Evan Paul Provisor, MD
NPI 1366427429ActiveIndividual· Surgery· Southbridge, MA
Surgery (MD) in Southbridge, Massachusetts, licensed in MA, with an NPI issued in December 2005. 45 Medicare patients in 2024, $11,454 paid; all of their 67 Part D prescriptions were generic.
Overview
| NPI | 1366427429 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Dec 13, 2005 |
| Last updated in NPPES | Dec 21, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 237945 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 45 |
|---|---|
| Services billed | 92 across 34 procedure codes |
| Paid by Medicare | $11,454 |
Part D prescriptions in 2024
| Prescriptions (claims) | 67 · 88 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $917.49 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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