NPPES file of Aug 9, 2026

Joseph Johnny Provenzano, DO

Family Medicine Physician · Modesto, CA

Joseph Johnny Provenzano, DO is a family medicine physician with a practice address in Modesto, California, and NPI 1215993738, issued on Apr 24, 2006. Check the license (California 20A5427, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.

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

NPPES recordNPPES file of Aug 9, 2026
1215993738
Name
Joseph Johnny Provenzano
Credential
DO
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
20A5427 CA
Self-reported in NPPES; status is on the state search
Practice location
3612 Dale RD, Modesto, CA 95356
Phone
(209) 522-0146
Enumerated
Apr 24, 2006
Record last updated
Jun 11, 2019 (not updated in 7 years: call before relying on the address or phone)
Medicaid ID
00AX54270 CA
Medicare enrollment
Enrolled (PECOS I20090210000825); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
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.
Download card Updates feed

Also registered at 3612 Dale RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Juan Barahona, DOFamily Medicine Physician1285093021
  2. M Belissary, MDFamily Medicine Physician1174572986
  3. Heather Cohen, MDFamily Medicine Physician1326662552
  4. Kathie Cronin, M.D.Family Medicine Physician1205836160
  5. Pamela Cushenberry Starks, M.D.Family Medicine Physician1801844105
  6. Neil Espiritu, MDFamily Medicine Physician1396404067

Verify Joseph Johnny Provenzano in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMedical Board of California
    Search for license 20A5427
    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
Open the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Is this page about you? You can ask us to correct, restrict or remove it: how.

2.4 times the Medicare Part D claims of the average family medicine physician in 2024

8,357 Medicare Part D claims for 759 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 9% of claims. 527 claims were for opioids.

  1. Joseph Provenzano8,357
  2. Specialty average3,544

Most prescribed

  1. Hydrocodone-Acetaminophen353 claims
  2. Lisinopril277 claims
  3. Amlodipine Besylate267 claims
  4. Levothyroxine Sodium253 claims
  5. Atorvastatin Calcium237 claims
  6. Methylprednisolone233 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.

Industry payments in 2024: $135.03

2 payments; by number, the most common kind was food and beverage; the largest payer was Boehringer Ingelheim Pharmaceuticals, Inc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Joseph Provenzano$135.03
  2. Specialty average$902.55

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

  1. Sutter Valley Medical FoundationModesto, CA

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

Joseph Johnny Provenzano among 17,133 family medicine physician records in California

Joseph Johnny Provenzano, DO is one of 17,133 family medicine physician records with a practice address in California. 81% 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 6% of them.

  • NPI issued2006 · 6% of these records are older, 59% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 62% of these records are
  • Graduated1983 · median 2005 among the 10,652 with a school on file
  • Record last updated2019 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

173 family medicine physician records list a practice address in Modesto

They are 173 of the 9,262 NPPES records with a practice address in Modesto, and 17,133 family medicine physician records in California.

The 8 family medicine physician records with the nearest ZIP codes

  1. Surekha Bavirti, MDModesto, CA 953561881772374
  2. M Belissary, MDModesto, CA 953561174572986
  3. Vipul Bhagat, MDModesto, CA 953561114005790
  4. Kathie Cronin, M.D.Modesto, CA 953561205836160
  5. Pamela Cushenberry Starks, M.D.Modesto, CA 953561801844105
  6. Debra Drake, M.D.Modesto, CA 953561336189091
  7. Francis Flaim, MDModesto, CA 953561992749170
  8. Gustavo Galeano, MDModesto, CA 953561033168604

Common questions

What is Joseph Johnny Provenzano, DO's NPI number?

Joseph Johnny Provenzano, DO's National Provider Identifier (NPI) is 1215993738, issued on Apr 24, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Joseph Johnny Provenzano, DO located?

The NPPES record lists a practice address at 3612 Dale RD, Modesto, CA, 95356. Phone: (209) 522-0146. Providers update this record themselves, so call before visiting.

How can I verify Joseph Johnny Provenzano, DO's license?

NPPES lists California license number 20A5427, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Joseph Johnny Provenzano, DO prescribe under Medicare Part D?

In 2024, Joseph Johnny Provenzano, DO had 8,357 Medicare Part D claims for 759 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

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.