GINA PROVENZANO MD
NPI 1841784030
Orthopaedic Surgery in Edmond, OK

Q: What is Gina Provenzano's NPI number?

The NPI number for Gina Provenzano is 1841784030. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Q: What is Gina Provenzano's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Gina Provenzano was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since June 20, 2018PECOS EnrolledAccepts Medicare Assignment

2017 W I 35 FRONTAGE RD STE 250, EDMOND, OK 73013(405) 757-3340(405) 757-3520 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2023, Jun 20, 2018 (2 updates tracked since 2018).

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About Gina Provenzano Md NPPES

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

GINA PROVENZANO MD (NPI 1841784030) is an individual orthopaedic surgery provider in Edmond, Oklahoma, licensed in Oklahoma (42869) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of University Of South Florida College Of Medicine (2018).

NPPES Registry Identity

NPI1841784030

Entity TypeIndividualFemale

Primary Taxonomy207X00000X

Provider Legal NameGINA PROVENZANOCredential: MD

Location Address2017 W I 35 FRONTAGE RD STE 250Edmond, OK 73013-8561

Mailing Address2017 W I 35 Frontage Rd Ste 250Edmond, OK 73013-8561 · (405) 757-3340 · Fax (405) 757-3520

Phone(405) 757-3340

Fax(405) 757-3520

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2018

Enumeration DateJune 20, 2018

Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration

NPPES CertifiedAugust 29, 2024

✔ NPI 1841784030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in OK · 42869✔ Licensed in PA · MD481359

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

2017 W I 35 FRONTAGE RD STE 250, Edmond, OK 73013

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.Insurance ›

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

Gina Provenzano 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 ID1951841311

PECOS Enrollment IDI20240911004664

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 9

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.

94 services17 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

68 services55 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.

50 services50 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

49 services42 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.

38 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.

26 services26 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370013

Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County

Emergency services Birthing friendly

Mercy Hospital Kingfisher, Inc

Critical Access Hospitals · Kingfisher, OK

OwnershipVoluntary non-profit - Private

CMS Certification Number371313

Location1000 Hospital DriveKingfisher, OK 73750 · Kingfisher County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73013 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

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 8

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

ISAAC BENJAMIN GRAY

Physician Assistant