VANESSA L PROWLER MD
NPI 1801115241
Surgery - Surgical Oncology in Lakeland, FL

Q: What is Vanessa Prowler's NPI number?

The NPI number for Vanessa Prowler is 1801115241. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Q: What is Vanessa Prowler's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Q: When was this NPI record last updated?

The NPPES record for Vanessa Prowler was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 25, 2010PECOS EnrolledAccepts Medicare Assignment

80.11/100

CMS Quality Rating

3525 LAKELAND HILLS BLVD, LAKELAND, FL 33805(863) 603-6565 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2022, Mar 17, 2018 (2 updates tracked since 2018).

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About Vanessa L Prowler Md NPPES

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

VANESSA L PROWLER MD (NPI 1801115241) is an individual surgical oncology provider in Lakeland, Florida, licensed in Florida (ME115554) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1801115241

Entity TypeIndividualFemale

Primary Taxonomy2086X0206X

Provider Legal NameVANESSA L PROWLERCredential: MD

Location Address3525 LAKELAND HILLS BLVDLakeland, FL 33805-1965

Mailing Address1324 Lakeland Hills Blvd, Attn: Managed Care DeptLakeland, FL 33805-4543

Phone(863) 603-6565

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMay 25, 2010

Last NPPES UpdateJuly 20, 20222 updates tracked since enumeration

NPPES CertifiedJuly 20, 2022

✔ NPI 1801115241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2086X0206X

License✔ Licensed in FL · ME115554

Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Also ListedSurgeryTaxonomy 208600000X · License ME115554 (FL)

3525 LAKELAND HILLS BLVD, Lakeland, FL 33805

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Other Identifiers 1

Medicaid021561300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Vanessa L Prowler 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 ID8123385168

PECOS Enrollment IDI20171130000569

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 13

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.

41 services31 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.

39 services38 patients

X-ray of surgical specimen 76098

An X-ray of a surgical specimen involves taking detailed images of the tissue or organ removed during surgery. This helps in examining the specimen more closely to understand the disease better. It's a safe, non-invasive procedure, providing valuable insights to your healthcare team.

32 services30 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.

31 services31 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.

29 services29 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

27 services26 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

27 services26 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

25 services25 patients

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

25 services25 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.

25 services21 patients

Imaging of lymph nodes during surgery 38900

Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.

24 services24 patients

Simple complete removal of breast 19303

This procedure involves the total removal of breast tissue. It's typically done to treat or prevent conditions like cancer. The operation involves an incision on the skin, removal of the tissue, and closure of the wound. Post-surgery, care and recovery plans are provided.

14 services14 patients

Ultrasonic guidance during surgery 76998

Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100109

Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County

Emergency services Birthing friendly

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100157

Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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.

80.11/100

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

Scored as part of a group practice

Quality

63.29

Promoting Interoperability

Improvement Activities

Cost

64.85

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.

MUHAMMAD ZAIN FAROOQ MD

Internal Medicine (Medical Oncology)

3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Polk County (863) 687-1100

AMY R ANDERSON ARNP

Nurse Practitioner (Adult Health)

3525 LAKELAND HILLS BLVD, LAKELAND REGIONAL CANCER CENTER
LAKELAND, FL 33805

Polk County (863) 603-6565

JENNIFER J HUGHES PA-C

Physician Assistant

3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Polk County (863) 603-6565

DR. EVE GIBSON PAXTON DO

Surgery (Surgical Oncology)

3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Polk County (863) 603-6565

MANUEL ALBERTO MOLINA-VEGA MD

Surgery (Surgical Oncology)

3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Polk County (863) 603-6565

DR. SOWSAN H RASHEID M.D.

Surgery

3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Polk County (863) 284-3965

MICHAEL N. SHEVACH MD

Radiology (Radiation Oncology)

3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Polk County (863) 603-6565

DR. PETER R. HINDS MD

Urology

3525 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Polk County (863) 603-6565

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 Vanessa Prowler's NPI number?

The NPI number for Vanessa Prowler is 1801115241. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Vanessa Prowler located?

Vanessa Prowler practices at 3525 Lakeland Hills Blvd, Lakeland, FL 33805. The listed phone number is (863) 603-6565.

What is Vanessa Prowler's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Vanessa Prowler enrolled in Medicare?

Yes. Vanessa Prowler 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 Vanessa Prowler accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and UnitedHealthcare list Vanessa Prowler 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 Vanessa Prowler affiliated with any hospitals?

According to CMS data, Vanessa Prowler is affiliated with Adventhealth Sebring and Lakeland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Vanessa Prowler was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.