Active NPI 1033150586 Individual Practitioner Female Practitioner

Dr. Iris L Tong , MD

Internal Medicine • Providence, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Iris Tong, MD is a certified Internal Medicine practicing in Providence, RI. With approximately 29 years of clinical experience since completing medical education in 1997, Dr. Tong delivers high-quality medical care to the local community at 1195 NORTH MAIN STREET.

Dr. Tong maintains professional affiliations with Coastal Medical Physicians Inc, Affinity 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, subsequent hospital care with moderate levelof 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

1195 North Main Street
Cnemg Primary Care Wmc

Providence, RI 029040288

Telephone 4017364562

Fax 4019219864

Associated Practice Facility / Clinic

🏢 Kent County Memorial Hospital Facility NPI 1386643294

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 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

✓ Offers Virtual Consultations

Medicare Pricing Discount

66.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tong (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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	50	$273.20	$91.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$327.00	$62.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	16	$300.00	$117.20
99213 Established patient office or other outpatient visit, typically 15 minutes	29	24	$185.17	$68.45
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$353.00	$120.40
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	16	11	$40.00	$16.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$344.00	$129.24

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	71	40	$310.45	$79.48
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$269.23	$61.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	11	$258.67	$120.09

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	37	21	$238.00	$104.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	27	$303.00	$92.73
99443 Telephone medical discussion with physician, 21-30 minutes	26	17	$153.00	$100.73
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$260.00	$62.95
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$304.00	$102.49
99442 Telephone medical discussion with physician, 11-20 minutes	18	15	$123.00	$68.42

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	39	22	$231.00	$106.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	25	$303.00	$103.18
99213 Established patient office or other outpatient visit, typically 15 minutes	24	21	$260.00	$69.85
99443 Telephone medical discussion with physician, 21-30 minutes	18	12	$153.00	$103.52
99442 Telephone medical discussion with physician, 11-20 minutes	16	14	$134.25	$70.19
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$304.00	$103.77

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	44	24	$223.36	$108.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	33	$254.63	$82.60
99442 Telephone medical discussion with physician, 11-20 minutes	36	27	$123.83	$53.63
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$304.00	$106.25
99213 Established patient office or other outpatient visit, typically 15 minutes	21	17	$239.14	$53.77
99443 Telephone medical discussion with physician, 21-30 minutes	21	18	$153.00	$82.59
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	13	11	$170.62	$13.72

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	64	35	$174.00	$81.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	29	$219.00	$107.23
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$114.00	$52.78
G0442 Annual alcohol misuse screening, 5 to 15 minutes	26	26	$21.00	$9.85
G0444 Annual depression screening, 5 to 15 minutes	24	24	$54.00	$9.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	11	$163.00	$75.02
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$304.00	$104.58

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	93	40	$174.00	$81.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	78	47	$219.00	$107.92
99213 Established patient office or other outpatient visit, typically 15 minutes	39	27	$114.00	$53.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	15	$163.00	$75.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$427.00	$210.06
G0442 Annual alcohol misuse screening, 5 to 15 minutes	17	17	$21.00	$9.84
G0444 Annual depression screening, 5 to 15 minutes	16	16	$54.00	$9.84
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$304.00	$104.96
99238 Hospital discharge day management, 30 minutes or less	13	13	$171.00	$75.79

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	76	37	$174.00	$80.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	69	42	$219.00	$104.36
99213 Established patient office or other outpatient visit, typically 15 minutes	30	25	$114.00	$52.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	19	$163.00	$73.91
99221 Initial hospital inpatient care per day, typically 30 minutes	27	26	$304.00	$103.63
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$153.00	$52.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$304.00	$132.23

Medical Specialties & State Licenses

CMS Verified: 2025-02-14

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD10675

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.

Hospital & Practice Group Affiliations

Coastal Medical Physicians Inc

146 W River St, Providence, RI 029042609

Phone: 4017935700

Affinity Physicians Llc.

101 Dudley St, Providence, RI 029052401

Phone: 4012741122

Practice Associates & Co-Workers

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

6 Associated Practitioners

Kathy Rebeiro , APRN-CNP

Nurse Practitioner - Adult Health

NPI 1073539813

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Molly Fox , PA-C

Physician Assistant - Medical

NPI 1154500882

Physician Assistant (Certified)

Rachel Johanson , CNM, WHNP, FNP

Nurse Practitioner - Family

NPI 1215136817

Certified Nurse Midwife, Women's Health Nurse Practitioner, Family Nurse Practitioner

Dr. Nancy Lasson , DO

Internal Medicine

NPI 1679572390

Doctor of Osteopathic Medicine (D.O.)

Dr. Amelia Tajik , MD

Internal Medicine

NPI 1801454491

Doctor of Medicine (M.D.)

Dr. Nkenna Odom , MD

Family Medicine

NPI 1972098465

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 19, 2025

Registered at 1195 NORTH MAIN STREET, CNEMG PRIMARY CARE WMC, PROVIDENCE, RI 029040288 (Tel: 4017364562)

📍

Updated Business Mailing Address February 19, 2025

Registered at 455 TOLL GATE RD, PRC AND CREDENTIALING, WARWICK, RI 028862759 (Tel: 4012730641)

✅

NPI Profile Active February 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 03, 2012

Registered at 146 WEST RIVER STREET, 3RD FLOOR, PROVIDENCE, RI 02904 (Tel: 4017935700)

📍

Updated Business Mailing Address February 03, 2012

Registered at 146 WEST RIVER STREET, 3RD FLOOR, PROVIDENCE, RI 02904 (Tel: 4017935700)

👤

Provider Name / Credentials Updated February 03, 2012

Recorded as IRIS TONG, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2012

Internal Medicine (License #MD10675 in RI)

🟢

Initial NPI Registration & Enumeration June 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: 1033150586

Entity Type:

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

Enumeration Date: June 08, 2006

Last Update: February 19, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

455 Toll Gate Rd, Prc And Credentialing

Warwick, RI 028862759

Phone: 4012730641

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.