JESSICA PROVO MD NPI 1699121368

NPI Details

Jessica Provo, MD is a family medicine in Sandwich, MA with 11 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Jessica Provo, MD NPI is 1699121368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

90 ROUTE 6A UNIT 5A
SANDWICH, MA
ZIP 02563-301
Phone: (508) 477-7090

The NPI 1699121368 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, denosumab, 1 mg (HCPCS:J0897)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Urea nitrogen level to assess kidney function, quantitative (HCPCS:84520)
• Blood creatinine level (HCPCS:82565)
• Blood potassium level (HCPCS:84132)
• Blood sodium level (HCPCS:84295)
• Insertion of needle into vein for collection of blood sample (HCPCS:36415)
• Calcium level, total (HCPCS:82310)
• Total protein level, blood (HCPCS:84155)
• Liver enzyme (sgot), level (HCPCS:84450)
• Liver enzyme (sgpt), level (HCPCS:84460)
• Bilirubin level, total (HCPCS:82247)
• Albumin (protein) level (HCPCS:82040)
• Phosphatase (enzyme) level, alkaline (HCPCS:84075)
• Blood glucose (sugar) level (HCPCS:82947)
• Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
• Hemoglobin a1c level (HCPCS:83036)
• Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Vitamin d-3 level (HCPCS:82306)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Thyroxine (thyroid chemical), free (HCPCS:84439)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
• Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
• X-ray of chest, 2 views (HCPCS:71046)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Iron level (HCPCS:83540)
• Iron binding capacity (HCPCS:83550)
• Ferritin (blood protein) level (HCPCS:82728)
• Injection of drug or substance under skin or into muscle (HCPCS:96372)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Urine microalbumin (protein) level (HCPCS:82043)
• Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
• Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Liver function blood test panel (HCPCS:80076)
• Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected (HCPCS:0241U)
• Magnesium level (HCPCS:83735)
• Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
• Pneumococcal vaccine, 23-valent (HCPCS:90732)
• Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
• Measurement c-reactive protein for detection of infection or inflammation (HCPCS:86140)
• Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) (HCPCS:G0296)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• X-ray of hip, 2-3 views (HCPCS:73502)
• Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)
• Transitional care management services for problem of moderate complexity (HCPCS:99495)
• Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
• Transitional care management services for problem of high complexity (HCPCS:99496)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
• Removal of impacted ear wax (HCPCS:69210)
• Psa (prostate specific antigen) measurement, total (HCPCS:84153)
• Lipase (fat enzyme) level (HCPCS:83690)

The enumeration date for this NPI number is 5/11/2016 and was last updated on 4/22/2025.

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: