Active NPI 1427045301 Individual Practitioner Female Practitioner

Dr. Mridula Menon , MD

Internal Medicine • Lincoln, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mridula Menon, MD is a certified Internal Medicine practicing in Lincoln, RI. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Menon delivers high-quality medical care to the local community at 6 BLACKSTONE VALLEY PL.

Dr. Menon is affiliated with Coastal Medical Physicians Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6 Blackstone Valley Pl
Suite 701

Lincoln, RI 028651179

Telephone 4013333111

Fax 4013341217

Associated Practice Facility / Clinic

🏢 Hopehealth Visiting Nurse Facility NPI 1447233853

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lincoln, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -0.5 yrs vs City Avg

City Avg: 29.5 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

17 Specialists

Practicing in Lincoln, RI (1079 Statewide)

Telehealth Adoption Rate

17.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

69.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Menon (29 Years) 29 Yrs

Lincoln Specialty Average (29.5 Years) 29.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	245	167	$260.00	$91.51
99213 Established patient office or other outpatient visit, typically 15 minutes	77	57	$170.00	$73.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	68	68	$327.00	$45.74
G0008 Administration of influenza virus vaccine	36	36	$74.11	$32.68
90662 Influenza vaccine split virus, preservative free	28	28	$0.50	$0.49
93000 Routine ekg using at least 12 leads including interpretation and report	25	25	$42.00	$14.46
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$0.50	$0.49
G0009 Administration of pneumococcal vaccine	12	12	$69.67	$32.68

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	322	198	$211.09	$90.21
99213 Established patient office or other outpatient visit, typically 15 minutes	77	65	$150.01	$72.65
G0008 Administration of influenza virus vaccine	65	65	$63.77	$31.37
93000 Routine ekg using at least 12 leads including interpretation and report	57	57	$54.32	$14.80
90662 Influenza vaccine split virus, preservative free	47	47	$0.50	$0.49
G0009 Administration of pneumococcal vaccine	17	17	$40.88	$29.98
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	17	17	$0.50	$0.49
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	16	16	$0.50	$0.49

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	267	165	$190.00	$97.57
99213 Established patient office or other outpatient visit, typically 15 minutes	98	82	$139.33	$75.40
90662 Influenza vaccine split virus, preservative free	45	45	$0.50	$0.49
G0008 Administration of influenza virus vaccine	45	45	$31.91	$30.57
93000 Routine ekg using at least 12 leads including interpretation and report	41	40	$60.00	$14.93
99443 Telephone medical discussion with physician, 21-30 minutes	25	22	$180.00	$133.00
G0009 Administration of pneumococcal vaccine	19	19	$30.11	$29.65

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	258	160	$185.23	$88.82
99213 Established patient office or other outpatient visit, typically 15 minutes	93	68	$125.00	$63.37
93000 Routine ekg using at least 12 leads including interpretation and report	62	62	$60.00	$15.52
G0008 Administration of influenza virus vaccine	31	31	$30.00	$17.73
90662 Influenza vaccine split virus, preservative free	30	30	$2.32	$2.32
99442 Telephone medical discussion with physician, 11-20 minutes	13	11	$125.00	$95.79
G0009 Administration of pneumococcal vaccine	12	12	$30.00	$17.72
91306 Sarscov2 vac 50mcg/0.25ml im	11	11	$0.50	$0.01
0064A Adm sarscov2 50mcg/0.25mlbst	11	11	$62.00	$41.63

