Active NPI 1962449686 Individual Practitioner Male Practitioner

Dr. Mark J Fagan , MD

Internal Medicine • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Mark Fagan, MD is a registered healthcare professional specializing in Internal Medicine in Providence, RI. Practice services are available at 593 EDDY ST under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, established patient outpatient office visit. 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
Apc 5

Providence, RI 029034923

Telephone 4014444741

Fax 4014444445

Associated Practice Facility / Clinic

🏢 Rhode Island Hospital Facility NPI 1588659528

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

38.4% 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 (2019)

Reporting Year:

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	82	37	$120.00	$75.03
99238 Hospital discharge day management, 30 minutes or less	32	32	$110.00	$75.54
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$149.00	$52.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$200.00	$141.22
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	11	$155.00	$107.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	92	31	$155.00	$107.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	39	$120.00	$75.31
99213 Established patient office or other outpatient visit, typically 15 minutes	60	57	$149.00	$53.11
99238 Hospital discharge day management, 30 minutes or less	49	49	$110.00	$75.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	16	$313.24	$209.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$200.00	$141.44
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$148.00	$104.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	99	$137.78	$52.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	61	$120.00	$73.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	43	$154.61	$106.83
99238 Hospital discharge day management, 30 minutes or less	66	66	$110.00	$74.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	55	$200.00	$140.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$295.81	$207.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$197.67	$80.51

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD05975

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

9006702 (RI)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Martha Trimbur , MD

Internal Medicine

NPI 1003179060

Doctor of Medicine (M.D.)

Dr. Fanny Huang , MD