Active NPI 1073567343 Individual Practitioner Male Practitioner

Dr. Paul Breiding , MD

Internal Medicine • Providence, RI

✓ Accepts Medicare Assignment Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Paul Breiding, MD is a registered Internal Medicine practitioner in Providence, RI. With approximately 30 years of clinical practice since graduating from Warren Alpert Medical School Of Brown University in 1996, Dr. Breiding provides healthcare services at the registered practice location at 909 N MAIN ST.

Dr. Breiding maintains professional affiliations with Brown Medicine, Coastal Medical Physicians Inc 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, 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, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. 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 300

Providence, RI 029045752

Telephone 4012734064

Fax 4012731268

Associated Practice Facility / Clinic

🏢 University Medicine Foundation, Inc. Facility NPI 1780726695

Medicare Profile & Education

Medical School

Warren Alpert Medical School Of Brown University

Graduation Year

1996

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

30 Yrs +12.2 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

71.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Breiding (30 Years) 30 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	566	294	$296.74	$66.38
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	371	208	$37.17	$16.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	258	258	$300.71	$43.05
99213 Established patient office or other outpatient visit, typically 15 minutes	208	145	$210.00	$74.09
G0008 Administration of influenza virus vaccine	60	60	$40.00	$32.68
99442 Telephone medical discussion with physician, 11-20 minutes	38	31	$195.55	$91.33
93000 Routine ekg using at least 12 leads including interpretation and report	34	34	$33.82	$14.42
99495 Transitional care management services for problem of at least moderate complexity	25	22	$476.56	$93.22
G0009 Administration of pneumococcal vaccine	12	12	$40.00	$32.68

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	574	316	$300.07	$70.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	271	271	$305.99	$47.77
99213 Established patient office or other outpatient visit, typically 15 minutes	225	157	$212.70	$73.40
G0008 Administration of influenza virus vaccine	56	56	$40.00	$31.37
99442 Telephone medical discussion with physician, 11-20 minutes	48	39	$212.00	$92.12
93000 Routine ekg using at least 12 leads including interpretation and report	29	27	$34.00	$14.80
99495 Transitional care management services for problem of at least moderate complexity	24	19	$483.92	$107.96
G0009 Administration of pneumococcal vaccine	22	22	$40.00	$31.37
83036 Hemoglobin A1C level	12	11	$27.00	$9.52
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$392.55	$156.46

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	572	309	$304.08	$69.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	270	270	$309.43	$44.11
99213 Established patient office or other outpatient visit, typically 15 minutes	197	138	$214.63	$71.39
99442 Telephone medical discussion with physician, 11-20 minutes	71	63	$215.03	$93.24
G0008 Administration of influenza virus vaccine	64	63	$40.00	$30.67
93000 Routine ekg using at least 12 leads including interpretation and report	59	55	$34.88	$14.89
G0009 Administration of pneumococcal vaccine	20	20	$40.00	$30.89
99495 Transitional care management services for problem of at least moderate complexity	19	17	$484.63	$118.52
83036 Hemoglobin A1C level	16	15	$29.19	$9.60
90471 Administration of 1 vaccine	14	14	$40.00	$17.40
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$394.00	$152.48
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	11	11	$319.00	$280.37

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	579	327	$267.20	$101.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	280	280	$285.35	$137.94
99213 Established patient office or other outpatient visit, typically 15 minutes	178	118	$186.30	$69.66
G0442 Annual alcohol misuse screening, 5 to 15 minutes	100	100	$48.00	$19.55
G0444 Annual depression screening, 5 to 15 minutes	97	97	$36.14	$19.55
93000 Routine ekg using at least 12 leads including interpretation and report	77	76	$38.96	$15.52
G0008 Administration of influenza virus vaccine	49	49	$44.49	$17.73
99442 Telephone medical discussion with physician, 11-20 minutes	40	36	$182.00	$95.79
83036 Hemoglobin A1C level	27	26	$26.44	$9.71
99495 Transitional care management services for problem of at least moderate complexity	26	21	$450.38	$214.93
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$394.00	$174.92

