JOSE J PROVENCIO M.D.
NPI 1497781777
Psychiatry & Neurology - Neurology in Charlottesville, VA
About Jose J Provencio M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSE J PROVENCIO M.D. (NPI 1497781777) is an individual neurology provider in Charlottesville, Virginia, licensed in Virginia (0101056026) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses
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
Jose J Provencio M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Jose Provencio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 2,820 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Virginia Medical Center
Acute Care Hospitals · Charlottesville, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jose Provencio's NPI number?
The NPI number for Jose Provencio is 1497781777. It was assigned to this individual provider in the NPPES registry on June 25, 2006.
Where is Jose Provencio located?
Jose Provencio practices at 1215 Lee St, Charlottesville, VA 22908. The listed phone number is (434) 924-2101.
What is Jose Provencio's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Jose Provencio enrolled in Medicare?
Yes. Jose 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 organization bills Medicare for Jose Provencio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Provencio reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). The 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 Jose Provencio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jose Provencio affiliated with any hospitals?
According to CMS data, Jose Provencio is affiliated with University Of Virginia Medical Center.
When was this NPI record last updated?
The NPPES record for Jose Provencio was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jose J Provencio, M.D. · NPI 1497781777
Neurology physician in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since June 25, 2006.
## Identity
- **NPI:** 1497781777 (Entity type: Individual)
- **Enumerated:** June 25, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 0101056026 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1215 LEE ST, Charlottesville, VA 22908-0001
- **Phone:** (434) 924-2101 · **Fax:** (434) 982-2580
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Virginia Physicians Group (NPI 1033138250, Charlottesville, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pennsylvania State University College Of Medicine, class of 1993
## Record status
- **NPPES last updated:** October 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1497781777) · Data from the CMS NPPES public registry.