DR. DAVID GERARD PROVAZNIK (DO) – Family Medicine Physician, NPI 1245267624
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,432 FAMILY PRACTICE in OH
Provider Addresses for DR. DAVID GERARD PROVAZNIK (DO)
11826 GALLIA PIKE
SUITE A
WHEELERSBURG, OH 456949119
Phone: (740) 574-4526
Fax: (740) 574-2895
Type: Location
Ashland Post Office, 120, North 1st Street, Ashland, Jackson County, Oregon, 97520, United States
ASHLAND, KY 411052379
Phone: (740) 574-4526
Fax: (740) 574-2895
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 124 Open Payments records for all available years, with a total value of $2,337.
Total Amount is formed as General ($2,337) + Research ($0) + Ownership ($0) = $2,337.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($624).
Total Amount
$2,337
General + Research + Ownership
Payments
124
Total payment records
General Amount
$2,337
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-12-30
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 |
|---|---|---|---|---|
| I20091230000638 | I | Family Practice | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,046 | 283 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 470 | 127 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 419 | 130 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 307 | 119 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 224 | 125 | $0 |
Insurance plans in this area (ZIP 45694)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | KY | |
| Cardiovascular Disease (Cardiology), Internal Medicine | KY | |
| - | KY | |
| Interventional Cardiology | KY | |
| Pulmonary Disease, Critical Care (Intensivists) | KY | |
| Plastic And Reconstructive Surgery | NY | |
| Vascular Surgery, General Surgery | KY |
Reviews
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