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	582	323	$257.00	$85.15
G0442 Annual alcohol misuse screening, 5 to 15 minutes	290	290	$48.00	$19.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	281	281	$276.00	$120.98
G0444 Annual depression screening, 5 to 15 minutes	280	280	$36.00	$19.04
99213 Established patient office or other outpatient visit, typically 15 minutes	129	92	$176.00	$59.33
93000 Routine ekg using at least 12 leads including interpretation and report	123	109	$40.00	$17.94
99442 Telephone medical discussion with physician, 11-20 minutes	79	56	$173.73	$78.29
G0008 Administration of influenza virus vaccine	73	71	$48.00	$17.61
83036 Hemoglobin A1C level	28	25	$26.00	$9.66
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$394.00	$173.68
G0009 Administration of pneumococcal vaccine	11	11	$48.00	$17.60

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	617	331	$206.72	$85.83
99213 Established patient office or other outpatient visit, typically 15 minutes	311	188	$150.37	$57.99
G0444 Annual depression screening, 5 to 15 minutes	291	291	$30.33	$18.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	288	288	$189.11	$120.24
93000 Routine ekg using at least 12 leads including interpretation and report	103	98	$73.98	$17.75
G0008 Administration of influenza virus vaccine	90	90	$40.53	$17.28
83036 Hemoglobin A1C level	36	32	$21.72	$10.57
G0009 Administration of pneumococcal vaccine	21	21	$40.76	$17.28
99495 Transitional care management services for problem of at least moderate complexity	15	13	$277.93	$170.07
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	11	$40.00	$16.20
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$203.00	$171.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$299.00	$171.12

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	639	310	$204.00	$83.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	262	262	$184.00	$121.22
G0444 Annual depression screening, 5 to 15 minutes	260	260	$30.00	$18.73
99213 Established patient office or other outpatient visit, typically 15 minutes	228	160	$149.00	$58.55
93000 Routine ekg using at least 12 leads including interpretation and report	94	86	$75.00	$17.73
G0008 Administration of influenza virus vaccine	76	76	$40.00	$21.32
90662 Influenza vaccine split virus, preservative free	49	49	$9.58	$9.38
83036 Hemoglobin A1C level	29	28	$21.66	$11.75
G0009 Administration of pneumococcal vaccine	24	24	$40.00	$21.32
99495 Transitional care management services for problem of at least moderate complexity	23	22	$263.04	$170.63
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$4.42	$3.69
90670 Pneumococcal vaccine for injection into muscle	17	17	$0.50	$0.49
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$203.00	$171.17
90756 Vaccine for influenza for injection into muscle	12	12	$0.50	$0.49

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	659	311	$195.24	$96.75
G0444 Annual depression screening, 5 to 15 minutes	245	245	$30.00	$18.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	244	244	$184.00	$119.32
99213 Established patient office or other outpatient visit, typically 15 minutes	156	117	$142.28	$64.77
93000 Routine ekg using at least 12 leads including interpretation and report	90	82	$75.00	$17.59
G0008 Administration of influenza virus vaccine	78	76	$40.00	$26.08
G0009 Administration of pneumococcal vaccine	63	63	$40.00	$26.42
90662 Influenza vaccine split virus, preservative free	61	61	$0.50	$0.49
90670 Pneumococcal vaccine for injection into muscle	60	60	$0.50	$0.49
83036 Hemoglobin A1C level	45	42	$20.00	$11.75
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$203.00	$167.18
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	15	$1.89	$1.59
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$267.00	$175.86

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD10116

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

9022501 (RI)

Commercial Insurance / Payer ID Railroad Medicare

110230668 (RI)

Hospital & Practice Group Affiliations

Brown Medicine

909 N Main St, Providence, RI 029045752

Phone: 4012734064

Coastal Medical Physicians Inc

909 N Main St, Providence, RI 029045752

Phone: 4016494000

Practice Associates & Co-Workers

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

6 Associated Practitioners

Dr. James Sullivan , MD

Internal Medicine

NPI 1134169220

Doctor of Medicine (M.D.)

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.)

Nicole Gardella , RNP

Nurse Practitioner

NPI 1639313810

Dr. Avishek Chatterjee , MD

Internal Medicine

NPI 1699272070

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 August 05, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location August 05, 2008

Registered at 909 N MAIN ST, SUITE 300, PROVIDENCE, RI 029045752 (Tel: 4012734064)

📍

Updated Business Mailing Address August 05, 2008

Registered at PO BOX 1358, PROVIDENCE, RI 029011358

👤

Provider Name / Credentials Updated August 05, 2008

Recorded as PAUL BREIDING, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2008

Internal Medicine (License #MD10116 in RI)

🟢

Initial NPI Registration & Enumeration May 20, 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: 1073567343

Entity Type:

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

Enumeration Date: May 20, 2006

Last Update: August 05, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1358

Providence, RI 029011358

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.