Paul Pronovost, MD
NPI 1386752160 · Nephrology Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Pronovost, MD is a Nephrology Physician provider in Philadelphia, PA (NPI 1386752160).
Provider details
- NPI number
- 1386752160
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 037779 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
328 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 145 | $80 |
| Hemodialysis Procedure With Physician Evaluation90935 | 51 | $71 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 47 | $133 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 34 | $129 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 32 | $117 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Chlorthalidone | 85 | 20 |
| Amlodipine Besylate | 70 | 17 |
| Valsartan | 41 | 13 |
| Calcitriol | 27 | — |
| Furosemide | 26 | — |
| Empagliflozinbrand: Jardiance | 22 | — |
| Fosinopril/Hydrochlorothiazidebrand: Fosinopril-Hydrochlorothiazide | 18 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$109 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2020-11-24
- Certified
- 2020-11-24
Frequently asked questions
- What is Paul Pronovost's NPI number?
- Paul Pronovost's National Provider Identifier (NPI) is 1386752160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Pronovost's specialty?
- Paul Pronovost is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Pronovost located?
- Paul Pronovost's practice location on file with NPPES is 3401 N Broad St, Philadelphia, PA 19140-5103.
- What is Paul Pronovost's phone number?
- The practice phone number listed in the NPPES registry for Paul Pronovost is (215) 707-4600.
- Does Paul Pronovost accept Medicare?
- Paul Pronovost is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Pronovost's NPI active?
- Yes — Paul Pronovost's NPI (1386752160) is active in the NPPES registry as of the last update on 2020-11-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.