Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Matthew T Provencher, MD

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1831162759

Dr. Matthew T Provencher, MD is an Orthopedic Surgery in Vail, Colorado. Graduated from Geisel School of Medicine at Dartmouth in 1998, 28 years ago. Practices with Steadman Clinic Professional LLC, a 78-clinician group and accepts Medicare assignment. Licensed in Colorado and Massachusetts.

Years since qualifying
28
Trained at
Geisel School of Medicine at Dartmouth
Licensed in
CO, MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

181 W Meadow Dr Ste 400
Vail, CO 81657-5242
Phone: (970) 476-1100
Fax: (970) 479-5835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 56291 (CO)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 255099 (MA)

Record details

NPI number1831162759
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 10, 2006
Last updated in NPPESMarch 7, 2016
Mailing address181 W Meadow Dr, Suite 400, Vail, CO 81657-5242

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolGEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduated 1998 (28 years in practice)
Group practice Steadman Clinic Professional Llc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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