Heather Lynne Provencher, M.D.
Hospitalist Physician · San Francisco, CA
Heather Lynne Provencher, M.D. is a hospitalist physician with a practice address in San Francisco, California, and NPI 1295024420, issued on Mar 28, 2011. Check the license (California A125198, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Heather Lynne Provencher
- Credential
- M.D.
- Primary taxonomy
- Hospitalist Physician 208M00000X
- License number
- A125198 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1101 Van Ness Ave, San Francisco, CA 94109
- Phone
- (415) 600-6000
- Enumerated
- Mar 28, 2011
- Record last updated
- Aug 28, 2024
- Medicare enrollment
- Enrolled (PECOS I20171002000478); accepts Medicare assignment
- Medical or professional school
- University Of Vermont College Of Medicine, 2011
- Entity
- Type 1 · individual
8 nearest hospitalist physician records → All 3,099 in California → Look up another NPI →
Also registered at 1101 Van Ness Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Heather Lynne Provencher in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license A125198Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
67% fewer Medicare Part D claims than the average hospitalist physician in 2024
173 Medicare Part D claims for 76 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D. 12 claims were for opioids.
Most prescribed
- Pantoprazole Sodium18 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 97.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Pacific Inpatient Medical GroupSan Francisco, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Heather Lynne Provencher among 3,099 hospitalist physician records in California
Heather Lynne Provencher, M.D. is one of 3,099 hospitalist physician records with a practice address in California. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 47% of them.
- NPI issued2011 · 47% of these records are older, 49% newer
- In a Medicare fileYes · 90% of these records are
- In the CMS Doctors and Clinicians fileYes · 81% of these records are
- Graduated2011 · median 2010 among the 2,505 with a school on file
- Record last updated2024 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Hospitalist Physician providers in California
There are 3,099 hospitalist physician records in California.
All 3,099 in California → Every provider in San Francisco → Hospitalist Physician nationwide →
The 8 hospitalist physician records with the nearest ZIP codes
- Jeannie Brewer, MDSan Francisco, CA 941091609898345
- Robert Eldabaje, MDSan Francisco, CA 941091609211176
- Jeffrey FrankSan Francisco, CA 941091639128895
- Hanley Ma, M.D.San Francisco, CA 941091609191006
- Joseph Mallon, MDSan Francisco, CA 941091407041197
- Robert Matz, M.D.San Francisco, CA 941091558503086
- Michael McCarthy, M.D./PH.D.San Francisco, CA 941091982616553
- Jaclyn McGowan, MDSan Francisco, CA 941091629230495
Common questions
What is Heather Lynne Provencher, M.D.'s NPI number?
Heather Lynne Provencher, M.D.'s National Provider Identifier (NPI) is 1295024420, issued on Mar 28, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Heather Lynne Provencher, M.D. located?
The NPPES record lists a practice address at 1101 Van Ness Ave, San Francisco, CA, 94109. Phone: (415) 600-6000. Providers update this record themselves, so call before visiting.
How can I verify Heather Lynne Provencher, M.D.'s license?
NPPES lists California license number A125198, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Heather Lynne Provencher, M.D. prescribe under Medicare Part D?
In 2024, Heather Lynne Provencher, M.D. had 173 Medicare Part D claims for 76 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.
What is Heather Lynne Provencher, M.D.'s MIPS final score?
The 2023 MIPS final score is 97.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.