MR. JOHN AVANZATO M.D.
NPI 1689693004
Internal Medicine - Gastroenterology in Auburn, NY

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
17 E GENESEE ST, STE 101, AUBURN, NY 13021(315) 567-0490 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2017, Aug 25, 2016 (2 updates tracked since 2016).

About Mr. John Avanzato M.d. NPPES

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

MR. JOHN AVANZATO M.D. (NPI 1689693004) is an individual gastroenterology provider in Auburn, New York, licensed in New York (176705) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Auburn Community Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1689693004
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMR. JOHN AVANZATOCredential: M.D.
Location Address17 E GENESEE ST, STE 101Auburn, NY 13021-4112
Mailing AddressAmms, Pc, 17 Lansing StreetAuburn, NY 13021-1983 · (315) 567-0455 · Fax (315) 255-7099
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 18, 2006
Last NPPES UpdateFebruary 2, 20172 updates tracked since enumeration
NPI 1689693004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NY · 176705
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
17 E GENESEE ST, Auburn, NY 13021

Other Identifiers 3

Medicare UPINE92279NY
Medicare ID-Type UnspecifiedDD6101NY
Medicaid01256028NY

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

Mr. John Avanzato M.d. 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 ID6507840774
PECOS Enrollment IDI20111118000537
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.

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.
36 services29 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
20 services20 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.
20 services19 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Auburn Community Hospital

Acute Care Hospitals · Auburn, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330235
Location17 Lansing StreetAuburn, NY 13021 · Cayuga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13021 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.

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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.87
Promoting Interoperability89
Improvement Activities40
Cost58.37

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.

Community/Behavioral Health
17 E GENESEE ST
AUBURN, NY 13021
Counselor (Mental Health)
17 E GENESEE ST
AUBURN, NY 13021
Counselor (Mental Health)
17 E GENESEE ST
AUBURN, NY 13021
Social Worker
17 E GENESEE ST
AUBURN, NY 13021
Counselor (Professional)
17 E GENESEE ST
AUBURN, NY 13021
Counselor (Mental Health)
17 E GENESEE ST
AUBURN, NY 13021
Counselor
17 E GENESEE ST
AUBURN, NY 13021
Counselor (Mental Health)
17 E GENESEE ST
AUBURN, NY 13021

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 John Avanzato's NPI number?

The NPI number for John Avanzato is 1689693004. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is John Avanzato located?

John Avanzato practices at 17 E Genesee St Ste 101, Auburn, NY 13021. The listed phone number is (315) 567-0490.

What is John Avanzato's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Avanzato enrolled in Medicare?

Yes. John Avanzato 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 John Avanzato affiliated with any hospitals?

According to CMS data, John Avanzato is affiliated with Auburn Community Hospital.

When was this NPI record last updated?

The NPPES record for John Avanzato was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.