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AUGIE N. PROVENCIO
NPI 1467590158
Family Medicine in Livingston, CA

Active since February 02, 2007PECOS EnrolledAccepts Medicare Assignment
600 B ST BLDG A-C, LIVINGSTON, CA 95334(209) 850-3500 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Augie N. Provencio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUGIE N. PROVENCIO (NPI 1467590158) is an individual family medicine provider in Livingston, California, licensed in California (A48099) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Whiteriver, and is a graduate of New York Medical College (1988).

NPPES Registry Identity

NPI1467590158
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameAUGIE N. PROVENCIO
Location Address600 B ST BLDG A-CLivingston, CA 95334-9593
Mailing Address600 B St Bldg A-cLivingston, CA 95334-9593 · (209) 850-3500
Phone(209) 850-3500
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1988
Enumeration DateFebruary 2, 2007
Last NPPES UpdateMarch 23, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1467590158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A48099✔ Licensed in AZ · 36333✔ Licensed in AK · 3673
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
600 B ST BLDG A-C, Livingston, CA 95334
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Other Names 1

Professional Name (2)Dr. Augustine Quinones Provencio M.d.

Secondary Practice Location 1

Location 1200 W Hospital DrWhiteriver, AZ 85941 · Phone (928) 338-4911

Other Identifiers 2

Medicaid00A480990CA
Medicaid539497AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Augie N. Provencio is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204866916
PECOS Enrollment IDI20071203000559
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Augie Provencio reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America - California
12 mi
Emergency Medicine
825 DELBON AVE
Turlock, CA 95382
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
NPI 1932686367 (209) 667-4200
Timothy S. Johnston, M.D. PC
15 mi
Otolaryngology
410 E YOSEMITE AVE STE B
Merced, CA 95340
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Timothy S Johnston MD PC
  • 17 clinicians in this Medicare group
NPI 1972483493 (209) 934-8077
San Joaquin Emergency Medical Associates
16 mi
Emergency Medicine
333 MERCY AVE
Merced, CA 95340
  • Reassigned Medicare billing, California enrollment
  • 141 clinicians in this Medicare group
NPI 1588960413 (844) 474-4019
Big River Emergency Physicians Inc
50 mi
Emergency Medicine
911 SUNSET DR
Hollister, CA 95023
  • Reassigned Medicare billing, California enrollment
  • 38 clinicians in this Medicare group
NPI 1033501168 (330) 493-4443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
134 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95334 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VALERIE ITZEL SOLANO DDS
Dentist
600 B ST BLDG A-C
LIVINGSTON, CA 95334
Merced County (661) 600-7020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Augie Provencio's NPI number?

The NPI number for Augie Provencio is 1467590158. It was assigned to this individual provider in the NPPES registry on February 2, 2007. The provider is also known as Dr. Augustine Quinones Provencio M.D..

Where is Augie Provencio located?

Augie Provencio practices at 600 B St Bldg A-C, Livingston, CA 95334. The listed phone number is (209) 850-3500.

What is Augie Provencio's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Augie Provencio enrolled in Medicare?

Yes. Augie Provencio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Augie Provencio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Augie Provencio reassigns Medicare benefits to 4 organizations: Cep America - California (Turlock, CA), Timothy S. Johnston, M.D. PC (Merced, CA), San Joaquin Emergency Medical Associates (Merced, CA) and Big River Emergency Physicians Inc (Hollister, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Augie Provencio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Augie Provencio was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.