DR. KARIN ANDREA PROVOST D.O., PHD
NPI 1164568374
Internal Medicine - Pulmonary Disease in Williamsville, NY

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
1020 YOUNGS RD, WILLIAMSVILLE, NY 14221(716) 961-9900(716) 961-9911 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 14, 2017 (2 updates tracked since 2017).

About Dr. Karin Andrea Provost D.o., Phd NPPES

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

DR. KARIN ANDREA PROVOST D.O., PHD (NPI 1164568374) is an individual pulmonary disease provider in Williamsville, New York, licensed in New York (249836-1) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1999).

NPPES Registry Identity

NPI1164568374
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. KARIN ANDREA PROVOSTCredential: D.O., PHD
Location Address1020 YOUNGS RDWilliamsville, NY 14221-2698
Mailing Address53 Deer RunOrchard Park, NY 14127-3455 · (716) 662-0606 · Fax (716) 862-8632
Fax(716) 961-9911
Sole ProprietorYes
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1999
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1164568374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 249836-1
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 249836-1 (NY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 249836-1 (NY)
1020 YOUNGS RD, Williamsville, NY 14221

Other Names 1

Former Name (1)Dr. Karin Andrea Schwartz D.o.

Other Identifiers 1

Medicaid03030462NY

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

Dr. Karin Andrea Provost D.o., Phd 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 ID5294713988
PECOS Enrollment IDI20081007000480
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 5

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.
59 services36 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
16 services15 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
16 services15 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
13 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14221 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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier16 claims16 services$882.98 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier104 claims128 services$912.01 avg. paid by Medicare
Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery E0550
DME-Other DME · category DE000N
1 supplier11 claims11 services$39.79 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$64.74 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers11 claims3,637 services$0.04 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
8 suppliers31 claims2,220 services$0.82 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.

Internal Medicine
1020 YOUNGS RD
WILLIAMSVILLE, NY 14221
Radiology (Diagnostic Radiology)
1020 YOUNGS RD, #120
WILLIAMSVILLE, NY 14221
Internal Medicine (Allergy & Immunology)
1020 YOUNGS RD
WILLIAMSVILLE, NY 14221
Internal Medicine
1020 YOUNGS RD
WILLIAMSVILLE, NY 14221
Obstetrics & Gynecology (Gynecologic Oncology)
1020 YOUNGS RD, SUITE 130
WILLIAMSVILLE, NY 14221
Dentist (Pediatric Dentistry)
1020 YOUNGS RD
WILLIAMSVILLE, NY 14221
Internal Medicine (Cardiovascular Disease)
1020 YOUNGS RD
WILLIAMSVILLE, NY 14221
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1020 YOUNGS RD
WILLIAMSVILLE, NY 14221

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 Karin Provost's NPI number?

The NPI number for Karin Provost is 1164568374. It was assigned to this individual provider in the NPPES registry on January 29, 2007. The provider is also known as Dr. Karin Andrea Schwartz D.O..

Where is Karin Provost located?

Karin Provost practices at 1020 Youngs Rd, Williamsville, NY 14221. The listed phone number is (716) 961-9900.

What is Karin Provost's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Karin Provost enrolled in Medicare?

Yes. Karin Provost 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.

Is Karin Provost affiliated with any hospitals?

According to CMS data, Karin Provost is affiliated with Kaleida Health.

When was this NPI record last updated?

The NPPES record for Karin Provost was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.