Active NPI 1225065113 Individual Practitioner Male Practitioner

Dr. Paul A Ruggieri , MD

Surgery • Fall River, MA

Professional Overview & Biography Verified Profile Summary

Dr. Paul Ruggieri, MD is a certified Surgery practicing in Fall River, MA. With approximately 39 years of clinical experience since graduating from Georgetown University School Of Medicine in 1987, Dr. Ruggieri delivers high-quality medical care to the local community at 1030 PRESIDENT AVE.

Dr. Ruggieri is affiliated with Lifespan Physician Group Of Massachusetts Inc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1030 President Ave
Suite 3002

Fall River, MA 027205923

Telephone 5086763411

Fax 5086760932

Associated Practice Facility / Clinic

🏢 Southcoast Physician Services Inc Facility NPI 1104874874

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1987

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fall River, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +9.7 yrs vs City Avg

City Avg: 29.3 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

9 Specialists

Practicing in Fall River, MA (1077 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ruggieri (39 Years) 39 Yrs

Fall River Specialty Average (29.3 Years) 29.3 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$333.00	$111.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	36	$136.00	$57.08
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$224.00	$91.93
49650 Repair of groin hernia using an endoscope	15	15	$1781.33	$559.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$418.00	$128.13
47562 Removal of gallbladder using an endoscope	12	12	$2243.42	$579.73
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$156.00	$56.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$509.00	$163.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$333.00	$113.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	52	$136.00	$57.54
99213 Established patient office or other outpatient visit, typically 15 minutes	49	43	$224.00	$92.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	24	$418.00	$131.05
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$232.00	$74.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$509.00	$169.99
99441 Telephone medical discussion with physician, 5-10 minutes	16	14	$156.00	$57.67
49650 Repair of groin hernia using an endoscope	14	14	$1811.71	$596.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	104	24	$354.00	$62.07
97597 Removal of tissue from wound, 20.0 sq cm or less	95	28	$321.85	$36.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$333.00	$114.52
99213 Established patient office or other outpatient visit, typically 15 minutes	56	50	$224.00	$93.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	18	$136.00	$37.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	36	$136.00	$58.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$509.00	$168.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$333.00	$85.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$334.00	$133.37
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$418.00	$137.00
47562 Removal of gallbladder using an endoscope	13	13	$2311.00	$686.25
49650 Repair of groin hernia using an endoscope	12	12	$1675.00	$565.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	153	22	$354.00	$62.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$333.00	$117.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	34	$136.00	$59.11
99213 Established patient office or other outpatient visit, typically 15 minutes	41	39	$225.61	$95.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	15	$224.00	$73.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$418.00	$136.73
97597 Removal of tissue from wound, 20.0 sq cm or less	29	13	$220.00	$37.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$509.00	$175.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	14	$136.00	$37.27
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$232.00	$76.66
47562 Removal of gallbladder using an endoscope	16	16	$2383.25	$669.68
49650 Repair of groin hernia using an endoscope	14	14	$1831.64	$554.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$333.00	$86.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$333.52	$113.13
99213 Established patient office or other outpatient visit, typically 15 minutes	41	38	$225.51	$77.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	25	$224.00	$75.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	33	$418.00	$144.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$509.00	$173.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	20	$136.00	$48.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$339.67	$111.14
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	16	16	$674.94	$187.18
49650 Repair of groin hernia using an endoscope	14	14	$1424.29	$550.12
47562 Removal of gallbladder using an endoscope	14	14	$2253.07	$620.14
10005 Fine needle aspiration of first lesion using ultrasound guidance	13	13	$430.00	$77.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$614.00	$213.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$310.87	$111.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	69	$375.86	$139.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$435.40	$169.16
99213 Established patient office or other outpatient visit, typically 15 minutes	56	51	$195.55	$77.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	28	$176.65	$75.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	32	$126.61	$47.27
47562 Removal of gallbladder using an endoscope	29	29	$2236.76	$638.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$301.13	$113.40
49650 Repair of groin hernia using an endoscope	23	23	$1836.26	$561.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	68	65	$300.00	$137.97
99213 Established patient office or other outpatient visit, typically 15 minutes	65	58	$165.00	$74.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$250.00	$109.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	22	$140.00	$73.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	37	$100.00	$44.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$250.00	$109.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$325.00	$155.80
47562 Removal of gallbladder using an endoscope	24	24	$2050.00	$687.16
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$180.00	$76.53
10022 Fine needle aspiration using imaging guidance	13	13	$280.00	$67.00
49650 Repair of groin hernia using an endoscope	13	13	$2007.69	$513.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	118	118	$250.00	$107.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	68	$100.00	$43.73
99213 Established patient office or other outpatient visit, typically 15 minutes	72	69	$165.00	$72.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	51	$300.00	$134.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	14	$140.00	$71.16
47562 Removal of gallbladder using an endoscope	21	21	$2050.00	$655.41
10022 Fine needle aspiration using imaging guidance	19	18	$280.00	$65.27
49650 Repair of groin hernia using an endoscope	17	17	$2473.53	$579.11
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$180.00	$74.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$325.00	$162.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$250.00	$106.91

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA MA158145

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

PR28496 (RI)

Medicaid State Provider ID

3189392 (MA)

Commercial Insurance / Payer ID Cigna For Referrals

9461208 002

Commercial Insurance / Payer ID Railroad Med

020045787

Commercial Insurance / Payer ID Railroad Medicare

020045787 (MA)

Commercial Insurance / Payer ID Hphc

807888

Commercial Insurance / Payer ID Swh

000369

Commercial Insurance / Payer ID Aetna

2093283

Commercial Insurance / Payer ID Cigna

B20914802

Commercial Insurance / Payer ID Mass Bs

J19613

Hospital & Practice Group Affiliations

Lifespan Physician Group Of Massachusetts Inc

795 Middle St, Fall River, MA 027211733

Phone: 5086745600

Practice Associates & Co-Workers

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

26 Associated Practitioners

Dr. Margaret Lee , MD

Obstetrics & Gynecology

NPI 1063478220

Doctor of Medicine (M.D.)

Laurel Gay , PA

Physician Assistant

NPI 1063526986

Physician Assistant

Dr. Henry Vaillancourt , MD

Family Medicine

NPI 1093770059

Doctor of Medicine (M.D.)

Dr. Sean Thomas , MD

Ophthalmology

NPI 1114053717

Doctor of Medicine (M.D.)

Dr. Susanne Matias-Gomes , DO

Obstetrics & Gynecology

NPI 1114150935

Doctor of Osteopathic Medicine (D.O.)

Dr. Ronald Schneider , MD

Dermatology

NPI 1114967643

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 26, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 26, 2010

Registered at 1030 PRESIDENT AVE, SUITE 3002, FALL RIVER, MA 027205923 (Tel: 5086763411)

📍

Updated Business Mailing Address April 26, 2010

Registered at 1030 PRESIDENT AVE, SUITE 3002, FALL RIVER, MA 027205923 (Tel: 5086763411)

👤

Provider Name / Credentials Updated April 26, 2010

Recorded as PAUL RUGGIERI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2010

Surgery (License #MA158145 in MA)

🟢

Initial NPI Registration & Enumeration June 27, 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: 1225065113

Entity Type:

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

Enumeration Date: June 27, 2006

Last Update: April 26, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1030 President Ave, Suite 3002

Fall River, MA 027205923

Phone: 5086763411

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.