NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1346278264 MD
Verify on CMS → James Provo, MD
Emergency Medicine Physician in Boca Raton, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
229
Medicare Part D claims · 169 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
0/100
▼ 84 pts below national avg 83.5 · Penalty band
Industry payments
$16.54
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
James Provo, MD reported a CMS MIPS final score of 0/100 - below the 83.5 national average - and filed 229 Medicare Part D claims in 2023.
- 0/100
- MIPS score · -83 vs avg
- 229
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥0th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
James Provo, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
0 ≥ 0th percentile 0% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where James Provo, MD sits
This provider among emergency medicine physician peers
Across the 14,017 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, James Provo, MD writes more Part D claims than 69% of them and scores higher on MIPS quality than 0% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is James Provo, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
James Provo, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about James Provo, MD?
Below national averagePrimary specialty
Emergency Medicine Physician
Medicare Part D claims
229 35% vs specialty avg
MIPS final score
0/100 83.5 pts vs avg
Specialty distribution in Florida
How Emergency Medicine Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
James Provo, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 0/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Emergency Medicine Physician) - 0/100 vs national avg 83.5
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
James Provo, MD appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding MD credentials at 4705 N FEDERAL HWY, Boca Raton, FL, 33431, with a listed phone of (561) 220-2622. NPI 1346278264 was issued on 06/29/2006.
Medicare Part D records for calendar year 2023 show 229 prescription claims written by this provider, covering 169 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 35.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the 83.5 average among clinicians with a measured score.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 enrolled providers across 56 states and an average of 352 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1346278264 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/29/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
0
Final Score
Measured-score avg: 83.5
0
Quality
Reporting: Individual
Hospital and facility affiliations
Facilities where James Provo, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
According to CMS billing records, James Provo, MD is affiliated with 3 Medicare-billing facilities.
Cora Health Services Inc
Boca Raton, FL
Orthopedic Center OF Palm Beach County, LLC
Boca Raton, FL
Rehabclinics Pta Inc
Ft Lauderdale, FL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for James Provo, MD. Source: openpaymentsdata.cms.gov.
Total received
$17
Largest payer
Bioventus LLC
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Florida FLDOH 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 - they are NOT specific to James Provo, MD. To verify James Provo, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
229
Total Claims
$2K
Total Drug Cost
169
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 240
- Total Day Supply
- 2,669
- Brand Drug Cost
- $0
- Generic Drug Cost
- $2K
- Opioid Claims
- 81 (35.4% rate)
Patient Demographics
- Average Patient Age
- 75.8 years
- Avg HCC Risk Score
- 1.08
- Gender Split
- 56% female / 44% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What James Provo, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Methylprednisolone
Methylprednisolone
99 claims
- Tramadol Hcl-Aceta…
Tramadol Hcl-Acetaminophen
44 claims
- Hydrocodone-Acetam… 18
Hydrocodone-Acetaminophen
18 claims
- Meloxicam 14
Meloxicam
14 claims
| Drug | Claims |
|---|---|
| Methylprednisolone | 99 |
| Tramadol Hcl-Acetaminophen Tramadol Hcl/Acetaminophen | 44 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 18 |
| Meloxicam | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How James Provo, MD fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
James Provo, MD's 229 claims are below the specialty average of 352.
Nearby Emergency Medicine Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Provo.
Dr. Rosemarie Abad
MD
Jacksonville, FL
Dr. Neal Abarbanell
MD
Miami, FL
Dr. Danny Abbruzzese
MD
Spring Hill, FL
Dr. Ahmed Abd El Aziz
MD
Fort Lauderdale, FL
Dr. Ahmed Abdelmagid
M.D.
Macclenny, FL
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Florida
Frequently Asked Questions
What is James Provo, MD's specialty? ▼
James Provo, MD specializes in Emergency Medicine Physician and practices in Boca Raton, Florida. Credentials: MD.
How much does James Provo, MD prescribe under Medicare Part D? ▼
In 2023, James Provo, MD wrote 229 Medicare Part D claims totaling $2K in drug costs for 169 beneficiaries.
What is James Provo, MD's Medicare quality score? ▼
James Provo, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is James Provo, MD located? ▼
James Provo, MD is located at 4705 N FEDERAL HWY, Boca Raton, FL, 33431. Phone: (561) 220-2622.
What is James Provo, MD's NPI number? ▼
James Provo, MD's National Provider Identifier (NPI) is 1346278264, issued on 06/29/2006.
Does James Provo, MD prescribe opioids? ▼
Yes, James Provo, MD had 81 opioid claims in 2023 with an opioid prescribing rate of 35.4%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does James Provo, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, James Provo, MD's most frequently prescribed drugs include Methylprednisolone, Tramadol Hcl-Acetaminophen, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does James Provo, MD accept Medicare? ▼
James Provo, MD appears in CMS Medicare data with 229 Part D claims and 169 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify James Provo, MD's credentials? ▼
James Provo, MD's NPI is 1346278264 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.