Active NPI 1497828628 Individual Practitioner Male Practitioner

Dr. Brian J Pickett , MD

Internal Medicine • Cranston, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Pickett, MD is a certified Internal Medicine practicing in Cranston, RI. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Pickett delivers high-quality medical care to the local community at 750 RESERVOIR AVE.

Dr. Pickett maintains professional affiliations with Silver Spring Health Care Management Inc, Phoenix Rehabilitation And Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

750 Reservoir Ave

Cranston, RI 029104423

Telephone 4014646617

Fax 4014646673

Associated Practice Facility / Clinic

🏢 Ellen H. Frankel, Md, Inc Facility NPI 1477693703

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Cranston, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -3.4 yrs vs City Avg

City Avg: 30.4 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

41 Specialists

Practicing in Cranston, RI (1079 Statewide)

Telehealth Adoption Rate

19.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pickett (27 Years) 27 Yrs

Cranston Specialty Average (30.4 Years) 30.4 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
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	260	260	$280.75	$129.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	133	$275.89	$128.24
99213 Established patient office or other outpatient visit, typically 15 minutes	110	93	$195.78	$91.08
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	45	42	$34.53	$16.42
G0008 Administration of influenza virus vaccine	35	35	$64.31	$32.68
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$358.20	$166.01
G0009 Administration of pneumococcal vaccine	14	14	$62.64	$32.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	270	270	$265.09	$124.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	172	$261.33	$123.33
99213 Established patient office or other outpatient visit, typically 15 minutes	60	53	$184.57	$87.64
G0008 Administration of influenza virus vaccine	35	35	$62.00	$31.37
G0009 Administration of pneumococcal vaccine	24	24	$58.33	$31.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	11	$365.71	$173.33
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$29.00	$14.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	220	220	$261.00	$128.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	168	$271.00	$126.10
99213 Established patient office or other outpatient visit, typically 15 minutes	73	68	$191.00	$89.38
G0008 Administration of influenza virus vaccine	43	42	$58.00	$30.70
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$331.00	$163.83
G0009 Administration of pneumococcal vaccine	13	13	$58.00	$30.87
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$29.00	$14.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	188	163	$244.24	$128.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	181	181	$247.74	$131.04
99213 Established patient office or other outpatient visit, typically 15 minutes	133	105	$165.20	$90.31
G0008 Administration of influenza virus vaccine	52	52	$58.00	$17.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$101.79	$55.89
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	13	$48.95	$22.74
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$34.50	$14.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	271	202	$145.00	$75.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	258	258	$230.00	$120.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	69	$90.00	$27.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	62	$215.00	$113.84
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	43	29	$43.26	$13.64
93000 Routine ekg using at least 12 leads including interpretation and report	24	23	$70.00	$17.94
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$323.00	$173.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$290.00	$152.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	287	205	$145.00	$76.99
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	216	216	$230.00	$120.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	129	$215.00	$111.48
93000 Routine ekg using at least 12 leads including interpretation and report	30	30	$70.00	$17.79
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$323.00	$171.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$290.00	$150.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	319	216	$145.00	$73.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	233	$215.00	$108.71
93000 Routine ekg using at least 12 leads including interpretation and report	44	44	$70.00	$17.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	24	$290.00	$146.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	390	253	$145.00	$72.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	254	186	$215.00	$107.54
93000 Routine ekg using at least 12 leads including interpretation and report	46	46	$70.00	$17.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	27	$290.00	$144.34

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD10932

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

7009982 (RI)

Hospital & Practice Group Affiliations

Silver Spring Health Care Management Inc

3461 S County Trl, East Greenwich, RI 028181463

Phone: 4014716760

Silver Spring Health Care Management Inc

268 Post Rd, Westerly, RI 028916601

Phone: 4016042530

Phoenix Rehabilitation And Health Services Inc

2000 Westinghouse Dr, Cranberry Twp, PA 160665238

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Stephanie Krusz , MD

Internal Medicine

NPI 1467553883

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 September 24, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 24, 2007

Registered at 750 RESERVOIR AVE, CRANSTON, RI 029104423 (Tel: 4014646617)

📍

Updated Business Mailing Address September 24, 2007

Registered at 750 RESERVOIR AVE, CRANSTON, RI 029104423 (Tel: 4014646617)

👤

Provider Name / Credentials Updated September 24, 2007

Recorded as BRIAN PICKETT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2007

Internal Medicine (License #MD10932 in RI)

🟢

Initial NPI Registration & Enumeration November 16, 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: 1497828628

Entity Type:

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

Enumeration Date: November 16, 2006

Last Update: September 24, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

750 Reservoir Ave

Cranston, RI 029104423

Phone: 4014646617

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.