Active NPI 1154487684 Individual Practitioner Male Practitioner

Dr. Joseph Francis Ducharme , MD

Ophthalmology • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Ducharme, MD is a certified Ophthalmology practicing in Providence, RI. With approximately 34 years of clinical experience since graduating from Warren Alpert Medical School Of Brown University in 1992, Dr. Ducharme delivers high-quality medical care to the local community at 78 BAKER STREET.

Dr. Ducharme is affiliated with Lifespan Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, imaging of optic nerve, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

78 Baker Street

Providence, RI 029054417

Telephone 4018314592

Fax 4018314643

Medicare Profile & Education

Medical School

Warren Alpert Medical School Of Brown University

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Providence, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +4.1 yrs vs City Avg

City Avg: 29.9 Yrs

State Avg: 33.9 Yrs

Regional Practice Density

34 Specialists

Practicing in Providence, RI (92 Statewide)

Telehealth Adoption Rate

8.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ducharme (34 Years) 34 Yrs

Providence Specialty Average (29.9 Years) 29.9 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
99213 Established patient office or other outpatient visit, typically 15 minutes	965	579	$135.00	$91.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	295	$187.00	$129.12
92133 Imaging of optic nerve	207	201	$120.00	$36.46
92083 Exam of visual field with extended testing	200	187	$201.94	$64.27
92014 Established patient complete exam of visual system	155	149	$277.00	$127.33
76519 Ultrasound of eye for determination of lens power	137	95	$175.00	$29.98
92134 Imaging of retina	97	92	$80.00	$40.71
92012 Established patient problem focused exam of visual system	91	82	$195.00	$90.19
66984 Removal of cataract with insertion of lens	89	64	$1690.00	$535.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$307.00	$167.96
66982 Complex removal of cataract with insertion of prosthetic lens	40	32	$2250.00	$749.79
66821 Removal of recurring cataract in lens capsule using a laser	31	29	$630.65	$335.10
92020 Examination of cornea and iris using lens device and slit lamp	25	24	$80.00	$27.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$218.75	$112.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$97.00	$57.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	514	413	$135.00	$91.91
92012 Established patient problem focused exam of visual system	431	292	$195.00	$92.29
92014 Established patient complete exam of visual system	337	323	$277.00	$129.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	270	$187.00	$130.34
92133 Imaging of optic nerve	209	202	$120.00	$37.13
92083 Exam of visual field with extended testing	205	190	$202.00	$64.45
76519 Ultrasound of eye for determination of lens power	145	100	$175.00	$31.45
92134 Imaging of retina	131	115	$80.00	$41.44
66984 Removal of cataract with insertion of lens	104	72	$1690.00	$546.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$307.00	$169.78
66821 Removal of recurring cataract in lens capsule using a laser	39	37	$603.85	$341.09
92020 Examination of cornea and iris using lens device and slit lamp	34	34	$80.00	$28.27
66982 Complex removal of cataract with insertion of prosthetic lens	31	26	$2250.00	$727.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$217.00	$114.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	701	417	$195.00	$92.84
92014 Established patient complete exam of visual system	552	530	$277.00	$131.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	205	$187.30	$132.75
92083 Exam of visual field with extended testing	211	202	$202.00	$65.65
92133 Imaging of optic nerve	173	170	$120.00	$37.72
76519 Ultrasound of eye for determination of lens power	154	103	$175.00	$31.05
92134 Imaging of retina	152	135	$80.00	$42.20
66984 Removal of cataract with insertion of lens	119	80	$1688.78	$551.67
99213 Established patient office or other outpatient visit, typically 15 minutes	117	109	$135.22	$93.46
92020 Examination of cornea and iris using lens device and slit lamp	46	43	$80.00	$29.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$307.00	$173.08
66821 Removal of recurring cataract in lens capsule using a laser	37	33	$598.51	$341.05
66982 Complex removal of cataract with insertion of prosthetic lens	29	23	$2250.00	$754.46
92004 New patient complete exam of visual system	28	28	$375.00	$152.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	638	360	$195.00	$94.62
92014 Established patient complete exam of visual system	541	516	$277.00	$133.93
92083 Exam of visual field with extended testing	217	205	$202.00	$66.99
99213 Established patient office or other outpatient visit, typically 15 minutes	170	160	$135.00	$95.66
92133 Imaging of optic nerve	165	161	$120.00	$38.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	148	$187.42	$136.18
92134 Imaging of retina	126	116	$80.00	$43.21
76519 Ultrasound of eye for determination of lens power	122	88	$175.00	$32.84
66984 Removal of cataract with insertion of lens	89	63	$1688.37	$562.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$308.04	$176.25
