DR. ANASTAS C PROVATAS (MD) – Hematology & Oncology Physician, NPI 1497740054

DR. ANASTAS C PROVATAS (MD) is a healthcare provider. based in Hibbing, Minnesota. specializing in HEMATOLOGY/ONCOLOGY, MEDICAL ONCOLOGY. They hold the professional credentials MD. They hold a License No. 105335 (MN). The NPI Number for DR. ANASTAS C PROVATAS (MD) is 1497740054

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANASTAS C PROVATAS (MD)
NPI
1497740054
Phone
(218) 262-3441
Address
3605 MAYFAIR AVE
Enumeration Date
20 September 2005
Last Update Date
23 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
3207621511
Graduation Year
1985 (41 years ago)
PAC ID
6103988563
Group Practice PAC ID
9931690047
Professional Enrollment ID
I20110428000627
Address ID
MN563085273AL111XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

439 HEMATOLOGY/ONCOLOGY in MN

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Provider Addresses for DR. ANASTAS C PROVATAS (MD)

  • 3605, Mayfair Avenue, Hibbing, Saint Louis County, Minnesota, 55746, United States

    HIBBING, MN 557462935

    Phone: (218) 262-3441

    Fax: (218) 362-6908

    Type: Location

  • 111 17TH AVE E

    ALEXANDRIA, MN 563085273

    Phone: (320) 763-2707

    Fax: (320) 763-7883

    Type: Location

  • 610 30TH AVE W

    ALEXANDRIA, MN 563083426

    Phone: (320) 763-5123

    Fax: (320) 763-7883

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $7,873.

Total Amount is formed as General ($7,873) + Research ($0) + Ownership ($0) = $7,873.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Rigel Pharmaceuticals, Inc. ($3,955).

Total Amount

$7,873

General + Research + Ownership

Payments

14

Total payment records

General Amount

$7,873

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110428000627IHematology/OncologyMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99215Established patient office or other outpatient visit, 40-54 minutes265125$0
G2212Prolonged 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 or23090$0
99205New patient office or other outpatient visit, 60-74 minutes3131$0
99443Telephone medical discussion with physician, 21-30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 55746)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931690047View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Internal MedicineMN
O B S T E T R I C S/ G Y N E C O L O G YMN
H O S P I T A L I S TMN
Emergency MedicineMI
Emergency MedicineMN
Emergency MedicineMN
U R O L O G YMN
Physician AssistantMN
Emergency MedicineMN

Reviews

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Frequently asked questions

What is the standard ID for DR. ANASTAS C PROVATAS (MD) in the U.S.?
In the U.S., DR. ANASTAS C PROVATAS (MD) is identified by NPI 1497740054.
Quick check: is DR. ANASTAS C PROVATAS (MD) active?
Public NPPES data shows DR. ANASTAS C PROVATAS (MD) with an active NPI status right now.
What does the directory say DR. ANASTAS C PROVATAS (MD) does?
Insurance directories may phrase it differently, but here DR. ANASTAS C PROVATAS (MD) maps to Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. ANASTAS C PROVATAS (MD)?
The directory associates DR. ANASTAS C PROVATAS (MD) with Hibbing, Minnesota. Check all listed addresses for suites or satellite offices.
Who maintains DR. ANASTAS C PROVATAS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.