John Michael Provenza, MD
Gastroenterology Physician · Winston Salem, NC
John Michael Provenza, MD is a gastroenterology physician with a practice address in Winston Salem, North Carolina, and NPI 1508399346, issued on Apr 8, 2017. Check the license (North Carolina 2023-01626, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.
- Name
- John Michael Provenza
- Credential
- MD
- Primary taxonomy
- Gastroenterology Physician 207RG0100X
- License number
- 2023-01626 NC
Self-reported in NPPES; status is on the state search - Practice location
- Medical Center Boulevard, Winston Salem, NC 27157
- Phone
- (336) 713-7311
- Enumerated
- Apr 8, 2017
- Record last updated
- Jun 12, 2023
- Medicare enrollment
- Enrolled (PECOS I20230626000116); accepts Medicare assignment
- Medical or professional school
- Louisiana State University School Of Medicine In Shreveport, 2013
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest gastroenterology physician records → All 681 in North Carolina → Look up another NPI →
Also registered at Medical Center Boulevard
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Katherine Ansley, M.D.Hematology & Oncology Physician1780983908
- Elizabeth Armstrong, MDStudent in an Organized Health Care Education/Training Program1871343343
Verify John Michael Provenza in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNorth Carolina Medical Board
Search for license 2023-01626Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
69% fewer Medicare Part D claims than the average gastroenterology physician in 2024
254 Medicare Part D claims for 58 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 22% of claims.
Most prescribed
- Omeprazole33 claims
- Famotidine30 claims
- Dicyclomine Hcl28 claims
- Pantoprazole Sodium27 claims
- Esomeprazole Magnesium24 claims
- Humira(Cf) Pen20 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): 98.3 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
- Wake Forest University Health SciencesWinston Salem, NC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
John Michael Provenza among 681 gastroenterology physician records in North Carolina
John Michael Provenza, MD is one of 681 gastroenterology physician records with a practice address in North Carolina. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 90% of them.
- NPI issued2017 · 90% of these records are older, 8% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 73% of these records are
- Graduated2013 · median 2002 among the 498 with a school on file
- Record last updated2023 · 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 207RG0100X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Gastroenterology Physician providers in North Carolina
There are 681 gastroenterology physician records in North Carolina.
All 681 in North Carolina → Every provider in Winston Salem → Gastroenterology Physician nationwide →
The 8 gastroenterology physician records with the nearest ZIP codes
- Richard Bloomfeld, MDWinston Salem, NC 271571194700534
- Herbert Bonkovsky, MDWinston Salem, NC 271571821093592
- Joel Bruggen, MDWinston Salem, NC 271571437134863
- Steven Clayton, MDWinston Salem, NC 271571144292459
- Jason Conway, MDWinston Salem, NC 271571518997923
- John Evans, MDWinston Salem, NC 271571326076233
- Michael Fina, M.D.Winston Salem, NC 271571053378984
- John Gilliam, MDWinston Salem, NC 271571992780126
Common questions
What is John Michael Provenza, MD's NPI number?
John Michael Provenza, MD's National Provider Identifier (NPI) is 1508399346, issued on Apr 8, 2017. An NPI identifies a provider in billing; it is not a license.
Where is John Michael Provenza, MD located?
The NPPES record lists a practice address at Medical Center Boulevard, Winston Salem, NC, 27157. Phone: (336) 713-7311. Providers update this record themselves, so call before visiting.
How can I verify John Michael Provenza, MD's license?
NPPES lists North Carolina license number 2023-01626, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does John Michael Provenza, MD prescribe under Medicare Part D?
In 2024, John Michael Provenza, MD had 254 Medicare Part D claims for 58 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.
What is John Michael Provenza, MD's MIPS final score?
The 2023 MIPS final score is 98.3 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.