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ALEXANDER GEORGE PROTOSEVICH PA-C
NPI 1093364895
Physician Assistant in Charlestown, NH

Active since September 05, 2019PECOS EnrolledAccepts Medicare Assignment
250 CEDA RD, CHARLESTOWN, NH 03603(603) 826-5711 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2021, Sep 5, 2019 (2 updates tracked since 2019).

About Alexander George Protosevich Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER GEORGE PROTOSEVICH PA-C (NPI 1093364895) is an individual physician assistant in Charlestown, New Hampshire, licensed in Massachusetts (PA8061) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1093364895
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDER GEORGE PROTOSEVICHCredential: PA-C
Location Address250 CEDA RDCharlestown, NH 03603-4511
Mailing Address75 Francis StBoston, MA 02115-6110 · (617) 732-6040
Phone(603) 826-5711
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 5, 2019
Last NPPES UpdateAugust 11, 20212 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
✔ NPI 1093364895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MA · PA8061✔ Licensed in VT · 055.0031434
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
250 CEDA RD, Charlestown, NH 03603
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexander George Protosevich Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315379690
PECOS Enrollment IDI20240716003830
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers32 claims68 services$5.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPRINGFIELD MEDICAL CARE SYSTEMS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
250 CEDA RD
CHARLESTOWN, NH 03603
Sullivan County (603) 826-5711
SPRINGFIELD MEDICAL CARE SYSTEMS INC
Pharmacy (Community/Retail Pharmacy)
250 CEDA RD
CHARLESTOWN, NH 03603
Sullivan County (833) 219-1535
BREANNA ROSE CRAIGUE APRN
Nurse Practitioner (Gerontology)
250 CEDA RD
CHARLESTOWN, NH 03603
Sullivan County (603) 826-5711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Protosevich's NPI number?

The NPI number for Alexander Protosevich is 1093364895. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Alexander Protosevich located?

Alexander Protosevich practices at 250 Ceda Rd, Charlestown, NH 03603. The listed phone number is (603) 826-5711.

What is Alexander Protosevich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alexander Protosevich enrolled in Medicare?

Yes. Alexander Protosevich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alexander Protosevich accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Alexander Protosevich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexander Protosevich was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.