Active NPI 1043241615 Individual Practitioner Female Practitioner

Dr. Jean F Smith , MD

Internal Medicine • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Jean Smith, MD is a registered healthcare professional specializing in Internal Medicine in Providence, RI. Practice services are available at 909 N MAIN ST under active NPI credentials.

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, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

909 N Main St
Suite B-1

Providence, RI 029045752

Telephone 4015212002

Fax 4015216862

Associated Practice Facility / Clinic

🏢 University Medicine Foundation, Inc. Facility NPI 1780726695

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Providence, RI

Active Practitioner

Practitioner Clinical Experience

Active

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

56.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

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	38	28	$292.00	$115.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	38	38	$298.00	$131.28
99213 Established patient office or other outpatient visit, typically 15 minutes	37	26	$206.00	$87.95
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$34.00	$13.47
G0009 Administration of pneumococcal vaccine	11	11	$50.00	$31.37

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	25	23	$292.00	$132.36
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$34.00	$14.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	39	$120.00	$95.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	28	$190.00	$135.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$160.00	$137.94

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	107	50	$161.27	$106.99
99213 Established patient office or other outpatient visit, typically 15 minutes	43	32	$109.00	$60.62
93000 Routine ekg using at least 12 leads including interpretation and report	38	38	$50.00	$17.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$169.00	$120.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$66.00	$28.22

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	148	58	$161.00	$112.73
93000 Routine ekg using at least 12 leads including interpretation and report	65	63	$50.00	$17.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$169.00	$120.24
82947 Blood glucose (sugar) level	32	15	$10.00	$4.28
81003 Automated urinalysis test	32	30	$15.00	$2.44
83036 Hemoglobin A1C level	28	14	$20.00	$10.57
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$109.00	$77.10

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	133	53	$161.00	$111.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$169.00	$121.22
93000 Routine ekg using at least 12 leads including interpretation and report	57	52	$50.00	$17.77
81003 Automated urinalysis test	53	47	$15.00	$2.71
82947 Blood glucose (sugar) level	24	12	$10.00	$4.75
83036 Hemoglobin A1C level	20	12	$20.00	$11.75
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$109.00	$75.95
G0009 Administration of pneumococcal vaccine	16	16	$35.00	$21.32
90670 Pneumococcal vaccine for injection into muscle	13	13	$1.00	$0.98

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	13	13	$161.00	$107.34

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI 9167

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

9004024 (RI)

Commercial Insurance / Payer ID Tricare

200570126

Commercial Insurance / Payer ID Tufts

406229

Commercial Insurance / Payer ID Bc

290865

Commercial Insurance / Payer ID Blue Chip

400494

Commercial Insurance / Payer ID Cigna

898538800

Commercial Insurance / Payer ID Aetna

3009811

Commercial Insurance / Payer ID Neighborhood Health

200570126

Commercial Insurance / Payer ID Uh

0406842

Commercial Insurance / Payer ID Harvard Pilgrim

A53896

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Paul Breiding , MD

Internal Medicine

NPI 1073567343

Doctor of Medicine (M.D.)

Dr. James Sullivan , MD

Internal Medicine

NPI 1134169220

Doctor of Medicine (M.D.)

Dr. Elizeu Lima , DMD

Dentist - General Practice

NPI 1215945829

Doctor of Dental Medicine

Dr. Jennifer Maude , MD

Internal Medicine

NPI 1225082498

Doctor of Medicine (M.D.)

Dr. Steven Mallozzi , MD

Internal Medicine

NPI 1407800675

Doctor of Medicine (M.D.)

Dr. Warren Licht , MD

Internal Medicine

NPI 1447298641

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 January 03, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 03, 2011

Registered at 909 N MAIN ST, SUITE B-1, PROVIDENCE, RI 029045752 (Tel: 4015212002)

📍

Updated Business Mailing Address January 03, 2011

Registered at 909 N MAIN ST, SUITE B-1, PROVIDENCE, RI 029045752 (Tel: 4015212002)

👤

Provider Name / Credentials Updated January 03, 2011

Recorded as JEAN SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2011

Internal Medicine (License #9167 in RI)

🟢

Initial NPI Registration & Enumeration July 05, 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: 1043241615

Entity Type:

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

Enumeration Date: July 05, 2006

Last Update: January 03, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

909 N Main St, Suite B-1

Providence, RI 029045752

Phone: 4015212002

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.