Active NPI 1255337671 Individual Practitioner Male Practitioner

Dr. Stephen Ernest Glinick , MD

Dermatology • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Glinick, MD is a certified Dermatology practicing in Providence, RI. With approximately 50 years of clinical experience since graduating from Columbia University College Of Physicians And Surgeons in 1976, Dr. Glinick delivers high-quality medical care to the local community at 593 EDDY ST APC-10.

Dr. Glinick maintains professional affiliations with Brown Dermatology Inc, Lifespan Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include test for allergy using skin patch, destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

593 Eddy St Apc-10

Providence, RI 029034923

Telephone 4014447959

Fax 4014447144

Associated Practice Facility / Clinic

🏢 Lifespan Physician Group Inc Facility NPI 1578424602

Medicare Profile & Education

Medical School

Columbia University College Of Physicians And Surgeons

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Providence, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +25.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

32 Specialists

Practicing in Providence, RI (74 Statewide)

Telehealth Adoption Rate

3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Glinick (50 Years) 50 Yrs

Providence Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95044 Test for allergy using skin patch	884	12	$12.52	$5.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	587	134	$8.84	$5.69
99213 Established patient office or other outpatient visit, typically 15 minutes	483	378	$108.15	$74.01
17000 Destruction of skin growth	239	194	$94.47	$55.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	164	149	$65.10	$45.12
17110 Destruction of up to 14 skin growths	128	112	$159.11	$110.27
11102 Tangential biopsy of single skin lesion	107	93	$145.20	$96.95
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	39	20	$450.00	$374.96
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	36	20	$300.00	$125.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	34	$152.81	$108.45
11103 Biopsy of related skin growth, each additional growth	25	20	$71.92	$50.43
11104 Punch biopsy, first skin growth	22	22	$149.64	$125.40
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	15	$449.83	$298.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	596	117	$7.00	$5.20
99213 Established patient office or other outpatient visit, typically 15 minutes	389	320	$96.00	$71.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	318	248	$58.00	$43.49
17000 Destruction of skin growth	227	182	$81.00	$55.93
11100 Biopsy of single growth of skin and/or tissue	151	136	$126.00	$99.44
17110 Destruction of up to 14 skin growths	113	93	$136.00	$111.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$141.00	$106.14
11101 Biopsy of each additional growth of skin and/or tissue	26	20	$40.00	$32.44
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	25	16	$450.00	$398.20
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	24	16	$300.00	$114.70
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	16	$370.00	$275.14
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	14	$213.00	$175.37
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	13	$175.00	$128.55
10060 Simple or single drainage of skin abscess	11	11	$143.00	$118.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	617	119	$6.72	$5.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	302	241	$53.21	$42.76
99213 Established patient office or other outpatient visit, typically 15 minutes	293	221	$88.59	$71.36
17000 Destruction of skin growth	217	167	$78.64	$58.55
11100 Biopsy of single growth of skin and/or tissue	117	107	$122.36	$97.06
17110 Destruction of up to 14 skin growths	87	74	$131.49	$108.54
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	28	13	$244.64	$135.02
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	27	13	$425.93	$345.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$131.44	$102.36
11101 Biopsy of each additional growth of skin and/or tissue	17	15	$38.76	$32.13
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	12	$355.46	$276.81
11200 Removal of skin tag, 1-15 skin tags	12	12	$104.50	$69.09

Medical Specialties & State Licenses

CMS Verified: 2025-12-18

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License RI MD05263

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1255337671 (RI)

Hospital & Practice Group Affiliations

Brown Dermatology Inc

593 Eddy St, Providence, RI 029034923

Phone: 4014447959

Lifespan Physician Group Inc

593 Eddy St, Providence, RI 029034923

Phone: 4014447959

Practice Associates & Co-Workers

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

32 Associated Practitioners

Tami Menard , PA-C

Physician Assistant - Medical

NPI 1023019403

Physician Assistant (Certified)

Sean Na

Student in an Organized Health Care Education/Training Program

NPI 1083474696

Dr. Isaac Sluder , MD, MPH

Student in an Organized Health Care Education/Training Program

NPI 1114716206

Doctor of Medicine (M.D.), Master of Public Health

Daniel Nolte , PA

Physician Assistant

NPI 1124798855

Physician Assistant

Dr. Leslie Robinson-Bostom , MD

Dermatology

NPI 1154368454

Doctor of Medicine (M.D.)

Dr. Hayley Goldbach , MD

Dermatology

NPI 1154701019

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location December 18, 2025

Registered at 593 EDDY ST APC-10, PROVIDENCE, RI 029034923 (Tel: 4014447959)

📍

Updated Business Mailing Address December 18, 2025

Registered at 15 LA SALLE SQ, PROVIDENCE, RI 029031814 (Tel: 4014446779)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2025

Dermatology (License #MD05263 in RI)

📍

Updated Practice Location December 19, 2019

Registered at 593 EDDY ST BLDG APC -10, PROVIDENCE, RI 029034923 (Tel: 4014447959)

📍

Updated Business Mailing Address December 19, 2019

Registered at 593 EDDY ST BLDG APC -10, PROVIDENCE, RI 029034923 (Tel: 4014447959)

✅

NPI Profile Active August 21, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location August 21, 2007

Registered at 100 HIGHLAND AVE, STE 301, PROVIDENCE, RI 029062753 (Tel: 4013310310)

📍

Updated Business Mailing Address August 21, 2007

Registered at 100 HIGHLAND AVE, STE 301, PROVIDENCE, RI 029062753 (Tel: 4013310310)

👤

Provider Name / Credentials Updated August 21, 2007

Recorded as STEPHEN GLINICK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2007

Dermatology (License #MD5263 in RI)

🟢

Initial NPI Registration & Enumeration June 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1255337671

Entity Type:

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

Enumeration Date: June 21, 2005

Last Update: December 18, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

15 La Salle Sq

Providence, RI 029031814

Phone: 4014446779

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.