Marcela Provenzano, PA-C
NPI 1346967734 · Physician Assistant · Raleigh, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marcela Provenzano, PA-C is a Physician Assistant provider in Raleigh, NC (NPI 1346967734).
Provider details
- NPI number
- 1346967734
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0010-12733 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
179 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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 67 | $13 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 57 | $139 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 25 | $98 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 16 | $102 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 |
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 |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 101 | 50 |
| Hydroxychloroquine Sulfate | 95 | 51 |
| Prednisone | 69 | 36 |
| Leflunomide | 24 | 13 |
| Duloxetine Hcl | 19 | — |
| Adalimumabbrand: Humira(cf) Pen | 17 | — |
| Celecoxib | 17 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$860 across 10 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
Additional practice locations (1)
- 40 Duke Medicine Circle Clinic IjDurham, NC 27710-6666Phone: (919) 613-2243Fax: (919) 681-8298
Registry dates
- Enumerated
- 2022-10-26
- Last updated
- 2025-08-15
- Certified
- 2025-08-15
Frequently asked questions
- What is Marcela Provenzano's NPI number?
- Marcela Provenzano's National Provider Identifier (NPI) is 1346967734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marcela Provenzano's specialty?
- Marcela Provenzano is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Marcela Provenzano located?
- Marcela Provenzano's practice location on file with NPPES is 10207 Cerny St Ste 102, Raleigh, NC 27617-4880.
- What is Marcela Provenzano's phone number?
- The practice phone number listed in the NPPES registry for Marcela Provenzano is (919) 613-1807.
- Does Marcela Provenzano accept Medicare?
- Marcela Provenzano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marcela Provenzano's NPI active?
- Yes — Marcela Provenzano's NPI (1346967734) is active in the NPPES registry as of the last update on 2025-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.