DR. MATTHEW T PROVENCHER (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1831162759
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
747 ORTHOPEDIC SURGERY in CO
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Provider Addresses for DR. MATTHEW T PROVENCHER (MD)
Vail Health Vail Campus, 181, West Meadow Drive, Vail, Eagle County, Colorado, 81657, United States
SUITE 400
VAIL, CO 816575242
Phone: (970) 476-1100
Fax: (970) 479-5835
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 254 Open Payments records for all available years, with a total value of $1,084,232.
Total Amount is formed as General ($1,083,482) + Research ($750) + Ownership ($0) = $1,084,232.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Arthrex, Inc. ($1,078,818).
Total Amount
$1,084,232
General + Research + Ownership
Payments
254
Total payment records
General Amount
$1,083,482
General payments
Research Amount
$750
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $1,078,818 |
| Anika Therapeutics, Inc. | $3,930 |
| Joint Restoration Foundation, Inc. | $782 |
| Ossur Americas, Inc. | $255 |
| Gemini Mountain Medical, LLC | $158 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160411000072 | I | Orthopedic Surgery | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,238 | 110 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 259 | 181 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 172 | 140 | $0 |
| 73564 | X-ray of knee, 4 or more views | 91 | 72 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 90 | 75 | $0 |
Insurance plans in this area (ZIP 81657)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| Family Practice | CO | |
| - | CO | |
| Internal Medicine | CO | |
| Family Practice | FL | |
| Physician Assistant | CO | |
| N E U R O S U R G E R Y | CO | |
| - | OR | |
| Internal Medicine | CO | |
| Physical Therapist In Private Practice | CO |
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