Joel Provenzano, M.D.
NPI 1942431515 · Pulmonary Disease Physician · Marion, OH
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Joel Provenzano, M.D. is a Pulmonary Disease Physician provider in Marion, OH (NPI 1942431515).
Provider details
- NPI number
- 1942431515
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35.099189 (OH)
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
16 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
875 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 214 | $88 |
| Critical Care, First 30-74 Minutes99291 | 143 | $210 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 129 | $123 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 61 | $115 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 57 | $9 |
| Test to Determine Lung Volumes Using Sensors94726 | 48 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 371 | 102 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 179 | 36 |
| Fluticasone Propionate | 145 | 49 |
| Azithromycin | 131 | 31 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 122 | 27 |
| Prednisone | 102 | 54 |
| Budesonide/Glycopyr/Formoterol |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$4,880 across 11 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
- 2009-07-30
- Last updated
- 2021-12-15
Frequently asked questions
- What is Joel Provenzano's NPI number?
- Joel Provenzano's National Provider Identifier (NPI) is 1942431515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joel Provenzano's specialty?
- Joel Provenzano is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Joel Provenzano located?
- Joel Provenzano's practice location on file with NPPES is 1040 Delaware Ave, Marion, OH 43302-6416.
- What is Joel Provenzano's phone number?
- The practice phone number listed in the NPPES registry for Joel Provenzano is (740) 375-8135.
- Does Joel Provenzano accept Medicare?
- Joel Provenzano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Joel Provenzano's NPI active?
- Yes — Joel Provenzano's NPI (1942431515) is active in the NPPES registry as of the last update on 2021-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.