PAUL H PRONOVOST (MD) – Nephrology Physician, NPI 1386752160
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
738 NEPHROLOGY in PA
Provider Addresses for PAUL H PRONOVOST (MD)
3401 N BROAD ST
PHILADELPHIA, PA 191405103
Phone: (215) 707-4600
Fax: (215) 707-9697
Type: Mailing
140, Grandview Avenue, West Side Hill, Waterbury, Naugatuck Valley Planning Region, Connecticut, 06708, United States
STE 101
WATERBURY, CT 06708
Phone: (203) 597-9733
Fax: (203) 597-9732
Type: Mailing
140, Grandview Avenue, West Side Hill, Waterbury, New Haven County, Connecticut, 06708, United States
STE 101
WATERBURY, CT 067082505
Phone: (203) 597-9733
Fax: (203) 597-9732
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $299.
Total Amount is formed as General ($299) + Research ($0) + Ownership ($0) = $299.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: KUB Technologies Inc. ($191).
Total Amount
$299
General + Research + Ownership
Payments
6
Total payment records
General Amount
$299
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KUB Technologies Inc. | $191 |
| Boston Scientific Corporation | $109 |
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: 2020-10-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201019003097 | I | Nephrology | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 119 | 63 | $0 |
| 90935 | Hemodialysis procedure with physician evaluation | 61 | 36 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 48 | 20 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 38 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 13 | $0 |
Insurance plans in this area (ZIP 19140)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| A N E S T H E S I O L O G Y | PA | |
| Pulmonary Disease, Critical Care (Intensivists), Hospitalist | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | PA | |
| Pulmonary Disease, Critical Care (Intensivists) | PA | |
| General Surgery | PA | |
| - | PA | |
| P A T H O L O G Y | PA | |
| - | PA |
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