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Active NPI 1194793018 Individual Practitioner Male Practitioner

Dr. James R. J. Rayner , MD

Emergency Medicine • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Rayner, MD is a certified Emergency Medicine practicing in Providence, RI. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Rayner delivers high-quality medical care to the local community at 593 EDDY ST.

Dr. Rayner maintains professional affiliations with Brown Emergency Medicine, The Providence Community Health Centers Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, critical care, first. 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
Claverick 2

Providence, RI 029034923

Telephone 4015191604
Fax 4012720538
Associated Practice Facility / Clinic
🏢 Rhode Island Hospital Facility NPI 1588659528

Medicare Profile & Education

Medical School

Other

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Providence, RI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
29 Yrs +13.8 yrs vs City Avg
City Avg: 15.2 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
246 Specialists

Practicing in Providence, RI (427 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rayner (29 Years) 29 Yrs
Providence Specialty Average (15.2 Years) 15.2 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
99285 Emergency department visit for life threatening or functioning severity
65 64 $1375.99 $171.60
99284 Emergency department visit with moderate level of medical decision making
15 15 $947.06 $118.59
99291 Critical care, first 30-74 minutes
11 11 $1792.90 $208.51

Medical Specialties & State Licenses

CMS Verified: 2024-06-03
Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License RI MD11291

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7056038 (RI)
Medicaid State Provider ID
2110130 (MA)
Commercial Insurance / Payer ID Tufts Health Plan
12/29/2009 (MA)
Commercial Insurance / Payer ID Blue Chip
411945 (RI)
Commercial Insurance / Payer ID Npi
1994793018 (RI)
Commercial Insurance / Payer ID Railroad Medicare
P00671203 (RI)
Commercial Insurance / Payer ID Nhpri
08-01-2007 (RI)
Commercial Insurance / Payer ID Ri Medicare
007057849 (RI)
Commercial Insurance / Payer ID United Healthcare
04/15/2009 (RI)

Hospital & Practice Group Affiliations

Brown Emergency Medicine

593 Eddy St, Providence, RI 029034923

Phone: 4014444000

The Providence Community Health Centers Inc.

355 Prairie Ave, Providence, RI 029051928

Phone: 4014440570

Secondary Practice Locations

355 Prairie Ave

Providence, RI 029051928

Phone: 4014159000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Robert Partridge , MD

Emergency Medicine

NPI 1003836958

Doctor of Medicine (M.D.)

Dr. Otto Liebmann , MD

Emergency Medicine

NPI 1023039146

Doctor of Medicine (M.D.)

Dr. Achyut Kamat , MD

Emergency Medicine

NPI 1043234792

Doctor of Medicine (M.D.)

Dr. Jonathan Valente , MD

Emergency Medicine

NPI 1053327197

Doctor of Medicine (M.D.)

Allison Proano , PA

Physician Assistant

NPI 1063426252

Physician Assistant

Dr. Joseph Lauro , MD

Emergency Medicine

NPI 1063657526

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated June 03, 2024

Recorded as JAMES RAYNER, MD

NPI Profile Active February 17, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2010

Registered at 593 EDDY ST, CLAVERICK 2, PROVIDENCE, RI 029034923 (Tel: 4015191604)

📍
Updated Business Mailing Address February 17, 2010

Registered at PO BOX 9484, PROVIDENCE, RI 029409484 (Tel: 4018542500)

👤
Provider Name / Credentials Updated February 17, 2010

Recorded as JAMES RAYNER, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2010

Emergency Medicine (License #MD11291 in RI)

🟢
Initial NPI Registration & Enumeration March 08, 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: 1194793018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2006
Last Update: June 03, 2024
Sole Proprietor: No

Mailing Address

Po Box 9484

Providence, RI 029409484

Phone: 4018542500

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.