NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1942431515 M.D.
Verify on CMS → Joel Provenzano, M.D.
Pulmonary Disease Physician in Marion, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,323 in Pulmonary Disease 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
2K
Medicare Part D claims · 283 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
37%
generic claims · 63% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.7/100
▲ 5 pts above national avg 83.1 · Above neutral
Industry payments
$4.9K
11 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Joel Provenzano, M.D. reported a CMS MIPS final score of 87.7/100 - above the 83.1 national average - and filed 1,864 Medicare Part D claims in 2023.
- 87.7/100
- MIPS score · +5 vs avg
- 2K
- Part D claims, 2023
- 37%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Joel Provenzano, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
88 Top 46% higher than 54% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Joel Provenzano, M.D. sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joel Provenzano, M.D. writes more Part D claims than 68% of them and scores higher on MIPS quality than 58% - placing this provider in the high-volume, high-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 pulmonary disease physician peer from a representative sample of 60; the gold marker is Joel Provenzano, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Joel Provenzano, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Joel Provenzano, M.D.?
High performer (top quartile)Primary specialty
Pulmonary Disease Physician
Medicare Part D claims
1,864 28% vs specialty avg
MIPS final score
87.7/100 4.6 pts vs avg
Specialty distribution in Ohio
How Pulmonary Disease Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Joel Provenzano, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 87.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 87.7/100 vs national avg 83.1
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).
Joel Provenzano, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 1040 DELAWARE AVE, Marion, OH, 43302, with a listed phone of (740) 375-8135. NPI 1942431515 was issued on 07/30/2009.
Medicare Part D records for calendar year 2023 show 1,864 prescription claims written by this provider, covering 283 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 63% brand-name and 37% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.7/100 for the 2023 performance year (Quality 74.5), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,323 enrolled providers across 53 states and an average of 1,457 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 | 1942431515 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/30/2009 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
87.6595
Final Score
Avg: 83.1
74.4518
Quality
96.0373
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Joel Provenzano, M.D. 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.
Marion Area Physicians LLC
Marion, OH
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 Joel Provenzano, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$4.9K
Largest payer
INTUITIVE SURGICAL, INC.
Most common payment type
Travel and Lodging
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 - Ohio OMB 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 ~48K Ohio medical licensees in 2023 - they are NOT specific to Joel Provenzano, M.D.. To verify Joel Provenzano, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
Joel Provenzano, M.D. - brand share 63.0%
Pulmonary Disease Physician average
63% brand-name claims vs 37% generic, on 1,864 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,864
Total Claims
$1.3M
Total Drug Cost
283
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,497
- Total Day Supply
- 69,486
- Brand vs Generic
- 63% brand / 37% generic
- Brand Drug Cost
- $1.1M
- Generic Drug Cost
- $165K
- Antibiotic Claims
- 118
Patient Demographics
- Average Patient Age
- 70.1 years
- Avg HCC Risk Score
- 2.01
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 65, 65-74: 130, 75-84: 70, 85+: 18
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Joel Provenzano, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
308 claims
- Trelegy Ellipta
Trelegy Ellipta
176 claims
- Symbicort
Symbicort
160 claims
- Breo Ellipta
Breo Ellipta
140 claims
- Fluticasone Propio… 112
Fluticasone Propionate
112 claims
- Prednisone 108
Prednisone
108 claims
- Azithromycin 93
Azithromycin
93 claims
- Advair Hfa 58
Advair Hfa
58 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 308 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 176 |
| Symbicort Budesonide/Formoterol Fumarate | 160 |
| Breo Ellipta Fluticasone/Vilanterol | 140 |
| Fluticasone Propionate | 112 |
| Prednisone | 108 |
| Azithromycin | 93 |
| Advair Hfa Fluticasone Propion/Salmeterol | 58 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 58 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 58 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Joel Provenzano, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,323
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Joel Provenzano, M.D.'s 1,864 claims are above the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Provenzano.
Dr. Mustafa Abas
M.D.,
Chardon, OH
Dr. Rania Abdallah
MD
Cleveland, OH
Dr. Ahmad Abdelwahed
M.D.
Sylvania, OH
Dr. Rania Abdul Rahman
MD
Cleveland, OH
Wajdy Abi Saleh
Cleveland, OH
Compare Pulmonary Disease 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 Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease 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.
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Frequently Asked Questions
What is Joel Provenzano, M.D.'s specialty? ▼
Joel Provenzano, M.D. specializes in Pulmonary Disease Physician and practices in Marion, Ohio. Credentials: M.D..
How much does Joel Provenzano, M.D. prescribe under Medicare Part D? ▼
In 2023, Joel Provenzano, M.D. wrote 1,864 Medicare Part D claims totaling $1.3M in drug costs for 283 beneficiaries.
What is Joel Provenzano, M.D.'s Medicare quality score? ▼
Joel Provenzano, M.D. has a CMS MIPS Final Score of 87.7/100 (Quality: 74.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Joel Provenzano, M.D. located? ▼
Joel Provenzano, M.D. is located at 1040 DELAWARE AVE, Marion, OH, 43302. Phone: (740) 375-8135.
What is Joel Provenzano, M.D.'s NPI number? ▼
Joel Provenzano, M.D.'s National Provider Identifier (NPI) is 1942431515, issued on 07/30/2009.
Does Joel Provenzano, M.D. prescribe more brand-name or generic drugs? ▼
Joel Provenzano, M.D.'s prescribing is 63% brand-name and 37% generic drugs by claim count, with $1.1M in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,323 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Joel Provenzano, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Joel Provenzano, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Symbicort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joel Provenzano, M.D. accept Medicare? ▼
Joel Provenzano, M.D. appears in CMS Medicare data with 1,864 Part D claims and 283 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joel Provenzano, M.D.'s credentials? ▼
Joel Provenzano, M.D.'s NPI is 1942431515 with credentials M.D.. 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
Compiled from official public sources by the PlainDoctor editorial team.
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.