92020 Examination of cornea and iris using lens device and slit lamp	40	38	$80.00	$29.44
66821 Removal of recurring cataract in lens capsule using a laser	29	29	$583.79	$350.78
66982 Complex removal of cataract with insertion of prosthetic lens	28	24	$2250.00	$767.26
92004 New patient complete exam of visual system	16	16	$375.00	$158.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	530	337	$195.00	$92.57
92014 Established patient complete exam of visual system	511	495	$277.00	$132.59
99213 Established patient office or other outpatient visit, typically 15 minutes	185	155	$135.00	$77.85
92083 Exam of visual field with extended testing	154	148	$202.00	$66.80
76519 Ultrasound of eye for determination of lens power	118	86	$175.00	$33.44
92133 Imaging of optic nerve	109	107	$120.00	$38.26
92134 Imaging of retina	99	89	$80.00	$42.94
66984 Removal of cataract with insertion of lens	79	59	$1690.00	$551.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	51	$187.00	$113.97
66982 Complex removal of cataract with insertion of prosthetic lens	34	28	$2250.00	$769.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$307.00	$167.54
92020 Examination of cornea and iris using lens device and slit lamp	31	31	$80.00	$29.03
66821 Removal of recurring cataract in lens capsule using a laser	22	21	$622.73	$351.23
92004 New patient complete exam of visual system	16	16	$375.00	$158.27
76514 Ultrasound scan of cornea to determine thickness	13	12	$125.00	$11.96
99441 Telephone medical discussion with physician, 5-10 minutes	12	12	$50.00	$47.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$97.00	$47.94
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$75.00	$74.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	868	479	$195.00	$89.06
92014 Established patient complete exam of visual system	657	619	$277.00	$127.85
92083 Exam of visual field with extended testing	210	201	$202.00	$65.27
92133 Imaging of optic nerve	195	192	$120.00	$36.87
76519 Ultrasound of eye for determination of lens power	175	127	$175.00	$31.97
66984 Removal of cataract with insertion of lens	125	85	$1690.00	$631.42
92134 Imaging of retina	96	86	$80.00	$41.54
99213 Established patient office or other outpatient visit, typically 15 minutes	86	85	$135.00	$74.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	67	$187.00	$109.39
92020 Examination of cornea and iris using lens device and slit lamp	53	50	$80.00	$27.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$307.00	$165.79
66982 Complex removal of cataract with insertion of prosthetic lens	41	36	$2250.00	$774.01
92004 New patient complete exam of visual system	29	29	$375.00	$153.98
76514 Ultrasound scan of cornea to determine thickness	28	28	$125.00	$12.02
66821 Removal of recurring cataract in lens capsule using a laser	23	20	$629.13	$337.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	892	461	$195.00	$85.89
92014 Established patient complete exam of visual system	624	582	$277.00	$123.80
92083 Exam of visual field with extended testing	245	233	$202.00	$63.67
92133 Imaging of optic nerve	193	187	$120.00	$36.79
76519 Ultrasound of eye for determination of lens power	150	111	$175.00	$30.86
66984 Removal of cataract with insertion of lens	108	79	$1684.63	$626.16
92134 Imaging of retina	83	68	$80.00	$40.58
99213 Established patient office or other outpatient visit, typically 15 minutes	79	76	$135.00	$71.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	64	$187.00	$105.73
92020 Examination of cornea and iris using lens device and slit lamp	58	51	$80.00	$26.41
66982 Complex removal of cataract with insertion of prosthetic lens	40	32	$2250.00	$765.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$307.00	$161.44
92004 New patient complete exam of visual system	30	30	$375.00	$149.55
66821 Removal of recurring cataract in lens capsule using a laser	25	22	$635.00	$323.24
76514 Ultrasound scan of cornea to determine thickness	13	13	$125.00	$14.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	916	480	$195.00	$82.78
92014 Established patient complete exam of visual system	553	524	$277.00	$118.93
92083 Exam of visual field with extended testing	221	204	$202.00	$62.69
92133 Imaging of optic nerve	189	183	$120.00	$35.90
76519 Ultrasound of eye for determination of lens power	106	100	$175.00	$30.76
66984 Removal of cataract with insertion of lens	94	74	$1676.12	$612.93
99213 Established patient office or other outpatient visit, typically 15 minutes	84	77	$135.00	$69.90
92134 Imaging of retina	77	57	$80.00	$39.83
92020 Examination of cornea and iris using lens device and slit lamp	58	54	$80.00	$25.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$307.00	$155.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$187.00	$103.59
66982 Complex removal of cataract with insertion of prosthetic lens	35	28	$2250.00	$740.27
66821 Removal of recurring cataract in lens capsule using a laser	35	33	$619.57	$320.52
65855 Laser repair to improve eye fluid flow	24	21	$800.00	$238.05
92004 New patient complete exam of visual system	20	20	$375.00	$144.54
66180 Creation of shunt to improve eye fluid flow using tissue graft	15	13	$2290.00	$1101.05

