Mark Provenzano, MD
NPI 1982791679 · Pulmonary Disease Physician · Butler, PA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Provenzano, MD is a Pulmonary Disease Physician provider in Butler, PA (NPI 1982791679).
Provider details
- NPI number
- 1982791679
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 049161L (PA)
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
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
709 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 | 152 | $73 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 134 | $120 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 98 | $112 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 49 | $8 |
| Test to Determine Lung Volumes Using Sensors94726 | 48 | $11 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 | 47 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 25 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 245 | 86 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 202 | 50 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 190 | 45 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 157 | 43 |
| Fluticasone Propionate | 137 | 49 |
| Prednisone | 79 | 55 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$196 across 9 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 (2)
- 530 South St Ste BGreensburg, PA 15601-2775Phone: (724) 837-1894Fax: (724) 837-0681
- 1 Mellon WayLatrobe, PA 15650-1197Phone: (724) 537-2210Fax: (724) 537-2545
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2025-09-10
- Certified
- 2025-09-10
Frequently asked questions
- What is Mark Provenzano's NPI number?
- Mark Provenzano's National Provider Identifier (NPI) is 1982791679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Provenzano's specialty?
- Mark Provenzano is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Provenzano located?
- Mark Provenzano's practice location on file with NPPES is 389 New Castle Rd, Butler, PA 16001-1743.
- What is Mark Provenzano's phone number?
- The practice phone number listed in the NPPES registry for Mark Provenzano is (724) 282-2216.
- Does Mark Provenzano accept Medicare?
- Mark Provenzano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Provenzano's NPI active?
- Yes — Mark Provenzano's NPI (1982791679) is active in the NPPES registry as of the last update on 2025-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.