Active NPI 1659377315 Individual Practitioner Male Practitioner

Dr. Robert S Mathieu , MD

Internal Medicine • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Robert Mathieu, MD is a registered healthcare professional specializing in Internal Medicine in Providence, RI. Practice services are available at 180 CORLISS ST STE B 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, annual alcohol misuse screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

180 Corliss St Ste B

Providence, RI 029042602

Telephone 4017938400

Fax 4017938402

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

64.9% 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 (2022)

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	83	75	$240.00	$101.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	42	42	$220.71	$35.52
G0442 Annual alcohol misuse screening, 5 to 15 minutes	41	41	$40.00	$19.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	39	$340.00	$128.82
83036 Hemoglobin A1C level	29	28	$25.00	$9.70
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$170.00	$68.75

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	260	151	$238.69	$102.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	149	147	$338.12	$145.69
G0442 Annual alcohol misuse screening, 5 to 15 minutes	132	132	$40.00	$19.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	128	128	$220.31	$135.98
83036 Hemoglobin A1C level	82	49	$25.00	$9.71
99213 Established patient office or other outpatient visit, typically 15 minutes	79	59	$168.35	$71.67
G0008 Administration of influenza virus vaccine	45	44	$50.00	$17.72
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$320.00	$174.55
99442 Telephone medical discussion with physician, 11-20 minutes	12	11	$166.67	$95.79

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	288	191	$209.97	$86.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	139	139	$270.00	$116.61
G0442 Annual alcohol misuse screening, 5 to 15 minutes	130	130	$40.00	$18.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	127	127	$220.00	$119.83
99213 Established patient office or other outpatient visit, typically 15 minutes	101	69	$140.30	$60.23
G0008 Administration of influenza virus vaccine	66	63	$50.00	$17.57
83036 Hemoglobin A1C level	60	44	$25.00	$9.66
99442 Telephone medical discussion with physician, 11-20 minutes	42	36	$74.29	$63.98
G0009 Administration of pneumococcal vaccine	21	21	$50.00	$17.56
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$320.00	$178.65
99443 Telephone medical discussion with physician, 21-30 minutes	15	14	$111.33	$90.99
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	11	$120.00	$55.53
99496 Transitional care management services for problem of high complexity	12	11	$450.00	$254.82

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	329	183	$208.63	$84.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	173	172	$270.00	$115.42
G0442 Annual alcohol misuse screening, 5 to 15 minutes	135	135	$40.00	$18.75
99213 Established patient office or other outpatient visit, typically 15 minutes	120	79	$140.00	$56.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	111	111	$218.92	$120.24
G0444 Annual depression screening, 5 to 15 minutes	101	101	$40.00	$18.75
83036 Hemoglobin A1C level	86	45	$25.00	$10.57
G0008 Administration of influenza virus vaccine	58	56	$50.00	$17.28
G0009 Administration of pneumococcal vaccine	25	25	$50.00	$17.28
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	18	$120.00	$55.24
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$320.00	$177.22
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$60.00	$17.72

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	311	173	$198.07	$83.81
99213 Established patient office or other outpatient visit, typically 15 minutes	165	103	$139.15	$58.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	145	145	$267.79	$117.16
G0442 Annual alcohol misuse screening, 5 to 15 minutes	142	142	$39.72	$19.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	125	125	$190.24	$121.22
G0444 Annual depression screening, 5 to 15 minutes	106	106	$39.72	$18.73
G0008 Administration of influenza virus vaccine	81	80	$50.00	$21.32
83036 Hemoglobin A1C level	76	51	$25.00	$11.75
G0009 Administration of pneumococcal vaccine	25	25	$50.00	$21.32
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	14	$120.00	$55.90
90662 Influenza vaccine split virus, preservative free	16	16	$0.50	$0.49
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$190.00	$178.14

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	315	161	$170.00	$115.31
99213 Established patient office or other outpatient visit, typically 15 minutes	195	136	$120.00	$77.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	157	156	$230.00	$155.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	88	88	$190.00	$156.26
G0442 Annual alcohol misuse screening, 5 to 15 minutes	72	72	$30.00	$24.41
G0008 Administration of influenza virus vaccine	70	69	$50.00	$26.42
G0444 Annual depression screening, 5 to 15 minutes	65	65	$30.00	$24.41
83036 Hemoglobin A1C level	58	37	$25.00	$11.75
G0009 Administration of pneumococcal vaccine	39	39	$50.00	$26.42
93000 Routine ekg using at least 12 leads including interpretation and report	22	21	$60.00	$21.50
99496 Transitional care management services for problem of high complexity	18	15	$370.00	$280.40
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	16	$120.00	$67.72
90670 Pneumococcal vaccine for injection into muscle	14	14	$0.50	$0.49
99495 Transitional care management services for problem of at least moderate complexity	12	12	$260.00	$210.00

Medical Specialties & State Licenses

CMS Verified: 2020-10-19

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD08436

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.

Practice Associates & Co-Workers

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

15 Associated Practitioners

Margaret Codispoti , RN, CDOE

Registered Nurse - Diabetes Educator

NPI 1033589676

Registered Nurse, CDOE

Robyn Ostapow , PA-C

Physician Assistant

NPI 1104819341

Physician Assistant (Certified)

Dr. Walter Goula , MD

Internal Medicine

NPI 1144285859

Doctor of Medicine (M.D.)

Jessica Duncan , NP-C

Nurse Practitioner - Primary Care

NPI 1215304837

Nurse Practitioner (Certified)

Dr. Joan Goddard , MD

Internal Medicine

NPI 1225034077

Doctor of Medicine (M.D.)

Dr. Diane Siedlecki , MD

Internal Medicine

NPI 1265438923

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 24, 2020

Registered at 180 CORLISS ST STE B, PROVIDENCE, RI 029042602 (Tel: 4017938400)

📍

Updated Business Mailing Address February 24, 2020

Registered at 180 CORLISS ST STE B, PROVIDENCE, RI 029042602 (Tel: 4017938400)

✅

NPI Profile Active January 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 02, 2014

Registered at 1 HOPPIN ST, 3RD FLOOR, PROVIDENCE, RI 029034141 (Tel: 4017938400)

📍

Updated Business Mailing Address January 02, 2014

Registered at 1 HOPPIN ST, 3RD FLOOR, PROVIDENCE, RI 029034141 (Tel: 4017938400)

👤

Provider Name / Credentials Updated January 02, 2014

Recorded as ROBERT MATHIEU, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2014

Internal Medicine (License #MD08436 in RI)

🟢

Initial NPI Registration & Enumeration June 27, 2005

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: 1659377315

Entity Type:

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

Enumeration Date: June 27, 2005

Last Update: October 19, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

180 Corliss St Ste B

Providence, RI 029042602

Phone: 4017938400

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.