Active NPI 1164472916 Individual Practitioner Male Practitioner

Dr. Albert Edward Telfeian , MD

Neurological Surgery • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Albert Telfeian, MD is a registered healthcare professional specializing in Neurological Surgery in Providence, RI. Practice services are available at 593 EDDY ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, new 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 6

Providence, RI 029034923

Telephone 4017939153

Fax 4014442024

Associated Practice Facility / Clinic

🏢 Rhode Island Hospital Facility NPI 1588659528

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Providence, RI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.2 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

42 Specialists

Practicing in Providence, RI (48 Statewide)

Telehealth Adoption Rate

38.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.0% 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	53	46	$260.00	$120.33
99442 Telephone medical discussion with physician, 11-20 minutes	40	34	$260.00	$90.60
99213 Established patient office or other outpatient visit, typically 15 minutes	32	27	$170.00	$88.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$238.00	$112.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$364.00	$168.05
62380 Decompression of spinal cord and/or nerve root in lower back using endoscope	20	17	$7331.00	$1538.13
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	19	18	$5361.00	$1242.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	44	$162.53	$89.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$238.00	$112.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$255.20	$125.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$364.00	$169.25
99442 Telephone medical discussion with physician, 11-20 minutes	21	20	$177.43	$92.02
62380 Decompression of spinal cord and/or nerve root in lower back using endoscope	18	16	$7901.67	$1617.93
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	15	15	$5488.20	$1318.66
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	12	12	$4687.33	$1128.49
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$101.91	$57.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	35	$161.00	$94.06
99442 Telephone medical discussion with physician, 11-20 minutes	34	27	$158.00	$93.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$252.00	$128.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$238.00	$116.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$364.00	$173.04
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	14	12	$5573.00	$1216.86
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$304.00	$102.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99442 Telephone medical discussion with physician, 11-20 minutes	66	51	$158.00	$95.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$252.00	$135.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$238.00	$115.00
99213 Established patient office or other outpatient visit, typically 15 minutes	28	24	$161.00	$95.45
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	23	20	$5573.00	$1325.05
62380 Decompression of spinal cord and/or nerve root in lower back using endoscope	22	18	$8149.00	$1517.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$129.00	$58.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$364.00	$175.10
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	14	12	$123.00	$15.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99442 Telephone medical discussion with physician, 11-20 minutes	62	42	$128.68	$72.37
62380 Decompression of spinal cord and/or nerve root in lower back using endoscope	31	24	$6171.74	$1417.60
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	28	25	$123.00	$15.10
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$304.00	$103.52
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	19	18	$5585.63	$1350.67
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$154.00	$78.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$240.92	$112.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	59	$153.00	$76.29
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$157.00	$77.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	18	$163.00	$75.02
62380 Decompression of spinal cord and/or nerve root in lower back using endoscope	33	27	$5484.00	$1393.15
99221 Initial hospital inpatient care per day, typically 30 minutes	33	32	$304.00	$104.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$227.00	$112.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$123.00	$46.14
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	19	19	$5593.00	$1322.72
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	12	$60.00	$23.69
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	13	12	$1081.00	$275.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	54	$153.00	$73.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	46	$123.00	$44.90
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$157.00	$77.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$227.00	$112.29
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$304.00	$104.90
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	12	$60.00	$22.54
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$4644.08	$1147.93
62380 Decompression of spinal cord and/or nerve root in lower back using endoscope	13	13	$5484.00	$1516.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$227.00	$107.78
99213 Established patient office or other outpatient visit, typically 15 minutes	70	59	$153.00	$75.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	36	$123.00	$44.11
99221 Initial hospital inpatient care per day, typically 30 minutes	35	34	$304.00	$103.68
63048 Partial removal of spine bone with release of spinal cord and/or nerves	29	19	$875.00	$220.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	14	$219.00	$106.89
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	19	$4576.00	$1147.84
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	17	$60.00	$20.30
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	15	$1070.00	$271.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	12	11	$163.00	$73.91

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License RI CMD13914

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License TX L7897

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License NJ 25MA08656300

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

167188501 (TX)

Commercial Insurance / Payer ID Bcbs

8B4322 (TX)

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Keith-Austin Scarfo , DO

Anesthesiology

NPI 1003012014

Doctor of Osteopathic Medicine (D.O.)

Aileen Hsueh

Surgery

NPI 1003034877

Dr. Ga Hie Nam , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003264896

Doctor of Medicine (M.D.)

Eugenie Atallah

Psychiatry & Neurology - Neurology

NPI 1003392689

Dr. Brian Cao , MD

Student in an Organized Health Care Education/Training Program

NPI 1003496274

Doctor of Medicine (M.D.)

Bret Caulfield

Physician Assistant

NPI 1003512476

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 15, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2013

Registered at 593 EDDY ST, APC 6, PROVIDENCE, RI 029034923 (Tel: 4017939153)

📍

Updated Business Mailing Address August 15, 2013

Registered at 593 EDDY ST, APC 6, PROVIDENCE, RI 029034923 (Tel: 4017939153)

👤

Provider Name / Credentials Updated August 15, 2013

Recorded as ALBERT TELFEIAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2013

Neurological Surgery (License #CMD13914 in RI)

🟢

Initial NPI Registration & Enumeration May 11, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1164472916

Entity Type:

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

Enumeration Date: May 11, 2006

Last Update: August 15, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

593 Eddy St, Apc 6

Providence, RI 029034923

Phone: 4017939153

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

⚠️ Medical Disclaimer

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