DR. MATTHEW T PROVENCHER MD NPI 1831162759

NPI Information

  • NPI: 1831162759
  • Provider Name: DR. MATTHEW T PROVENCHER, MD
  • Classification: Orthopaedic Surgery - 207XX0005X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 181 W MEADOW DR
    SUITE 400
    VAIL, CO
    ZIP 81657
  • Phone: (970) 476-1100

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NPI Details

DR. Matthew T Provencher, MD is a sports medicine orthopaedic surgery in Vail, CO with 27 years of experience. The provider is 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. DR. Matthew T Provencher, MD NPI is 1831162759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduation Year:1998

The provider's business location address is:

181 W MEADOW DR
SUITE 400
VAIL, CO
ZIP 81657-242
Phone: (970) 476-1100
Fax: (970) 479-5835

The NPI 1831162759 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of joints, multiple (HCPCS:77077)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Anchoring of biceps tendon (HCPCS:23430)
  • Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
  • Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Knee replacement (HCPCS:NAN06)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 2/10/2006 and was last updated on 3/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XX0005XOrthopaedic SurgerySports Medicine255099MASSACHUSETTSNo
2207XX0005XOrthopaedic SurgerySports Medicine56291COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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