Joseph Provenzano, DO
NPI 1215993738 · Family Medicine Physician · Modesto, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Joseph Provenzano, DO is a Family Medicine Physician provider in Modesto, CA (NPI 1215993738).
Provider details
- NPI number
- 1215993738
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 20A5427 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
1,432 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 694 | $130 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 428 | $91 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 162 | $132 |
| Transitional Care Management Services for Problem of High Complexity99496 | 58 | $281 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 54 | $15 |
| Administration of Influenza Virus VaccineG0008 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 134 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 353 | 60 |
| Lisinopril | 277 | 79 |
| Amlodipine Besylate | 267 | 85 |
| Levothyroxine Sodium | 253 | 68 |
| Atorvastatin Calcium | 237 | 68 |
| Methylprednisolone | 233 | 196 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$135 across 2 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
- 2006-04-24
- Last updated
- 2019-06-11
Frequently asked questions
- What is Joseph Provenzano's NPI number?
- Joseph Provenzano's National Provider Identifier (NPI) is 1215993738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joseph Provenzano's specialty?
- Joseph Provenzano is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Joseph Provenzano located?
- Joseph Provenzano's practice location on file with NPPES is 3612 Dale Rd, Modesto, CA 95356-0500.
- What is Joseph Provenzano's phone number?
- The practice phone number listed in the NPPES registry for Joseph Provenzano is (209) 522-0146.
- Does Joseph Provenzano accept Medicare?
- Joseph Provenzano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Joseph Provenzano's NPI active?
- Yes — Joseph Provenzano's NPI (1215993738) is active in the NPPES registry as of the last update on 2019-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.