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	181	127	$180.00	$73.08
99442 Telephone medical discussion with physician, 11-20 minutes	159	94	$123.90	$78.06
99443 Telephone medical discussion with physician, 21-30 minutes	122	74	$175.49	$112.06
99213 Established patient office or other outpatient visit, typically 15 minutes	92	61	$125.00	$50.17
G0008 Administration of influenza virus vaccine	35	34	$30.00	$17.60
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$60.00	$17.90
90662 Influenza vaccine split virus, preservative free	19	18	$6.24	$6.18
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	14	14	$0.50	$0.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	280	159	$124.73	$53.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	266	161	$179.76	$78.60
93000 Routine ekg using at least 12 leads including interpretation and report	56	54	$60.00	$17.97
G0008 Administration of influenza virus vaccine	44	42	$30.00	$17.28
87804 Detection test by immunoassay with direct visual observation for influenza virus	27	13	$30.00	$16.22
90653 Vaccine for influenza for injection into muscle	26	26	$0.50	$0.49
81002 Urinalysis, manual test	21	13	$15.00	$3.41
G0009 Administration of pneumococcal vaccine	21	21	$30.00	$17.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$285.00	$122.50
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$30.00	$16.20
90662 Influenza vaccine split virus, preservative free	12	12	$5.04	$4.81
90670 Pneumococcal vaccine for injection into muscle	12	12	$0.50	$0.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	315	196	$120.00	$70.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	154	$175.00	$101.30
93000 Routine ekg using at least 12 leads including interpretation and report	61	58	$60.00	$18.41
G0008 Administration of influenza virus vaccine	35	34	$30.00	$21.32
90662 Influenza vaccine split virus, preservative free	34	33	$16.66	$16.28
81002 Urinalysis, manual test	34	29	$15.00	$3.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$202.65	$126.89
G0009 Administration of pneumococcal vaccine	20	20	$30.00	$21.32
90670 Pneumococcal vaccine for injection into muscle	13	13	$0.50	$0.49
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	12	$30.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	275	152	$115.00	$87.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	128	$169.49	$125.83
93000 Routine ekg using at least 12 leads including interpretation and report	52	52	$60.00	$21.25
81002 Urinalysis, manual test	39	35	$15.00	$3.43
G0008 Administration of influenza virus vaccine	34	33	$30.29	$26.42
90662 Influenza vaccine split virus, preservative free	32	31	$3.59	$3.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$185.00	$153.10
G0009 Administration of pneumococcal vaccine	14	14	$29.64	$26.28
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$30.00	$16.11

Medical Specialties & State Licenses

CMS Verified: 2024-04-02

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD11557

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

2081156 (MA)

Hospital & Practice Group Affiliations

Coastal Medical Physicians Inc

6 Blackstone Valley Pl, Lincoln, RI 028651170

Phone: 4013333111

Practice Associates & Co-Workers

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

10 Associated Practitioners

Nicholas Chasse , AGNP

Nurse Practitioner

NPI 1063991024

Adult-Gerontology Nurse Practitioner

Paul Padula , MSN-FNP-C

Nurse Practitioner - Family

NPI 1093392524

MSNFNPC

Kristin Macdonald , FNP-BC

Nurse Practitioner - Family

NPI 1245872787

Family Nurse Practitioner (Board Certified)

Brooke Morgan , PA-C

Physician Assistant

NPI 1306324033

Physician Assistant (Certified)

Dr. Anne Cushing-Brescia , MD

Internal Medicine

NPI 1407839657

Doctor of Medicine (M.D.)

Shauna Gaulin

Nurse Practitioner

NPI 1568169423

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 29, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 29, 2011

Registered at 6 BLACKSTONE VALLEY PL, SUITE 701, LINCOLN, RI 028651179 (Tel: 4013333111)

📍

Updated Business Mailing Address June 29, 2011

Registered at 10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 029034754 (Tel: 4014214000)

👤

Provider Name / Credentials Updated June 29, 2011

Recorded as MRIDULA MENON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2011

Internal Medicine (License #MD11557 in RI)

🟢

Initial NPI Registration & Enumeration October 05, 2005

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: 1427045301

Entity Type:

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

Enumeration Date: October 05, 2005

Last Update: April 02, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10 Davol Sq, Suite 400

Providence, RI 029034754

Phone: 4014214000

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.