Justin D. Provo, MD
Physical Medicine & Rehabilitation Physician · Salt Lake City, UT
Justin D. Provo, MD is a physical medicine & rehabilitation physician with a practice address in Salt Lake City, Utah, and NPI 1720548670, issued on Mar 25, 2019. Check the license (Utah 12017642-1205, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Justin D. Provo
- Credential
- MD
- Primary taxonomy
- Physical Medicine & Rehabilitation Physician 208100000X
- License number
- 12017642-1205 UT
Self-reported in NPPES; status is on the state search - Practice location
- 30 N 1900 E RM 1C301, Salt Lake City, UT 84132
- Phone
- (801) 585-2589
- Enumerated
- Mar 25, 2019
- Record last updated
- Nov 5, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20230825003531); accepts Medicare assignment
- Medical or professional school
- University Of New Mexico School Of Medicine, 2019
- Entity
- Type 1 · individual
8 nearest physical medicine & rehabilitation physician records → All 183 in Utah → Look up another NPI →
Also registered at 30 N 1900 E RM 1C301
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Shanalee Mountan, MDPhysical Medicine & Rehabilitation Physician1346701992
- Elizabeth York, DOPhysical Medicine & Rehabilitation Physician1124581806
Verify Justin D. Provo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 12017642-1205Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
64% fewer Medicare Part D claims than the average physical medicine & rehabilitation physician in 2024
262 Medicare Part D claims for 80 beneficiaries, against an average of 727 among the 7,448 providers of this specialty who prescribed in Part D.
Most prescribed
- Gabapentin75 claims
- Pregabalin43 claims
- Baclofen23 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): 97.6 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).
Bills Medicare through one group practice
- Poudre Valley Medical Group LLCLoveland, CO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Justin D. Provo among 183 physical medicine & rehabilitation physician records in Utah
Justin D. Provo, MD is one of 183 physical medicine & rehabilitation physician records with a practice address in Utah. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 64% of them.
- NPI issued2019 · 64% of these records are older, 28% newer
- In a Medicare fileYes · 67% of these records are
- In the CMS Doctors and Clinicians fileYes · 54% of these records are
- Graduated2019 · median 2009 among the 99 with a school on file
- Record last updated2020 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208100000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Physical Medicine & Rehabilitation Physician providers in Utah
There are 183 physical medicine & rehabilitation physician records in Utah.
All 183 in Utah → Every provider in Salt Lake City → Physical Medicine & Rehabilitation Physician nationwide →
The 8 physical medicine & rehabilitation physician records with the nearest ZIP codes
- Aaron Conger, D.O.Salt Lake City, UT 841321093100372
- Daniel Cushman, M.D.Salt Lake City, UT 841321588985014
- Alan Davis, MDSalt Lake City, UT 841321528148426
- Christopher Duncan, MDSalt Lake City, UT 841321720376536
- Steven Edgley, MDSalt Lake City, UT 841321770537011
- Alexandra Flis, M.D.Salt Lake City, UT 841321265723795
- Pamela Hansen, MDSalt Lake City, UT 841321649360249
- Colby Hansen, M.D.Salt Lake City, UT 841321245429018
Common questions
What is Justin D. Provo, MD's NPI number?
Justin D. Provo, MD's National Provider Identifier (NPI) is 1720548670, issued on Mar 25, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Justin D. Provo, MD located?
The NPPES record lists a practice address at 30 N 1900 E RM 1C301, Salt Lake City, UT, 84132. Phone: (801) 585-2589. Providers update this record themselves, so call before visiting.
How can I verify Justin D. Provo, MD's license?
NPPES lists Utah license number 12017642-1205, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Justin D. Provo, MD prescribe under Medicare Part D?
In 2024, Justin D. Provo, MD had 262 Medicare Part D claims for 80 beneficiaries; the average among physical medicine & rehabilitation physician prescribers was 727. Part D covers Medicare prescriptions only.
What is Justin D. Provo, MD's MIPS final score?
The 2023 MIPS final score is 97.6 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.