Active NPI 1326016528 Individual Practitioner Male Practitioner

Dr. Thomas Robert Rocco , MD

Surgery • Johnston, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Rocco, MD is a certified Surgery practicing in Johnston, RI. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Rocco delivers high-quality medical care to the local community at 1526 ATWOOD AVE STE 200.

Dr. Rocco is affiliated with Orthopedics Rhode Island Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, injection of substance into lower spine canal using imaging guidance, removal of skin and tissue. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1526 Atwood Ave Ste 200

Johnston, RI 029193289

Telephone 4014042975

Fax 4014042976

Associated Practice Facility / Clinic

🏢 Brain & Spine Neurosurgical Institute, Llc Facility NPI 1558304212

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Johnston, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +5.0 yrs vs City Avg

City Avg: 28.0 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

7 Specialists

Practicing in Johnston, RI (160 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rocco (33 Years) 33 Yrs

Johnston Specialty Average (28.0 Years) 28.0 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
11042 Removal of skin and tissue, 20.0 sq cm or less	390	75	$125.06	$59.90
62323 Injection of substance into lower spine canal using imaging guidance	310	190	$434.00	$98.39
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	280	35	$60.00	$24.64
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	164	105	$932.05	$124.02
29580 Strapping, unna boot	123	19	$102.44	$17.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	53	$161.07	$96.37
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	78	56	$758.98	$94.98
64484 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	55	36	$390.65	$62.96
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	39	27	$874.67	$129.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$250.00	$132.19
62321 Injection of substance into middle or upper spine canal using imaging guidance	37	28	$476.00	$106.30
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	31	12	$330.00	$151.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	449	62	$125.00	$60.44
62323 Injection of substance into lower spine canal using imaging guidance	316	177	$434.00	$99.35
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	310	24	$60.00	$25.42
29580 Strapping, unna boot	194	21	$94.54	$15.73
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	132	90	$765.68	$111.40
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	80	53	$646.25	$88.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	45	$160.00	$98.43
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	63	15	$330.00	$154.82
62321 Injection of substance into middle or upper spine canal using imaging guidance	48	33	$476.00	$107.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$250.00	$134.36
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	25	16	$765.00	$127.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	618	79	$125.00	$62.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg	520	50	$1.50	$0.12
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	412	42	$60.00	$27.03
62323 Injection of substance into lower spine canal using imaging guidance	330	189	$434.00	$101.80
29580 Strapping, unna boot	163	23	$102.21	$18.01
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	137	88	$755.21	$115.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	63	$160.00	$100.62
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	65	44	$685.38	$92.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$250.00	$138.88
62321 Injection of substance into middle or upper spine canal using imaging guidance	41	27	$476.00	$110.59
99213 Established patient office or other outpatient visit, typically 15 minutes	32	30	$152.06	$93.30
62323 Injection of substance into lower spine canal using imaging guidance	27	25	$434.00	$276.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$225.96	$128.11
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	11	11	$750.00	$267.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	4,410	230	$1.50	$0.14
11042 Removal of skin and tissue, 20.0 sq cm or less	557	74	$125.00	$61.68
62323 Injection of substance into lower spine canal using imaging guidance	316	189	$577.70	$283.36
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	280	36	$60.21	$27.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	169	$224.50	$135.36
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	129	18	$330.00	$161.76
29580 Strapping, unna boot	123	17	$102.44	$17.27
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	82	57	$769.24	$265.86
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	80	50	$718.36	$180.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	43	$163.05	$103.18
62321 Injection of substance into middle or upper spine canal using imaging guidance	32	21	$638.94	$281.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$250.00	$137.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$306.67	$175.10
20552 Injections of trigger points in 1 or 2 muscles	23	16	$201.35	$46.10
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	18	12	$811.44	$264.17
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	17	11	$873.53	$271.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	524	95	$125.39	$64.65
62323 Injection of substance into lower spine canal using imaging guidance	247	128	$950.00	$270.04
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	203	36	$60.00	$28.43
29580 Strapping, unna boot	131	28	$109.01	$24.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	50	$160.14	$80.92
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	104	25	$328.03	$164.34
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	63	11	$75.00	$59.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$250.00	$135.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$300.00	$172.26
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	31	19	$935.48	$154.59
62321 Injection of substance into middle or upper spine canal using imaging guidance	26	14	$925.00	$275.93
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	20	11	$950.00	$263.37
62323 Injection of substance into lower spine canal using imaging guidance	15	13	$950.00	$105.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$175.00	$113.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	506	101	$125.00	$62.30
62323 Injection of substance into lower spine canal using imaging guidance	258	117	$950.00	$259.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	121	$175.00	$109.96
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	184	31	$328.89	$157.65
29580 Strapping, unna boot	140	36	$100.50	$18.20
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	133	40	$60.00	$26.88
62323 Injection of substance into lower spine canal using imaging guidance	85	47	$950.00	$104.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	54	$160.18	$76.24
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	75	14	$75.00	$56.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$250.00	$129.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$300.00	$160.84
62321 Injection of substance into middle or upper spine canal using imaging guidance	39	20	$950.00	$256.07
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	22	13	$950.00	$268.42
62321 Injection of substance into middle or upper spine canal using imaging guidance	17	11	$950.00	$112.79
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	14	12	$1000.00	$153.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	477	92	$125.43	$63.39
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	363	46	$330.00	$158.90
62323 Injection of substance into lower spine canal using imaging guidance	309	144	$950.00	$250.60
29580 Strapping, unna boot	282	40	$86.38	$17.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	117	$175.00	$107.20
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	98	25	$60.00	$26.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	54	$160.00	$78.33
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	79	15	$75.00	$57.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$254.35	$130.39
62321 Injection of substance into middle or upper spine canal using imaging guidance	46	23	$950.00	$257.81
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	40	20	$950.00	$254.80
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	34	24	$1000.00	$172.06
62323 Injection of substance into lower spine canal using imaging guidance	31	24	$950.00	$104.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$300.00	$164.84
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	26	17	$950.00	$293.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
62323 Injection of substance into lower spine canal using imaging guidance	482	212	$950.00	$251.32
11042 Removal of skin and tissue, 20.0 sq cm or less	291	80	$125.00	$61.87
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	282	44	$330.00	$154.97
29580 Strapping, unna boot	168	28	$85.83	$22.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	55	$160.72	$77.70
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	81	40	$1000.00	$145.92
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	68	35	$950.00	$235.08
62321 Injection of substance into middle or upper spine canal using imaging guidance	47	26	$950.00	$247.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	39	$175.00	$110.59
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	45	12	$75.00	$56.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$300.00	$168.34
64490 Injection of upper or middle spine facet joint using imaging guidance, single level	41	23	$950.00	$272.86
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	38	19	$450.00	$120.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$250.00	$128.08
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	21	13	$60.00	$26.00

