Deactivated NPI 1912962440 Deactivated / Inactive NPI Male Practitioner

Dr. Vincent Pera , MD

Internal Medicine • Providence, RI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Vincent Pera has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 18, 2006

NPI Deactivation Date September 27, 2024

Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Vincent Pera, MD was a registered Internal Medicine practicing in Providence, RI. Throughout an active medical career spanning 18 years, Dr. Pera provided care at the practice location at 146 W RIVER ST until profile deactivation on 2024-09-27.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

146 W River St
Suite 11a

Providence, RI 029042609

Telephone 4017938770

Fax 4017938709

Associated Practice Facility / Clinic

🏢 The Miriam Hospital Facility NPI 1164716031

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

39.3% 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 (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	214	47	$180.56	$116.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$258.00	$149.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	346	52	$117.30	$82.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	32	$179.00	$121.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$235.35	$166.40
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	16	16	$19.00	$8.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	567	80	$172.75	$93.56
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	12	12	$19.17	$8.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	432	68	$161.00	$94.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	19	$252.00	$134.12
99442 Telephone medical discussion with physician, 11-20 minutes	22	17	$158.00	$95.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$364.00	$167.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$323.00	$139.67
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	15	$20.06	$8.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	291	60	$156.22	$78.43
99442 Telephone medical discussion with physician, 11-20 minutes	149	45	$87.50	$63.34
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	20	14	$123.00	$15.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$354.29	$161.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	11	$245.00	$108.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	237	71	$153.00	$74.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$347.00	$170.27
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	15	$20.07	$8.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$322.99	$141.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$240.00	$105.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	232	71	$153.00	$74.12
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	41	36	$20.00	$8.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	23	$320.00	$141.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$347.00	$163.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	213	71	$153.00	$74.23
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	35	31	$21.80	$8.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$347.00	$168.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$305.75	$140.00

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD06964

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

17 Associated Practitioners

Dr. Julie Morris , PhD

Psychologist - Clinical

NPI 1003172586

Doctor of Philosophy (Ph.D.)

Dr. Laura Henseler , MD

Internal Medicine - Addiction Medicine

NPI 1073575049

Doctor of Medicine (M.D.)

Mary Hixson , RD

Dietitian, Registered

NPI 1124297775

Registered Dietitian

Dr. Brankica Lazic-Mazlagic , MD

Internal Medicine

NPI 1184774200

Doctor of Medicine (M.D.)

Jennifer Dibello , RD

Dietitian, Registered

NPI 1225379332

Registered Dietitian

Marisa Bergfield , MA

Psychologist - Clinical

NPI 1225604861

Master of Arts

Career & Practice History Timeline

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

10 Historical Events

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NPI Profile Deactivated September 27, 2024

Record deactivated on September 27, 2024

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Updated Practice Location March 14, 2023

Registered at 1170 PONTIAC AVE, CRANSTON, RI 029207944 (Tel: 4018959937)

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Updated Business Mailing Address March 14, 2023

Registered at 47 DANIELSON PIKE, NORTH SCITUATE, RI 028571892 (Tel: 4012585419)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2023

Internal Medicine (License #MD06964 in RI)

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NPI Profile Active January 03, 2017

NPI status registered as active in NPPES database

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Updated Practice Location January 03, 2017

Registered at 146 W RIVER ST, SUITE 11A, PROVIDENCE, RI 029042609 (Tel: 4017938770)

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Updated Business Mailing Address January 03, 2017

Registered at 117 ELLENFIELD ST, SUITE 101, PROVIDENCE, RI 029054513 (Tel: 4014446779)

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Provider Name / Credentials Updated January 03, 2017

Recorded as VINCENT PERA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2017

Internal Medicine (License #MD06964 in RI)

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Initial NPI Registration & Enumeration April 18, 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: 1912962440

Entity Type:

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

Enumeration Date: April 18, 2006

Last Update: January 03, 2017

Deactivation Date: September 27, 2024

Update or Correct Profile

Mailing Address

117 Ellenfield St, Suite 101

Providence, RI 029054513

Phone: 4014446779

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.