Active NPI 1215993506 Individual Practitioner Male Practitioner

Dr. Thomas J. Doyle , MD

Hospitalist • Fall River, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Doyle, MD is a certified Hospitalist practicing in Fall River, MA. With approximately 23 years of clinical experience since graduating from Warren Alpert Medical School Of Brown University in 2003, Dr. Doyle delivers high-quality medical care to the local community at 363 HIGHLAND AVE.

Dr. Doyle is affiliated with Southcoast Physicians Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

363 Highland Ave

Fall River, MA 027203703

Telephone 5089735919

Fax 5089735916

Associated Practice Facility / Clinic

🏢 Charlton Anesthesia Group, Inc. Facility NPI 1972501740

Medicare Profile & Education

Medical School

Warren Alpert Medical School Of Brown University

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Fall River, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +3.9 yrs vs City Avg

City Avg: 19.1 Yrs

State Avg: 20.9 Yrs

Regional Practice Density

23 Specialists

Practicing in Fall River, MA (529 Statewide)

Telehealth Adoption Rate

4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Doyle (23 Years) 23 Yrs

Fall River Specialty Average (19.1 Years) 19.1 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	279	127	$361.77	$117.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	156	86	$240.35	$77.92
99239 Hospital discharge day management, more than 30 minutes	99	85	$348.53	$113.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	35	$642.77	$171.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$442.00	$129.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	282	147	$332.42	$119.52
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	91	55	$230.08	$79.75
99239 Hospital discharge day management, more than 30 minutes	82	79	$338.95	$114.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$637.00	$175.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	317	167	$328.00	$104.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	69	$228.00	$72.51
99239 Hospital discharge day management, more than 30 minutes	88	85	$338.00	$107.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	33	$626.71	$201.46
99217 Hospital observation care on day of discharge	28	28	$229.00	$73.01
99226 Subsequent observation care, typically 35 minutes per day	19	14	$329.00	$102.96
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	11	$124.00	$39.57
99220 Hospital observation care, typically 70 minutes	11	11	$568.36	$181.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	383	189	$328.00	$106.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	138	87	$228.00	$73.80
99239 Hospital discharge day management, more than 30 minutes	111	104	$338.00	$109.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	48	$633.08	$205.65
99225 Subsequent observation care, typically 25 minutes per day	39	18	$229.00	$73.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	15	$124.00	$39.41
99217 Hospital observation care on day of discharge	29	29	$229.00	$74.38
99226 Subsequent observation care, typically 35 minutes per day	24	17	$329.00	$106.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	306	160	$328.00	$108.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	159	103	$228.74	$75.51
99239 Hospital discharge day management, more than 30 minutes	126	123	$338.74	$112.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	56	$630.54	$211.41
99217 Hospital observation care on day of discharge	40	38	$230.20	$76.22
99225 Subsequent observation care, typically 25 minutes per day	16	13	$230.25	$76.07
99220 Hospital observation care, typically 70 minutes	15	15	$584.00	$193.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	327	173	$289.91	$108.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	235	125	$202.55	$76.11
99239 Hospital discharge day management, more than 30 minutes	125	116	$301.42	$112.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	67	$554.91	$211.64
99217 Hospital observation care on day of discharge	24	24	$196.17	$76.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$373.50	$143.30
99220 Hospital observation care, typically 70 minutes	16	16	$489.88	$194.13
99226 Subsequent observation care, typically 35 minutes per day	13	11	$277.00	$109.51
99219 Hospital observation care, typically 50 minutes	11	11	$371.55	$142.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	162	98	$188.82	$74.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	121	80	$272.19	$107.26
99239 Hospital discharge day management, more than 30 minutes	72	68	$281.94	$112.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	19	$102.34	$40.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$518.85	$210.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$353.59	$142.01
99217 Hospital observation care on day of discharge	16	16	$191.31	$76.09
99219 Hospital observation care, typically 50 minutes	11	11	$348.00	$141.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	159	113	$260.15	$106.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	143	102	$182.20	$73.82
99239 Hospital discharge day management, more than 30 minutes	83	82	$265.58	$110.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	63	$502.98	$207.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$342.39	$139.71
99217 Hospital observation care on day of discharge	20	20	$183.95	$74.75
99220 Hospital observation care, typically 70 minutes	16	16	$427.44	$189.85
99219 Hospital observation care, typically 50 minutes	16	16	$300.06	$138.83

Medical Specialties & State Licenses

CMS Verified: 2020-04-21

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License MA 228194

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License MA 228914

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110075120A (MA)

Hospital & Practice Group Affiliations

Southcoast Physicians Group Inc

101 Page St, New Bedford, MA 027403464

Phone: 5089735919

Southcoast Physicians Group Inc

534 Prospect St, Fall River, MA 027205281

Phone: 5089737766

Practice Associates & Co-Workers

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

40 Associated Practitioners

Erin Dacey , NP

Nurse Practitioner - Critical Care Medicine

NPI 1003246190

Nurse Practitioner

Regina Monteiro , APRN

Nurse Practitioner - Critical Care Medicine

NPI 1003312281

Advanced Practice Registered Nurse

Dr. Jeffrey Bird , MD

Hospitalist

NPI 1013360114

Doctor of Medicine (M.D.)

Dr. Charles Kert , MD

Hospitalist

NPI 1023024031

Doctor of Medicine (M.D.)

Dr. Kristine Lou Gargaritano , MD

Hospitalist

NPI 1063145571

Doctor of Medicine (M.D.)

Dr. Sirjana Dhungana Parajuli , MD

Internal Medicine

NPI 1063606473

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location April 21, 2020

Registered at 363 HIGHLAND AVE, FALL RIVER, MA 027203703 (Tel: 5089735919)

✅

NPI Profile Active November 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 15, 2016

Registered at 101 PAGE ST, NEW BEDFORD, MA 027403464 (Tel: 5089735919)

📍

Updated Business Mailing Address November 15, 2016

Registered at 200 MILL RD, STE 180, FAIRHAVEN, MA 027195252 (Tel: 5089732000)

👤

Provider Name / Credentials Updated November 15, 2016

Recorded as THOMAS DOYLE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2016

Internal Medicine (License #228914 in MA)

🟢

Initial NPI Registration & Enumeration April 25, 2006

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: 1215993506

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 25, 2006

Last Update: April 21, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

200 Mill Rd, Ste 180

Fairhaven, MA 027195252

Phone: 5089732000

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.