DR. ANASTAS C PROVATAS MD
NPI 1497740054
Internal Medicine - Hematology & Oncology in Alexandria, MN

Q: What is Anastas Provatas's NPI number?

The NPI number for Anastas Provatas is 1497740054. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Q: What is Anastas Provatas'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 Anastas Provatas was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 September 20, 2005PECOS EnrolledAccepts Medicare Assignment

90.32/100

CMS Quality Rating

111 17TH AVE E, ALEXANDRIA, MN 56308(320) 763-2707(320) 763-7883 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Anastas C Provatas Md NPPES

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

DR. ANASTAS C PROVATAS MD (NPI 1497740054) is an individual hematology & oncology provider in Alexandria, Minnesota, licensed in Minnesota (105335) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Alomere Health, and is a graduate of University Of Connecticut School Of Medicine (1985).

NPPES Registry Identity

NPI1497740054

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. ANASTAS C PROVATASCredential: MD

Location Address111 17TH AVE EAlexandria, MN 56308-5273

Mailing Address610 30th Ave WAlexandria, MN 56308-3426 · (320) 763-5123 · Fax (320) 763-7883

Phone(320) 763-2707

Fax(320) 763-7883

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1985

Enumeration DateSeptember 20, 2005

Last NPPES UpdateOctober 23, 2025

NPPES CertifiedOctober 23, 2025

✔ NPI 1497740054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in MN · 105335✔ Licensed in NC · 9500693

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.

111 17TH AVE E, Alexandria, MN 56308

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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. Anastas C Provatas 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 ID6103988563

PECOS Enrollment IDI20110428000627

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 4

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.

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.

611 services122 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.

292 services121 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

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

22 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Alomere Health

Acute Care Hospitals · Alexandria, MN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240030

Location111 17th Avenue EastAlexandria, MN 56308 · Douglas County

Emergency services Birthing friendly

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN

OwnershipVoluntary non-profit - Other

CMS Certification Number240040

Location750 East 34th StHibbing, MN 55746 · St. Louis County

Birthing friendly

Grand Itasca Clinic And Hospital

Acute Care Hospitals · Grand Rapids, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number240064

Location1601 Golf Course RoadGrand Rapids, MN 55744 · Itasca County

Emergency services Birthing friendly

Centracare Health System - Melrose Hospital

Critical Access Hospitals · Melrose, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241330

Location525 West Main StreetMelrose, MN 56352 · Stearns County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56308 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

90.32/100

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

Scored as part of a group practice

Quality

93.18

Promoting Interoperability

100

Improvement Activities

Cost

65.92

Referred Medical Equipment & Supplies CMS DME claims 2

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

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222

DME-Medical/Surgical Supplies · category DA000N

1 supplier11 claims11 services$38.66 avg. paid by Medicare

Injection, fluorouracil, 500 mg J9190

Treatment-Chemotherapy · category RH002N

1 supplier16 claims129 services$1.76 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.

MRS. AMBER MICHELLE-HOUGE BLOCK

Nurse Anesthetist, Certified Registered