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD09898

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

7058827 (RI)

Hospital & Practice Group Affiliations

Orthopedics Rhode Island Inc

300 Crossings Blvd, Warwick, RI 028862878

Phone: 4017777000

Secondary Practice Locations

220 Bellevue Ave

Newport, RI 028403515

Phone: 4018491113

Practice Associates & Co-Workers

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

6 Associated Practitioners

James Studders

Specialist

NPI 1073833257

Maria Brennan , PA-C

Physician Assistant - Medical

NPI 1124520952

Physician Assistant (Certified)

Mohini Yalanis , RNP

Nurse Practitioner

NPI 1255652681

Brittany Bertone , PA-C

Physician Assistant

NPI 1588112437

Physician Assistant (Certified)

Jessica Madison , RNP

Nurse Practitioner

NPI 1770821910

Shreya Dholakia

Physician Assistant

NPI 1912835398

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location October 04, 2019

Registered at 1526 ATWOOD AVE STE 200, JOHNSTON, RI 029193289 (Tel: 4014042975)

📍

Updated Business Mailing Address October 04, 2019

Registered at 6 BLACKSTONE VALLEY PL STE 706, LINCOLN, RI 028651170 (Tel: 4013349630)

✅

NPI Profile Active October 22, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 22, 2010

Registered at 220 BELLEVUE AVE, NEWPORT, RI 028403515 (Tel: 4018491113)

📍

Updated Business Mailing Address October 22, 2010

Registered at PO BOX 16149, RUMFORD, RI 029160697 (Tel: 4014539625)

👤

Provider Name / Credentials Updated October 22, 2010

Recorded as THOMAS ROCCO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2010

Surgery (License #MD09898 in RI)

🟢

Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Thomas Rocco. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1326016528

Entity Type:

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

Enumeration Date: March 14, 2006

Last Update: October 04, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6 Blackstone Valley Pl Ste 706

Lincoln, RI 028651170

Phone: 4013349630

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.