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License RI 9194

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

9020324 (RI)

Commercial Insurance / Payer ID Harvard Pilgrim Healthcare

151080 (RI)

Commercial Insurance / Payer ID Neighborhood Health Plan Of Ri

9809 (RI)

Commercial Insurance / Payer ID Health Net Of Northeast

RI0613 (RI)

Commercial Insurance / Payer ID Railroad Medicare

180035621 (RI)

Commercial Insurance / Payer ID Bcbs - Blue Chip

400286 (RI)

Commercial Insurance / Payer ID Bcbs Of Rhode Island

20324 (RI)

Hospital & Practice Group Affiliations

Lifespan Physician Group Inc

1 Hoppin St, Providence, RI 029034141

Phone: 4014446551

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Marjorie Murphy , MD

Ophthalmology

NPI 1053468454

Doctor of Medicine (M.D.)

Dr. King To , MD

Ophthalmology

NPI 1174670806

Doctor of Medicine (M.D.)

Dr. William Tsiaras , MD

Ophthalmology

NPI 1376609180

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 May 15, 2019

Registered at 78 BAKER STREET, PROVIDENCE, RI 029054417 (Tel: 4018314592)

📍

Updated Business Mailing Address May 15, 2019

Registered at 78 BAKER ST, PROVIDENCE, RI 029054417 (Tel: 4018314592)

✅

NPI Profile Active June 12, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 12, 2008

Registered at ONE HOPPIN STREET, SUITE 202, PROVIDENCE, RI 029034141 (Tel: 4018314592)

📍

Updated Business Mailing Address June 12, 2008

Registered at ONE HOPPIN STREET, SUITE 202, PROVIDENCE, RI 029034141 (Tel: 4018314592)

👤

Provider Name / Credentials Updated June 12, 2008

Recorded as JOSEPH DUCHARME, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2008

Ophthalmology (License #9194 in RI)

🟢

Initial NPI Registration & Enumeration December 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1154487684

Entity Type:

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

Enumeration Date: December 29, 2006

Last Update: May 15, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

78 Baker St

Providence, RI 029054417

Phone: 4018314592

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.