NPPES file of Aug 9, 2026

James E. Provo, MD

Sports Medicine (Family Medicine) Physician · Boca Raton, FL

James E. Provo, MD is a sports medicine (family medicine) physician with a practice address in Boca Raton, Florida, and NPI 1346278264, issued on Jun 29, 2006. Check the license (Florida ME67309, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1346278264
Name
James E. Provo
Credential
MD
Primary taxonomy
Sports Medicine (Family Medicine) Physician 207QS0010X
License number
ME67309 FL
Self-reported in NPPES; status is on the state search
Practice location
4705 N Federal Hwy, Boca Raton, FL 33431
Phone
(561) 220-2622
Enumerated
Jun 29, 2006
Record last updated
Jun 6, 2024
Fax
(561) 257-1922
Medicaid ID
377506200 FL
Medicare enrollment
Enrolled (PECOS I20100625000176); accepts Medicare assignment
Medical or professional school
University Of Florida College Of Medicine, 1990
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify James E. Provo in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersFlorida health license search
    Search for license ME67309
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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65% fewer Medicare Part D claims than the average sports medicine (family medicine) physician in 2024

296 Medicare Part D claims for 204 beneficiaries, against an average of 855 among the 2,237 providers of this specialty who prescribed in Part D. 81 claims were for opioids.

  1. James Provo296
  2. Specialty average855

Most prescribed

  1. Methylprednisolone142 claims
  2. Tramadol Hcl-Acetaminophen56 claims
  3. Meloxicam22 claims
  4. Hydrocodone-Acetaminophen17 claims
  5. Diclofenac Sodium14 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 MIPS final score for 2023 (Medicare payment program): 0 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score0.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilitynot scored (reweighted)
  4. Improvement activities0 of 40 points · 15%0.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $16.54

1 payment: food and beverage; the largest payer was Bioventus LLC. The 1,218 providers of this specialty with any payment received $781.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. James Provo$16.54
  2. Specialty average$781.49

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 3 group practices

  1. Cora Health Services IncBoca Raton, FL
  2. Orthopedic Center OF Palm Beach County, LLCBoca Raton, FL
  3. Rehabclinics Pta IncFt Lauderdale, FL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

James E. Provo among 164 sports medicine (family medicine) physician records in Florida

James E. Provo, MD is one of 164 sports medicine (family medicine) physician records with a practice address in Florida. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 78% newer
  • In a Medicare fileYes · 89% of these records are
  • In the CMS Doctors and Clinicians fileYes · 76% of these records are
  • Graduated1990 · median 2013 among the 124 with a school on file
  • Record last updated2024 · 39% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207QS0010X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Sports Medicine (Family Medicine) Physician providers in Florida

There are 164 sports medicine (family medicine) physician records in Florida.

The 8 sports medicine (family medicine) physician records with the nearest ZIP codes

  1. Alexandra Adelman, MDBoynton Beach, FL 334371053998252
  2. Alex Mafdali, MDDeerfield Beach, FL 334421942760947
  3. David Drexler, D.O.Wellington, FL 334141508868027
  4. Jack Newcomer, MDWellington, FL 334491750498259
  5. David Nikovits, M.D.Royal Palm Beach, FL 334111124249222
  6. Gracia Pierre-Pierre, M.DHobe Sound, FL 334551831538081
  7. Abdulrahman Baqais, M.D.Jupiter, FL 334581083064844
  8. Michael Dakkak, D.O.Weston, FL 333311699200683

Common questions

What is James E. Provo, MD's NPI number?

James E. Provo, MD's National Provider Identifier (NPI) is 1346278264, issued on Jun 29, 2006. An NPI identifies a provider in billing; it is not a license.

Where is James E. Provo, MD located?

The NPPES record lists a practice address at 4705 N Federal Hwy, Boca Raton, FL, 33431. Phone: (561) 220-2622. Providers update this record themselves, so call before visiting.

How can I verify James E. Provo, MD's license?

NPPES lists Florida license number ME67309, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does James E. Provo, MD prescribe under Medicare Part D?

In 2024, James E. Provo, MD had 296 Medicare Part D claims for 204 beneficiaries; the average among sports medicine (family medicine) physician prescribers was 855. Part D covers Medicare prescriptions only.

What is James E. Provo, MD's MIPS final score?

The 2023 MIPS final score is 0 of 100. 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.