DR. MATTHEW T PROVENCHER MD
NPI 1831162759
Orthopaedic Surgery - Sports Medicine in Vail, CO

Q: What is Matthew Provencher's NPI number?

The NPI number for Matthew Provencher is 1831162759. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Q: What is Matthew Provencher's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment

62.62/100

CMS Quality Rating

181 W MEADOW DR, SUITE 400, VAIL, CO 81657(970) 476-1100(970) 479-5835 Get Directions Write a Review

NPPES record last updated: March 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Matthew T Provencher Md NPPES

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

DR. MATTHEW T PROVENCHER MD (NPI 1831162759) is an individual sports medicine provider in Vail, Colorado, licensed in Colorado (56291) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (1998).

NPPES Registry Identity

NPI1831162759

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. MATTHEW T PROVENCHERCredential: MD

Location Address181 W MEADOW DR, SUITE 400Vail, CO 81657-5242

Mailing Address181 W Meadow Dr, Suite 400Vail, CO 81657-5242 · (970) 476-1100 · Fax (970) 479-5835

Phone(970) 476-1100

Fax(970) 479-5835

Sole ProprietorNo

Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1998

Enumeration DateFebruary 10, 2006

Last NPPES UpdateMarch 7, 2016

✔ NPI 1831162759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Licenses✔ Licensed in CO · 56291✔ Licensed in MA · 255099

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

181 W MEADOW DR, Vail, CO 81657

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew T Provencher Md 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 ID1052323045

PECOS Enrollment IDI20160411000072

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.

Areas of Expertise CMS Part B claims 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,068 services106 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

222 services160 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.

135 services115 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

84 services80 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

74 services69 patients

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.

59 services53 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

39 services37 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

37 services37 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

35 services34 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

24 services23 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

16 services16 patients

X-ray of joints, multiple 77077

An X-ray of multiple joints is a non-invasive imaging test that helps visualize the condition of your joints. This procedure uses a small amount of radiation to produce images of bones and joints, assisting in diagnosing conditions like arthritis or injury.

15 services15 patients

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.

62.62/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.54

Improvement Activities

Cost

18.43

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670

DME-Orthotic Devices · category DF000N

1 supplier97 claims97 services$88.21 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

JASON K KRON PA

Physician Assistant (Medical)

181 W MEADOW DR
VAIL, CO 81657

Eagle County (970) 479-5787

DEVON BLITZ CCC-SLP

Speech-Language Pathologist

181 W MEADOW DR
VAIL, CO 81657

Eagle County (310) 963-3004

RANDALL W VIOLA MD

Orthopaedic Surgery (Sports Medicine)

181 W MEADOW DR, SUITE 400
VAIL, CO 81657

Eagle County (970) 476-1100

DR. WILLIAM ARNOLD BEVAN JR. M.D.

Emergency Medicine

181 W MEADOW DR
VAIL, CO 81657

Eagle County (970) 479-7225

ELYSSE CELESTE SCHMIDT DPT

Physical Therapist

181 W MEADOW DR
VAIL, CO 81657

Eagle County (970) 476-1225

JOEL HEGEMAN

Physical Therapist

181 W MEADOW DR
VAIL, CO 81657

Eagle County (970) 476-2451

DR. JULIE GACA MD

Anesthesiology

181 W MEADOW DR
VAIL, CO 81657

Eagle County (303) 422-9438

FREDERICK J ECK MD

Internal Medicine

181 W MEADOW DR, 800
VAIL, CO 81657

Eagle County (970) 476-7600

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 Matthew Provencher's NPI number?

The NPI number for Matthew Provencher is 1831162759. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Matthew Provencher located?

Matthew Provencher practices at 181 W Meadow Dr Suite 400, Vail, CO 81657. The listed phone number is (970) 476-1100.

What is Matthew Provencher's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Matthew Provencher enrolled in Medicare?

Yes. Matthew Provencher 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.

When was this NPI record last updated?

The NPPES record for Matthew Provencher was last updated on March 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.