Matthew T. Provencher, MD
Sports Medicine (Orthopaedic Surgery) Physician · Vail, CO
Matthew T. Provencher, MD is a sports medicine (orthopaedic surgery) physician with a practice address in Vail, Colorado, and NPI 1831162759, issued on Feb 10, 2006. Check the license (Colorado 56291, as entered in NPPES) on the Colorado Medical Board; the Medicare figures below come from public CMS files.
- Name
- Matthew T. Provencher
- Credential
- MD
- Primary taxonomy
- Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
- License numbers
- 56291 CO
255099 MA
Self-reported in NPPES; status is on the state search - Practice location
- 181 W Meadow Dr, Vail, CO 81657
- Phone
- (970) 476-1100
- Enumerated
- Feb 10, 2006
- Record last updated
- Mar 7, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (970) 479-5835
- Medicare enrollment
- Enrolled (PECOS I20160411000072); accepts Medicare assignment
- Medical or professional school
- Geisel School Of Medicine At Dartmouth, 1998
- Entity
- Type 1 · individual
8 nearest sports medicine (orthopaedic surgery) physician records → All 151 in Colorado → Look up another NPI →
Also registered at 181 W Meadow Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jaime AdamsPhysical Therapist1518203959
- Lindsey Adams, NURSE PRACTITIONERAdult Health Nurse Practitioner1548671068
- Sally Agnoletto, CRNACertified Registered Nurse Anesthetist1033146329
- Andrew Almonte, PTPhysical Therapist1154600997
- Kelly Ashnault, DPTPhysical Therapist1164145165
- Faith Baer, PT, DPTPhysical Therapist1164311759
Verify Matthew T. Provencher in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersColorado Medical Board
Search for license 56291Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 38.3 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).
Industry payments in 2024: $560,151.00
116 payments; by number, the most common kind was food and beverage; the largest payer was Arthrex, Inc. The 2,400 providers of this specialty with any payment received $19,779.31 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 2 group practices
- Select Physical Therapy OF West Denver Limited PartnershipGreeley, CO
- Steadman Clinic Professional LLCVail, CO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Matthew T. Provencher among 151 sports medicine (orthopaedic surgery) physician records in Colorado
Matthew T. Provencher, MD is one of 151 sports medicine (orthopaedic surgery) physician records with a practice address in Colorado. 90% 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 15% of them.
- NPI issued2006 · 15% of these records are older, 59% newer
- In a Medicare fileYes · 90% of these records are
- In the CMS Doctors and Clinicians fileYes · 71% of these records are
- Graduated1998 · median 2007 among the 107 with a school on file
- Record last updated2016 · 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 207XX0005X and a Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
16 sports medicine (orthopaedic surgery) physician records list a practice address in Vail
They are 16 of the 357 NPPES records with a practice address in Vail, and 151 sports medicine (orthopaedic surgery) physician records in Colorado.
All 151 in Colorado → Every provider in Vail → Sports Medicine (Orthopaedic Surgery) Physician nationwide →
The 8 sports medicine (orthopaedic surgery) physician records with the nearest ZIP codes
- Justin Ernat, M.D.Vail, CO 816571205120177
- Thomas Hackett, M.D.Vail, CO 816571568416568
- Samuel Huntley, MD, MPHVail, CO 816571962965418
- Shane Korber, MDVail, CO 816571396372199
- Devin Leland, MDVail, CO 816571568090454
- Charles LinVail, CO 816571073076709
- Peter Millett, M.D.Vail, CO 816571700863990
- Brendon Mitchell, MDVail, CO 816571376049734
Common questions
What is Matthew T. Provencher, MD's NPI number?
Matthew T. Provencher, MD's National Provider Identifier (NPI) is 1831162759, issued on Feb 10, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Matthew T. Provencher, MD located?
The NPPES record lists a practice address at 181 W Meadow Dr, Vail, CO, 81657. Phone: (970) 476-1100. Providers update this record themselves, so call before visiting.
How can I verify Matthew T. Provencher, MD's license?
NPPES lists Colorado license number 56291, as entered by the provider. Search the Colorado Medical Board at https://dpo.colorado.gov/Medical. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Matthew T. Provencher, MD's MIPS final score?
The 2023 MIPS final score is 38.3 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.