Joel D. Provenzano, M.D.
Pulmonary Disease Physician · Marion, OH
Joel D. Provenzano, M.D. is a pulmonary disease physician with a practice address in Marion, Ohio, and NPI 1942431515, issued on Jul 30, 2009. Check the license (Ohio 35.099189, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.
- Name
- Joel D. Provenzano
- Credential
- M.D.
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 35.099189 OH
Self-reported in NPPES; status is on the state search - Practice location
- 1040 Delaware Ave, Marion, OH 43302
- Phone
- (740) 375-8135
- Enumerated
- Jul 30, 2009
- Record last updated
- Dec 15, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (740) 375-6468
- Medicaid ID
- 0071205 OH
- Medicare enrollment
- Enrolled (PECOS I20120831000289); accepts Medicare assignment
- Medical or professional school
- Toledo Medical College, 2009
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 659 in Ohio → Look up another NPI →
Also registered at 1040 Delaware Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Arthur Armstrong, M.D.Internal Medicine Physician1548234677
- James Bazzoli, MDObstetrics & Gynecology Physician1043278617
- Shawn Beltz, PAPhysician Assistant1437707031
- Vanessa Blanchard, CNPPediatric Nurse Practitioner1083326136
- Stephanie Bland, DOPediatrics Physician1538629894
- Benjamin BoiceFamily Nurse Practitioner1093310054
Verify Joel D. Provenzano in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersState Medical Board of Ohio
Search for license 35.099189Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
40% more Medicare Part D claims than the average pulmonary disease physician in 2024
1,991 Medicare Part D claims for 290 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 60% of claims.
Most prescribed
- Albuterol Sulfate Hfa371 claims
- Trelegy Ellipta179 claims
- Fluticasone Propionate145 claims
- Azithromycin131 claims
- Breo Ellipta122 claims
- Prednisone102 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): 87.7 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.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $4,880.04
11 payments; by number, the most common kind was travel and lodging; the largest payer was Intuitive Surgical, Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Marion Area Physicians LLCMarion, OH
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Joel D. Provenzano among 659 pulmonary disease physician records in Ohio
Joel D. Provenzano, M.D. is one of 659 pulmonary disease physician records with a practice address in Ohio. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 59% of them.
- NPI issued2009 · 59% of these records are older, 36% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 78% of these records are
- Graduated2009 · median 2005 among the 516 with a school on file
- Record last updated2021 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in Ohio
There are 659 pulmonary disease physician records in Ohio.
All 659 in Ohio → Every provider in Marion → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Mushtaq Ahmad, MDMarion, OH 433021508822446
- George McKenney, DOMarion, OH 433021538665195
- Aileen Ruffino, D.O.Marion, OH 433021437424496
- Hiten Shah, M.D.Marion, OH 433021851343321
- Harsh Shah, M.D.Marion, OH 433021790962116
- Richard Stringer, MDMarion, OH 433021669867354
- Joseph Duffy, M.D.Columbus, OH 432281386897544
- Sarita GautamColumbus, OH 432281780001404
Common questions
What is Joel D. Provenzano, M.D.'s NPI number?
Joel D. Provenzano, M.D.'s National Provider Identifier (NPI) is 1942431515, issued on Jul 30, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Joel D. Provenzano, M.D. located?
The NPPES record lists a practice address at 1040 Delaware Ave, Marion, OH, 43302. Phone: (740) 375-8135. Providers update this record themselves, so call before visiting.
How can I verify Joel D. Provenzano, M.D.'s license?
NPPES lists Ohio license number 35.099189, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Joel D. Provenzano, M.D. prescribe under Medicare Part D?
In 2024, Joel D. Provenzano, M.D. had 1,991 Medicare Part D claims for 290 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Joel D. Provenzano, M.D.'s MIPS final score?
The 2023 MIPS final score is 87.7 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.