Active NPI 1093009086 Individual Practitioner Male Practitioner

Dr. Michael Prodromou , MD

Internal Medicine • Providence, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Prodromou, MD is a certified Internal Medicine practicing in Providence, RI. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Prodromou delivers high-quality medical care to the local community at 593 EDDY ST.

Dr. Prodromou is affiliated with North Shore Medical Group Of The Mount Sinai School Of Medicine 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, 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

593 Eddy St

Providence, RI 029034923

Telephone 4014443985

Fax 4014443986

Associated Practice Facility / Clinic

🏢 Rhode Island Hospital Facility NPI 1588659528

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Providence, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -2.8 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

70.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prodromou (15 Years) 15 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	906	491	$430.00	$145.25
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	884	504	$39.77	$18.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	459	95	$300.00	$87.48
94729 Test to examine how well the lungs exchange gases	210	185	$220.00	$65.68
94726 Determination of lung volumes using plethysmography	209	184	$220.00	$64.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	160	160	$660.00	$189.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	143	107	$800.00	$191.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	119	76	$580.00	$205.33
94060 Test to measure expiratory airflow and volume changes before and after medication administration	109	97	$250.00	$45.24
94010 Test to measure expiratory airflow and volume	100	93	$150.00	$31.70
36415 Insertion of needle into vein for collection of blood sample	25	22	$19.80	$8.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	11	$410.00	$131.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$830.00	$252.21
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	11	11	$27.00	$6.34
85007 Microscopic examination for white blood cells with manual cell count	11	11	$16.00	$3.72

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	802	452	$430.00	$149.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	697	121	$300.00	$92.36
94729 Test to examine how well the lungs exchange gases	193	172	$220.00	$69.01
94726 Determination of lung volumes using plethysmography	191	172	$220.00	$66.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	173	120	$800.00	$202.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	162	162	$660.00	$197.05
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	101	76	$580.00	$211.18
94060 Test to measure expiratory airflow and volume changes before and after medication administration	101	95	$250.00	$46.57
94010 Test to measure expiratory airflow and volume	87	81	$150.00	$32.77
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$830.00	$261.39
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	12	$410.00	$138.87
36415 Insertion of needle into vein for collection of blood sample	21	19	$15.00	$8.40
99495 Transitional care management services for problem of at least moderate complexity	13	13	$660.00	$241.42

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	708	425	$430.00	$153.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	538	119	$300.00	$83.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	199	199	$660.00	$202.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	189	142	$800.00	$234.51
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	181	46	$410.55	$121.38
94729 Test to examine how well the lungs exchange gases	147	140	$220.00	$73.37
94726 Determination of lung volumes using plethysmography	146	139	$220.00	$68.34
94010 Test to measure expiratory airflow and volume	121	117	$150.00	$33.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	95	74	$580.00	$218.78
99291 Critical care, first 30-74 minutes	82	20	$1271.22	$261.41
94060 Test to measure expiratory airflow and volume changes before and after medication administration	48	46	$250.00	$48.62
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$830.00	$264.74
36415 Insertion of needle into vein for collection of blood sample	14	13	$15.00	$2.97

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	578	335	$430.00	$156.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	544	129	$300.04	$85.51
94729 Test to examine how well the lungs exchange gases	175	163	$220.00	$73.74
94726 Determination of lung volumes using plethysmography	172	162	$220.00	$67.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	156	110	$580.00	$217.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	141	113	$800.00	$238.42
94010 Test to measure expiratory airflow and volume	115	108	$150.00	$36.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$660.00	$205.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	86	28	$411.74	$122.66
94060 Test to measure expiratory airflow and volume changes before and after medication administration	61	56	$250.00	$57.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$830.00	$265.08
99443 Telephone medical discussion with physician, 21-30 minutes	32	27	$261.09	$158.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$440.00	$138.43
36415 Insertion of needle into vein for collection of blood sample	20	17	$15.00	$3.00
80048 Blood test, basic group of blood chemicals (calcium, total)	13	12	$30.00	$8.46
G0008 Administration of influenza virus vaccine	12	12	$80.00	$20.38
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	12	12	$90.00	$66.43

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	313	100	$196.56	$84.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	148	$277.04	$128.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	188	81	$402.74	$172.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	152	30	$267.24	$121.88
94729 Test to examine how well the lungs exchange gases	91	89	$165.93	$68.92
94726 Determination of lung volumes using plethysmography	89	87	$160.84	$65.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	80	66	$552.94	$236.94
94060 Test to measure expiratory airflow and volume changes before and after medication administration	61	60	$227.05	$72.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$431.59	$194.20
94010 Test to measure expiratory airflow and volume	44	43	$104.55	$42.44
99443 Telephone medical discussion with physician, 21-30 minutes	32	27	$366.25	$129.48
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	31	31	$540.00	$247.32
36415 Insertion of needle into vein for collection of blood sample	29	18	$15.90	$2.99
G0008 Administration of influenza virus vaccine	20	20	$54.50	$19.75
90662 Influenza vaccine split virus, preservative free	18	18	$84.11	$60.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$318.14	$129.57

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	622	161	$180.00	$82.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	300	165	$250.00	$125.17
94060 Test to measure expiratory airflow and volume changes before and after medication administration	172	164	$225.00	$70.50
94726 Determination of lung volumes using plethysmography	171	163	$155.00	$63.74
94729 Test to examine how well the lungs exchange gases	169	161	$160.00	$65.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	122	74	$365.00	$168.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	107	95	$505.00	$228.53
94010 Test to measure expiratory airflow and volume	106	82	$100.00	$42.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$384.00	$189.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	66	26	$260.00	$118.26
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$520.00	$239.39
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$180.00	$86.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$275.00	$126.84
G0008 Administration of influenza virus vaccine	23	23	$50.00	$19.35
36415 Insertion of needle into vein for collection of blood sample	21	19	$16.00	$2.94
90662 Influenza vaccine split virus, preservative free	20	20	$70.00	$54.89

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	103	54	$160.78	$83.20
99213 Established patient office or other outpatient visit, typically 15 minutes	38	26	$156.84	$84.63
94010 Test to measure expiratory airflow and volume	32	26	$100.00	$43.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	26	$243.75	$124.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$326.25	$191.72
94060 Test to measure expiratory airflow and volume changes before and after medication administration	31	30	$225.00	$72.52
94729 Test to examine how well the lungs exchange gases	31	31	$146.45	$65.73
94726 Determination of lung volumes using plethysmography	29	29	$143.62	$65.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	24	$464.66	$232.28

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD14594

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

North Shore Medical Group Of The Mount Sinai School Of Medicine

5 Cuba Hill Rd, Greenlawn, NY 117401624

Phone: 6316285000

Practice Associates & Co-Workers

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

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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 27, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 27, 2014

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014443985)

📍

Updated Business Mailing Address May 27, 2014

Registered at 17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 029054406 (Tel: 4017844923)

👤

Provider Name / Credentials Updated May 27, 2014

Recorded as MICHAEL PRODROMOU, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2014

Internal Medicine (License #MD14594 in RI)

🟢

Initial NPI Registration & Enumeration June 07, 2011

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: 1093009086

Entity Type:

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

Enumeration Date: June 07, 2011

Last Update: May 27, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

17 Virginia Ave, Suite 107

Providence, RI 029054406

Phone: 4017844923

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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