WILLIAM J PROVANCE (DO) – Gastroenterology Physician, NPI 1174517403

WILLIAM J PROVANCE (DO) is a healthcare provider. based in North fort myers, Florida. specializing in GASTROENTEROLOGY. They hold the professional credentials DO. They hold a License No. OS12406 (FL). The NPI Number for WILLIAM J PROVANCE (DO) is 1174517403

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM J PROVANCE (DO)
NPI
1174517403
Phone
(877) 856-3774
Address
3434 HANCOCK BRIDGE PKWY
Enumeration Date
1 September 2005
Deactivation Date
24 March 2006
Reactivation Date
3 August 2007
Last Update Date
4 September 2014

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2392148828
Graduation Year
1987 (39 years ago)
PAC ID
5991774481
Group Practice PAC ID
9830244433
Professional Enrollment ID
I20140204001708
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,474 GASTROENTEROLOGY in FL

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Provider Addresses for WILLIAM J PROVANCE (DO)

  • 3434, Hancock Bridge Parkway, Marina Town Condo Apartments, North Fort Myers, Lee County, Florida, 33903, United States

    STE 301

    NORTH FORT MYERS, FL 339037094

    Phone: (877) 856-3774

    Fax: (239) 599-2625

    Type: Mailing

  • Goodlette Road, Mariner's Cove, Naples, Collier County, Florida, 34102, United States

    STE 130

    NAPLES, FL 341025458

    Phone: (239) 643-9767

    Fax: (239) 649-5878

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $14,819.

Total Amount is formed as General ($14,819) + Research ($0) + Ownership ($0) = $14,819.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Gilead Sciences, Inc. ($14,323).

Total Amount

$14,819

General + Research + Ownership

Payments

34

Total payment records

General Amount

$14,819

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-02-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140204001708IGastroenterologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes313211$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes239146$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes237226$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes149138$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope9695$0
View full utilization report →

Insurance plans in this area (ZIP 33903)

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Provider's Procedures

WILLIAM J PROVANCE (DO) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYFL45378Diagnostic examination of large bowel using an endoscope5655
GASTROENTEROLOGYFL45385Removal of polyps or growths of large bowel using an endoscope9190
GASTROENTEROLOGYFL85610Blood test, clotting time2115

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830244433View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
-FL
-FL
-FL
-FL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

Can I use this page to confirm WILLIAM J PROVANCE (DO)'s NPI?
Yes. WILLIAM J PROVANCE (DO) is listed with NPI 1174517403 in the public NPI dataset.
Can I rely on WILLIAM J PROVANCE (DO) being an active provider?
As of the registry snapshot, WILLIAM J PROVANCE (DO) is marked active.
What is WILLIAM J PROVANCE (DO)'s primary classification?
Gastroenterology Physician is the headline specialty for WILLIAM J PROVANCE (DO) here. Clinical services aligned with this taxonomy classification.
What area does WILLIAM J PROVANCE (DO) serve?
WILLIAM J PROVANCE (DO)'s listing highlights North Fort Myers, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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