Active NPI 1497743330 Individual Practitioner Male Practitioner

Dr. John P Miskovsky , MD

Internal Medicine • Pawtucket, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Miskovsky, MD is a certified Internal Medicine practicing in Pawtucket, RI. With approximately 30 years of clinical experience since graduating from Warren Alpert Medical School Of Brown University in 1996, Dr. Miskovsky delivers high-quality medical care to the local community at 131 BEECHWOOD AVENUE.

Dr. Miskovsky maintains professional affiliations with Prospect Chartercare Rwmc, Llc, Heritage Medical Associates Pc, Prospect Chartercare Physicians Llc 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, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

131 Beechwood Avenue

Pawtucket, RI 02860

Telephone 4014751999

Fax 4014756932

Associated Practice Facility / Clinic

🏢 Heritage Medical Associates Pc Facility NPI 1003982547

Medicare Profile & Education

Medical School

Warren Alpert Medical School Of Brown University

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pawtucket, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +2.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

42 Specialists

Practicing in Pawtucket, RI (1079 Statewide)

Telehealth Adoption Rate

21.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

50.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Miskovsky (30 Years) 30 Yrs

Pawtucket Specialty Average (27.3 Years) 27.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	310	132	$151.39	$126.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	124	57	$337.50	$117.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	45	$405.70	$171.43
99213 Established patient office or other outpatient visit, typically 15 minutes	39	31	$146.44	$89.51
99239 Hospital discharge day management, more than 30 minutes	35	34	$305.71	$113.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	20	$191.00	$78.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$311.10	$129.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	13	$250.75	$179.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$168.10	$165.58
82962 Blood glucose (sugar) test performed by hand-held instrument	15	12	$6.00	$3.21
99238 Hospital discharge day management, 30 minutes or less	13	12	$243.31	$80.55

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	232	108	$155.28	$119.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	133	60	$323.64	$120.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	50	$389.32	$175.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	23	$182.82	$79.83
99213 Established patient office or other outpatient visit, typically 15 minutes	48	37	$163.20	$90.78
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	44	11	$74.77	$49.53
99239 Hospital discharge day management, more than 30 minutes	39	38	$292.15	$115.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$299.75	$131.26

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	180	78	$311.68	$104.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	77	$136.96	$116.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	67	$375.78	$201.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	60	32	$174.75	$72.50
99213 Established patient office or other outpatient visit, typically 15 minutes	45	34	$142.77	$91.54
99239 Hospital discharge day management, more than 30 minutes	42	41	$280.00	$107.09

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	261	112	$298.44	$106.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	73	$134.82	$117.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	75	$358.73	$205.61
99213 Established patient office or other outpatient visit, typically 15 minutes	73	54	$135.78	$90.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	63	42	$166.78	$73.79
99239 Hospital discharge day management, more than 30 minutes	55	54	$269.60	$109.44
99238 Hospital discharge day management, 30 minutes or less	17	17	$214.06	$74.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$274.29	$139.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$91.00	$58.83

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	532	170	$109.57	$104.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	78	$144.93	$105.54
99213 Established patient office or other outpatient visit, typically 15 minutes	105	73	$128.28	$71.16
99239 Hospital discharge day management, more than 30 minutes	49	48	$113.50	$107.87
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	37	$213.24	$203.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$88.65	$45.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$243.00	$122.10

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	507	178	$109.60	$103.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	375	167	$127.34	$109.29
99213 Established patient office or other outpatient visit, typically 15 minutes	118	88	$131.54	$75.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	40	$213.24	$201.98
99239 Hospital discharge day management, more than 30 minutes	39	39	$113.50	$107.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	19	19	$230.44	$119.73
G0009 Administration of pneumococcal vaccine	15	15	$53.00	$17.28
G0008 Administration of influenza virus vaccine	14	14	$53.00	$17.28
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$36.00	$17.72

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	463	163	$118.23	$105.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	215	98	$109.60	$101.70
99213 Established patient office or other outpatient visit, typically 15 minutes	85	75	$131.45	$72.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	77	74	$213.24	$197.87
99239 Hospital discharge day management, more than 30 minutes	59	57	$113.50	$105.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	13	$76.53	$71.02
99238 Hospital discharge day management, 30 minutes or less	17	17	$77.02	$71.47
G0008 Administration of influenza virus vaccine	12	12	$53.33	$21.32

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	718	182	$106.77	$99.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	130	$111.07	$103.67
99239 Hospital discharge day management, more than 30 minutes	213	183	$110.49	$103.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	163	144	$207.96	$194.06
99213 Established patient office or other outpatient visit, typically 15 minutes	86	68	$170.00	$50.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	25	$149.53	$139.12

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD10350

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

9022171 (RI)

Hospital & Practice Group Affiliations

Prospect Chartercare Physicians Llc

1681 Cranston St, Cranston, RI 029205000

Phone: 4019446889

Prospect Chartercare Rwmc, Llc

825 Chalkstone Ave, Providence, RI 029084728

Phone: 4014562000

Heritage Medical Associates Pc

131 Beechwood Ave, Pawtucket, RI 028605409

Phone: 4014751999

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Lauralyn Cannistra , MD

Internal Medicine - Cardiovascular Disease

NPI 1467413898

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 March 05, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 05, 2008

Registered at 131 BEECHWOOD AVENUE, PAWTUCKET, RI 02860 (Tel: 4014751999)

📍

Updated Business Mailing Address March 05, 2008

Registered at 131 BEECHWOOD AVENUE, PAWTUCKET, RI 02860 (Tel: 4014751999)

👤

Provider Name / Credentials Updated March 05, 2008

Recorded as JOHN MISKOVSKY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2008

Internal Medicine (License #MD10350 in RI)

🟢

Initial NPI Registration & Enumeration October 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1497743330

Entity Type:

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

Enumeration Date: October 13, 2005

Last Update: March 05, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

131 Beechwood Avenue

Pawtucket, RI 02860

Phone: 4014751999

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.