gift
$15

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
109
Patients
0
Total drug cost
$230,906
Drug Type Claims Patients Total cost
Dexamethasone Generic 23 0 $172
Ondansetron Hcl Generic 23 0 $750
Prochlorperazine Maleate Generic 20 0 $515
Metoclopramide Hcl Generic 17 0 $161
Lynparza (Olaparib) Brand 14 0 $228,206
Estradiol Generic 12 0 $1,103

Frequently asked questions

Auto-generated from federal data
What is Dr. Gennady Miroshnichenko's medical specialty?
Dr. Gennady Miroshnichenko practices Gynecologic Oncology Physician in Fort Worth, TX.
Where does Dr. Gennady Miroshnichenko practice?
Dr. Gennady Miroshnichenko practices at 1201 S Main St, Fort Worth, TX 761044804. Office phone: 8177026500.
What is Dr. Gennady Miroshnichenko's NPI?
Dr. Gennady Miroshnichenko's National Provider Identifier (NPI) is 1164784450, issued by NPPES.
Does Dr. Gennady Miroshnichenko accept Medicare assignment?
Yes. Dr. Gennady Miroshnichenko accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Gennady Miroshnichenko 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 99213). Source: CMS Medicare Physician & Other Practitioners file.