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DR. PAUL PETER POVANDA D.O.
NPI 1164525325
Internal Medicine in Elmira, NY

Active since September 06, 2006PECOS Enrolled
81.3/100
CMS Quality Rating
600 ROE AVE, ELMIRA, NY 14905(607) 734-1581(607) 767-3661 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2020, Apr 14, 2017, Nov 10, 2015 (3 updates tracked since 2015).

About Dr. Paul Peter Povanda D.o. NPPES

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

DR. PAUL PETER POVANDA D.O. (NPI 1164525325) is an individual internal medicine provider in Elmira, New York, licensed in New York (195749) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Arnot Ogden Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1990).

NPPES Registry Identity

NPI1164525325
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAUL PETER POVANDACredential: D.O.
Location Address600 ROE AVEElmira, NY 14905-1676
Mailing Address571 Saint Josephs Blvd, Fl 2Elmira, NY 14901-3230 · (607) 271-2050
Phone(607) 734-1581
Fax(607) 767-3661
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1990
Enumeration DateSeptember 6, 2006
Last NPPES UpdateNovember 30, 20203 updates tracked since enumeration
NPPES CertifiedNovember 30, 2020
✔ NPI 1164525325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 195749
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
600 ROE AVE, Elmira, NY 14905
Open in Google Maps ↗

Other Identifiers 1

Medicaid01693278NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Peter Povanda D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941326441
PECOS Enrollment IDI20100921001365
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.
511 services202 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Arnot Ogden Medical Center

Acute Care Hospitals · Elmira, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330090
Location600 Roe AvenueElmira, NY 14905 · Chemung County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14905 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.8
Promoting Interoperability100
Improvement Activities40
Cost65.21

Referred Medical Equipment & Supplies CMS DME claims 14

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
12 suppliers53 claims110 services$5.80 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims18 services$1.03 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers11 claims11 services$15.63 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims61 services$2.27 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers27 claims825 services$5.51 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims3,331 services$0.36 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 20

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

ROHAIL AIJAZ BAIG MD
Student in an Organized Health Care Education/Training Program
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 442-1713
DR. MADIHA AKHTER
Student in an Organized Health Care Education/Training Program
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 737-4100
DR. SANG S LEE MD
Student in an Organized Health Care Education/Training Program
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 737-4100
SIDRAH JAMAL
Student in an Organized Health Care Education/Training Program
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 737-4100
JOHN H CHOTKOWSKI M.D.
Radiology (Diagnostic Radiology)
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 734-3414
ROBERT NOVAK
General Practice
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 737-4100
JESSICA DUAN DO
Student in an Organized Health Care Education/Training Program
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 737-4100
STEPHEN MANGANARO M.D.
Emergency Medicine
600 ROE AVE
ELMIRA, NY 14905
Chemung County (607) 737-4508

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 Paul Povanda's NPI number?

The NPI number for Paul Povanda is 1164525325. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Paul Povanda located?

Paul Povanda practices at 600 Roe Ave, Elmira, NY 14905. The listed phone number is (607) 734-1581.

What is Paul Povanda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Paul Povanda enrolled in Medicare?

Yes. Paul Povanda is registered in the Medicare PECOS enrollment system.

Is Paul Povanda affiliated with any hospitals?

According to CMS data, Paul Povanda is affiliated with Arnot Ogden Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Povanda was last updated on November 30, 2020. 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.