Augie N. Provencio
NPI 1467590158ActiveIndividual· Family Medicine· Livingston, CA
Family Medicine in Livingston, California, trained at New York Medical College (class of 1988). Their prescriptions cost Medicare Part D more than their services did: $71,854 for 780 claims, against $16,070 paid for services in 2024. Lilly USA, LLC reported $95.50 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1467590158 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 2, 2007 |
| Last updated in NPPES | Mar 23, 2022 |
| Certified by provider | Mar 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A48099 | CA |
| Family Medicine | 207Q00000X | 36333 | AZ |
| Family Medicine | 207Q00000X | 3673 | AK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 74 |
|---|---|
| Services billed | 228 across 22 procedure codes |
| Paid by Medicare | $16,070 |
Part D prescriptions in 2024
| Prescriptions (claims) | 780 · 1,971 30-day fills |
|---|---|
| Patients | 77 |
| Total drug cost | $71,854 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | New York Medical College |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Family Practice |
| Secondary specialties | Emergency Medicine |
Medical group
- Timothy S Johnston MD PCMerced, CA · 8 clinicians
Other facilities
- Mercy Home CareHome health agency · Merced, CA
Industry payments (Open Payments)
- 2024$95.50 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $95.50 | 2 |
What the 2024 payments were for
- Food and Beverage$95.50 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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