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DR. ROBERT ALLEN AVERY MD
NPI 1407860380
Internal Medicine - Hematology & Oncology in Prattville, AL

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
80.87/100
CMS Quality Rating
645 MCQUEEN SMITH RD N STE 207, PRATTVILLE, AL 36066(334) 351-1000(334) 358-1207 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2023, Jan 11, 2023, Feb 12, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Robert Allen Avery Md NPPES

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

DR. ROBERT ALLEN AVERY MD (NPI 1407860380) is an individual hematology & oncology provider in Prattville, Alabama, licensed in Alabama (29473) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Montgomery, and is a graduate of Saint Louis University School Of Medicine (1990).

NPPES Registry Identity

NPI1407860380
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ROBERT ALLEN AVERYCredential: MD
Location Address645 MCQUEEN SMITH RD N STE 207Prattville, AL 36066
Mailing Address4145 Carmichael RdMontgomery, AL 36106-2803 · (334) 273-7000
Phone(334) 351-1000
Fax(334) 358-1207
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1990
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 18, 20234 updates tracked since enumeration
NPPES CertifiedJuly 18, 2023
✔ NPI 1407860380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in AL · 29473
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.
645 MCQUEEN SMITH RD N STE 207, Prattville, AL 36066
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Secondary Practice Location 1

Location 14145 Carmichael RdMontgomery, AL 36106-3657 · Phone (334) 273-7000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Allen Avery 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 ID6709811250
PECOS Enrollment IDI20090602000511
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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Avery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Health Care Authority For Baptist Health, An Affiliate Of Uabhs
13 mi
Neurology
4225 NARROW LANE ROAD
Montgomery, AL 36111
  • Reassigned Medicare billing, Alabama enrollment
  • 439 clinicians in this Medicare group
NPI 1952609505 (334) 281-7299

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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 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.
460 services328 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.
420 services169 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.
156 services75 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 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.
24 services24 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.
20 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36066 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

80.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.7
Promoting Interoperability100
Improvement Activities40
Cost59.55

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers14 claims17 services$15.02 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
4 suppliers16 claims20 services$78.97 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$21.86 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.

KATHLEEN SANTIAGO CRNP
Nurse Practitioner (Family)
645 MCQUEEN SMITH RD N STE 207
PRATTVILLE, AL 36066
Autauga County (334) 351-1000

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 Robert Avery's NPI number?

The NPI number for Robert Avery is 1407860380. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Robert Avery located?

Robert Avery practices at 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066. The listed phone number is (334) 351-1000.

What is Robert Avery's specialty?

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

Is Robert Avery enrolled in Medicare?

Yes. Robert Avery 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.

Which organization bills Medicare for Robert Avery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Avery reassigns Medicare benefits to The Health Care Authority For Baptist Health, An Affiliate Of Uabhs (Montgomery, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Avery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Avery accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Robert Avery 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 Robert Avery was last updated on July 18, 2023. 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.