DR. NAVIN ANTHONY D.O.
NPI 1174645287
Internal Medicine - Hematology & Oncology in Hendersonville, NC

Q: What is Navin Anthony's NPI number?

The NPI number for Navin Anthony is 1174645287. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Q: What is Navin Anthony's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Navin Anthony was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 06, 2007PECOS EnrolledAccepts Medicare Assignment

93.51/100

CMS Quality Rating

805 6TH AVE W STE 100, HENDERSONVILLE, NC 28739(828) 692-8045(828) 692-6630 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2022, Aug 10, 2018, Oct 26, 2017 and 2 more (5 updates tracked since 2016).

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About Dr. Navin Anthony D.o. NPPES

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

DR. NAVIN ANTHONY D.O. (NPI 1174645287) is an individual hematology & oncology provider in Hendersonville, North Carolina, licensed in North Carolina (2012-01013) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and is a graduate of Michigan State University College Of Osteopathic Medicine (2006).

NPPES Registry Identity

NPI1174645287

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. NAVIN ANTHONYCredential: D.O.

Location Address805 6TH AVE W STE 100Hendersonville, NC 28739

Mailing AddressPo Box 27877Salt Lake City, UT 84127-0877 · (828) 694-8350 · Fax (828) 694-7654

Phone(828) 692-8045

Fax(828) 692-6630

Sole ProprietorYes

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2006

Enumeration DateApril 6, 2007

Last NPPES UpdateOctober 20, 20225 updates tracked since enumeration

NPPES CertifiedOctober 20, 2022

✔ NPI 1174645287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in NC · 2012-01013

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2012-01013 (NC)

805 6TH AVE W STE 100, Hendersonville, NC 28739

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Other Identifiers 2

Medicaid5920768NC

OtherP01150661NC · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Dr. Navin Anthony D.o. 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 ID1850548116

PECOS Enrollment IDI20120822000273

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 6

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 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.

519 services179 patients

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.

501 services325 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

125 services67 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

54 services54 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

32 services11 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

32 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340017

Location800 N Justice StHendersonville, NC 28791 · Henderson County

Emergency services Birthing friendly

Adventhealth Hendersonville

Acute Care Hospitals · Hendersonville, NC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340023

Location100 Hospital DriveHendersonville, NC 28792 · Henderson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28739 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

93.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.23

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers22 claims2,108 services$0.72 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

1 supplier11 claims11 services$18.87 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

3 suppliers16 claims16 services$12.61 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MADEERA KATHPAL D.O.

Radiology (Radiation Oncology)