Active NPI 1003894825 Individual Practitioner Male Practitioner

Dr. James Atkinson , MD

Internal Medicine • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Atkinson, MD is a certified Internal Medicine practicing in Providence, RI. With approximately 29 years of clinical experience since graduating from Hahnemann University College Of Medicine in 1997, Dr. Atkinson delivers high-quality medical care to the local community at 164 SUMMIT AVE.

Dr. Atkinson is affiliated with Lifespan Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, 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

164 Summit Ave

Providence, RI 029062853

Telephone 4017934500

Associated Practice Facility / Clinic

🏢 The Miriam Hospital Facility NPI 1487649430

Medicare Profile & Education

Medical School

Hahnemann University College Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Providence, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +11.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

523 Specialists

Practicing in Providence, RI (1079 Statewide)

Telehealth Adoption Rate

9.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Atkinson (29 Years) 29 Yrs

Providence Specialty Average (17.8 Years) 17.8 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	181	89	$300.00	$117.14
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	178	97	$226.00	$77.77
99239 Hospital discharge day management, more than 30 minutes	61	60	$289.00	$113.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	52	51	$460.08	$171.37
99238 Hospital discharge day management, 30 minutes or less	47	46	$231.00	$80.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$334.86	$128.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	150	85	$178.83	$79.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	112	62	$256.27	$120.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$455.18	$175.14
99238 Hospital discharge day management, 30 minutes or less	35	35	$190.14	$81.71
99239 Hospital discharge day management, more than 30 minutes	32	32	$257.31	$115.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$322.27	$131.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	194	94	$168.00	$72.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	157	84	$238.00	$104.14
99238 Hospital discharge day management, 30 minutes or less	49	48	$176.00	$73.35
99239 Hospital discharge day management, more than 30 minutes	40	40	$250.00	$107.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	31	$462.00	$201.42

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	196	96	$232.96	$106.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	190	105	$164.00	$73.79
99238 Hospital discharge day management, 30 minutes or less	64	63	$171.55	$74.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	55	$452.71	$205.61
99239 Hospital discharge day management, more than 30 minutes	33	33	$240.18	$109.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	209	111	$163.00	$73.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	175	98	$223.39	$108.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	75	$431.34	$211.59
99238 Hospital discharge day management, 30 minutes or less	43	43	$171.00	$76.30
99239 Hospital discharge day management, more than 30 minutes	40	40	$231.10	$109.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	197	110	$163.00	$75.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	142	77	$219.00	$105.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	109	108	$427.00	$208.67
99238 Hospital discharge day management, 30 minutes or less	67	67	$171.00	$75.50
99239 Hospital discharge day management, more than 30 minutes	37	37	$226.00	$110.68
99220 Hospital observation care, typically 70 minutes	14	14	$391.00	$191.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$304.00	$141.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	280	146	$163.00	$75.33
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	148	91	$219.00	$107.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	111	110	$427.00	$210.03
99238 Hospital discharge day management, 30 minutes or less	79	78	$171.00	$75.81
99239 Hospital discharge day management, more than 30 minutes	39	39	$226.00	$111.68
99220 Hospital observation care, typically 70 minutes	30	30	$391.00	$192.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$304.00	$141.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	419	192	$163.00	$73.77
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	151	92	$219.00	$106.86
99238 Hospital discharge day management, 30 minutes or less	106	105	$171.00	$74.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	90	89	$427.00	$205.56
99239 Hospital discharge day management, more than 30 minutes	61	61	$226.00	$110.39
99217 Hospital observation care on day of discharge	17	17	$155.00	$74.76
99220 Hospital observation care, typically 70 minutes	15	15	$391.00	$190.27

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD10773

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

9022629 (RI)

Commercial Insurance / Payer ID Bcbs Ri

22629-3 (RI)

Commercial Insurance / Payer ID Bluechip

409930 (RI)

Hospital & Practice Group Affiliations

Lifespan Physician Group Inc

164 Summit Ave, Providence, RI 029062853

Lifespan Physician Group Inc

185 High Service Ave, North Providence, RI 029045114

Phone: 4013546050

Lifespan Physician Group Inc

185 A High Service Ave, North Providence, RI 029045114

Phone: 4013546050

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Jeffrey Burock , MD

Psychiatry & Neurology - Psychiatry

NPI 1023096278

Doctor of Medicine (M.D.)

Dr. Kwame Dapaah-Afriyie , MD

Internal Medicine

NPI 1053399105

Doctor of Medicine (M.D.)

Dr. Ehab Daoud , MD

Internal Medicine

NPI 1144208299

Doctor of Medicine (M.D.)

Debbie Mendelsohn , RN

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1215915228

Registered Nurse

Dr. A. Greenburg , MD

Surgery

NPI 1225016371

Doctor of Medicine (M.D.)

Dr. Gayle Weaver , MD

Internal Medicine

NPI 1477531531

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 May 22, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 22, 2008

Registered at 164 SUMMIT AVE, PROVIDENCE, RI 029062853 (Tel: 4017934500)

📍

Updated Business Mailing Address May 22, 2008

Registered at PO BOX 3238, BOSTON, MA 022413238 (Tel: 8666898862)

👤

Provider Name / Credentials Updated May 22, 2008

Recorded as JAMES ATKINSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2008

Internal Medicine (License #MD10773 in RI)

🟢

Initial NPI Registration & Enumeration January 03, 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: 1003894825

Entity Type:

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

Enumeration Date: January 03, 2006

Last Update: May 22, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3238

Boston, MA 022413238

Phone: 8666898862

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.