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Active NPI 1376729376 Individual Practitioner Male Practitioner

Dr. Stephane Provencher , DC

Chiropractor • Gainesville, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephane Provencher, DC is a certified Chiropractor practicing in Gainesville, VA. With approximately 19 years of clinical experience since graduating from Logan College Of Chiropractic in 2007, Dr. Provencher delivers high-quality medical care to the local community at 8006 CRESCENT PARK DR.

Dr. Provencher accepts Medicare assignment.

Frequently performed procedures and clinical services include chiropractic manipulative treatment, 3-4 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

8006 Crescent Park Dr

Gainesville, VA 20155

Telephone 5712480695
Fax 5712480964
Associated Practice Facility / Clinic
🏢 Stephane Provencher Llc Facility NPI 1578960340

Medicare Profile & Education

Medical School

Logan College Of Chiropractic

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Gainesville, VA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
19 Yrs -8.5 yrs vs City Avg
City Avg: 27.5 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Gainesville, VA (1607 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
41.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Provencher (19 Years) 19 Yrs
Gainesville Specialty Average (27.5 Years) 27.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
190 17 $65.00 $38.37

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License VA 0104556839

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License MO 2008001511

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Debbie Romero , CMT

Massage Therapist

NPI 1932689387

Certified Massage Therapist

Richard Fercovic

Massage Therapist

NPI 1952869992

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2019

Chiropractor (License #2008001511 in MO)

📍
Updated Practice Location July 06, 2018

Registered at 8006 CRESCENT PARK DR, GAINESVILLE, VA 20155 (Tel: 5712480695)

NPI Profile Active November 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2017

Registered at 8006 CRESCENT PARK DR, GAINESVILLE, VA 201553444 (Tel: 5712480695)

📍
Updated Business Mailing Address November 17, 2017

Registered at 8006 CRESCENT PARK DR, GAINESVILLE, VA 201553444 (Tel: 5712480695)

👤
Provider Name / Credentials Updated November 17, 2017

Recorded as STEPHANE PROVENCHER, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2017

Chiropractor (License #2008001511 in MO)

NPI Profile Active January 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 07, 2014

Registered at 8006 CRESCENT PARK DR, GAINESVILLE, VA 201553444 (Tel: 5712480695)

📍
Updated Business Mailing Address January 07, 2014

Registered at 8006 CRESCENT PARK DR, GAINESVILLE, VA 201553444 (Tel: 5712480695)

👤
Provider Name / Credentials Updated January 07, 2014

Recorded as STEPHANE PROVENCHER, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2014

Chiropractor (License #0104556839 in VA)

🟢
Initial NPI Registration & Enumeration January 21, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376729376
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 21, 2008
Last Update: June 11, 2019
Sole Proprietor: No

Mailing Address

8006 Crescent Park Dr

Gainesville, VA 201553444

Phone: 5712480695

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.