Doctor profile · Federal record
Dr. Matthew Provenzano, M.D.
Pediatric Otolaryngology Physician (CMS: Otolaryngology) · Otolaryngology Physician · Otolaryngology Physician · Pediatric Otolaryngology Physician · Michigan City, IN
- NPI 1639388911
- Accepts Medicare
- 22 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1225 E Coolspring Ave Ste 300
Michigan City, IN 463606312
(219) 878-5032
fax (219) 861-8151 - Mailing address
-
Po Box 781076
Detroit, MI 482781076
Credentials & registration
- NPI registered
- May 2007 — 19 yrs on file
- Profile last updated
- August 24, 2023
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 207YP0228X — NUCC code
- State licenses (3)
- Indiana #01072216A · Iowa #36490 · Ohio #57.019215
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639388911. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
692
Distinct HCPCS
10
Medicare allowed
$75,123
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 134 | 134 | $157 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 110 | 91 | $120 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 107 | 102 | $85 | |
31575 |
Diagnostic exam of voice box using a flexible endoscope | 98 | 90 | $121 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 75 | 75 | $105 | |
69210 |
Removal of impacted ear wax | 63 | 62 | $45 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 44 | 43 | $53 | |
31231 |
Diagnostic exam of nasal passages using an endoscope | 19 | 19 | $177 | |
99202 |
New patient office or other outpatient visit, 15-29 minutes | 18 | 18 | $68 | |
92504 |
Exam of ear using a microscope | 13 | 12 | $27 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 62. This provider delivers 11× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
192
Patients
101
Total drug cost
$5,413
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Nortriptyline Hcl | Generic | 36 | 12 | $299 |
| Pantoprazole Sodium | Generic | 36 | 25 | $356 |
| Dexamethasone Sodium Phosphate | Generic | 29 | 21 | $1,168 |
| Ofloxacin | Generic | 25 | 20 | $1,754 |
| Betamethasone Valerate | Generic | 14 | 12 | $248 |
| Montelukast Sodium | Generic | 14 | 0 | $147 |
| Neomycin-Polymyxin-Hydrocort (Neomycin/Polymyxin B/Hydrocort) | Brand | 14 | 0 | $914 |
| Azelastine Hcl | Generic | 13 | 0 | $456 |
| Methylprednisolone | Generic | 11 | 11 | $71 |
Hospital affiliations
Frequently asked questions
What is Dr. Matthew Provenzano's medical specialty?
Dr. Matthew Provenzano practices Pediatric Otolaryngology Physician in Michigan City, IN.
Where does Dr. Matthew Provenzano practice?
Dr. Matthew Provenzano practices at 1225 E Coolspring Ave Ste 300, Michigan City, IN 463606312. Office phone: 2198785032.
What is Dr. Matthew Provenzano's NPI?
Dr. Matthew Provenzano's National Provider Identifier (NPI) is 1639388911, issued by NPPES.
Does Dr. Matthew Provenzano accept Medicare assignment?
Yes. Dr. Matthew Provenzano accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Matthew Provenzano commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.