DR. AUDREY M PROVENZANO MD
NPI 1326368275
Internal Medicine in Boston, MA

Active since June 02, 2010PECOS EnrolledAccepts Medicare Assignment
801 MASSACHUSETTS AVE, STE 5B, CROSSTOWN BLDG, BOSTON, MA 02118(617) 414-5951(617) 414-9201 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 6, 2023, Jun 1, 2023 (2 updates tracked since 2023).

About Dr. Audrey M Provenzano Md NPPES

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

DR. AUDREY M PROVENZANO MD (NPI 1326368275) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (253623) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Yale University School Of Medicine (2010).

NPPES Registry Identity

NPI1326368275
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. AUDREY M PROVENZANOCredential: MD
Location Address801 MASSACHUSETTS AVE, STE 5B, CROSSTOWN BLDGBoston, MA 02118
Mailing Address960 Massachusetts Ave Ste 2Boston, MA 02118-2690
Fax(617) 414-9201
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2010
Enumeration DateJune 2, 2010
Last NPPES UpdateOctober 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
NPI 1326368275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 253623
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.

801 MASSACHUSETTS AVE, STE 5B, Boston, MA 02118

Accepted 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. Audrey M Provenzano Md 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 ID7315186681
PECOS Enrollment IDI20161123000997
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.
44 services34 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.
38 services27 patients

Hospital Affiliations CMS Care Compare

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 3

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
7 suppliers20 claims49 services$6.07 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
1 supplier12 claims12 services$56.79 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$29.28 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

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

Nurse Practitioner (Family)
801 MASSACHUSETTS AVE, STE 5B, CROSSTOWN BLDG
BOSTON, MA 02118

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 Audrey Provenzano's NPI number?

The NPI number for Audrey Provenzano is 1326368275. It was assigned to this individual provider in the NPPES registry on June 2, 2010.

Where is Audrey Provenzano located?

Audrey Provenzano practices at 801 Massachusetts Ave, Ste 5B Crosstown Bldg, Boston, MA 02118. The listed phone number is (617) 414-5951.

What is Audrey Provenzano's specialty?

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

Is Audrey Provenzano enrolled in Medicare?

Yes. Audrey Provenzano 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 Audrey Provenzano accept?

Health plans from Anthem Blue Cross and Blue Shield list Audrey Provenzano 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.

Is Audrey Provenzano affiliated with any hospitals?

According to CMS data, Audrey Provenzano is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Audrey Provenzano was last updated on October 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.