Active NPI 1568420115 Individual Practitioner Male Practitioner

Dr. Peter A Pizzarello , MD

Orthopaedic Surgery • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Pizzarello, MD is a certified Orthopaedic Surgery practicing in Providence, RI. With approximately 26 years of clinical experience since graduating from Tufts University School Of Medicine in 2000, Dr. Pizzarello delivers high-quality medical care to the local community at 868 ADMIRAL ST.

Dr. Pizzarello is affiliated with Orthopedics Rhode Island Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, durolane, for intra-articular injection, 1 mg, injection, dexamethasone sodium phosphate, 1 mg, 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

868 Admiral St

Providence, RI 02904

Telephone 4012738402

Associated Practice Facility / Clinic

🏢 Orthopedic Services & Sports Medicine, Inc. Facility NPI 1386727352

Medicare Profile & Education

Medical School

Tufts University School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Providence, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +13.1 yrs vs City Avg

City Avg: 12.9 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

62 Specialists

Practicing in Providence, RI (154 Statewide)

Telehealth Adoption Rate

3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pizzarello (26 Years) 26 Yrs

Providence Specialty Average (12.9 Years) 12.9 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
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,080	16	$38.04	$6.76
J1100 Injection, dexamethasone sodium phosphate, 1 mg	430	89	$1.50	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	301	167	$225.00	$127.35
99213 Established patient office or other outpatient visit, typically 15 minutes	210	139	$153.00	$90.46
73564 X-ray of knee, 4 or more views	174	149	$135.12	$49.71
20610 Aspiration and/or injection of fluid from large joint	144	108	$201.50	$65.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$343.00	$168.10
73502 X-ray of hip, 2-3 views	66	55	$127.14	$46.65
20985 Computer-assisted surgery for muscle and bone procedure	40	39	$482.00	$141.79
27447 Replacement of knee joint, both sides of knee	27	26	$4436.00	$1272.41
73030 X-ray of shoulder, minimum of 2 views	25	19	$98.40	$34.41
72100 X-ray of lower and sacral spine, 2-3 views	23	23	$112.00	$38.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$226.00	$112.28
27130 Replacement of thigh bone and hip joint with prosthesis	13	13	$4438.00	$1277.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	276	56	$1.41	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	127	$265.28	$128.70
99213 Established patient office or other outpatient visit, typically 15 minutes	177	120	$202.92	$91.40
73564 X-ray of knee, 4 or more views	99	75	$125.48	$47.51
20610 Aspiration and/or injection of fluid from large joint	92	67	$209.58	$65.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$378.00	$164.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	12	$15.00	$1.09
73502 X-ray of hip, 2-3 views	48	36	$143.13	$44.95
27447 Replacement of knee joint, both sides of knee	27	24	$4691.74	$1304.42
73562 X-ray of knee, 3 views	26	21	$140.35	$39.17
20985 Computer-assisted surgery for muscle and bone procedure	25	24	$482.00	$145.75
73030 X-ray of shoulder, minimum of 2 views	25	22	$99.64	$33.15
72100 X-ray of lower and sacral spine, 2-3 views	18	17	$126.39	$37.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$254.63	$114.08
73560 X-ray of knee, 1-2 views	15	11	$106.80	$29.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	375	63	$1.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	117	$454.00	$131.57
99213 Established patient office or other outpatient visit, typically 15 minutes	160	110	$308.00	$91.29
73562 X-ray of knee, 3 views	117	84	$152.00	$43.59
20610 Aspiration and/or injection of fluid from large joint	102	65	$257.00	$68.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$693.00	$171.21
73502 X-ray of hip, 2-3 views	36	30	$176.00	$50.05
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	30	28	$227.00	$55.09
72100 X-ray of lower and sacral spine, 2-3 views	26	24	$149.00	$42.53
27447 Replacement of knee joint, both sides of knee	23	22	$5690.54	$1289.27
73030 X-ray of shoulder, minimum of 2 views	21	15	$125.00	$36.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$612.00	$186.67
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$872.00	$229.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$853.00	$201.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	369	62	$1.00	$0.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	216	114	$454.00	$133.99
99213 Established patient office or other outpatient visit, typically 15 minutes	142	97	$308.00	$94.28
20610 Aspiration and/or injection of fluid from large joint	104	65	$257.00	$67.54
73562 X-ray of knee, 3 views	88	64	$152.00	$42.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$693.00	$172.78
73502 X-ray of hip, 2-3 views	28	24	$176.00	$49.48
73030 X-ray of shoulder, minimum of 2 views	23	19	$125.00	$36.35
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$149.00	$42.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$612.00	$188.85
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	14	12	$227.00	$55.20
27447 Replacement of knee joint, both sides of knee	14	13	$5817.00	$1356.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$853.00	$205.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	338	57	$1.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	201	126	$308.00	$77.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	98	$454.00	$112.02
20610 Aspiration and/or injection of fluid from large joint	90	55	$257.00	$65.27
73562 X-ray of knee, 3 views	53	39	$152.00	$41.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$693.00	$169.41
73502 X-ray of hip, 2-3 views	41	30	$176.00	$45.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$455.00	$112.02
72100 X-ray of lower and sacral spine, 2-3 views	20	20	$149.00	$40.19
73030 X-ray of shoulder, minimum of 2 views	14	11	$125.00	$34.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	445	66	$1.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	392	149	$308.00	$75.96
20610 Aspiration and/or injection of fluid from large joint	110	66	$257.00	$61.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$455.00	$108.24
73562 X-ray of knee, 3 views	50	45	$152.00	$36.64
73502 X-ray of hip, 2-3 views	32	23	$176.00	$44.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$454.00	$101.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$575.00	$141.43
72100 X-ray of lower and sacral spine, 2-3 views	18	17	$149.00	$38.19
73030 X-ray of shoulder, minimum of 2 views	12	11	$125.00	$31.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	389	59	$1.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	304	145	$308.00	$73.65
20610 Aspiration and/or injection of fluid from large joint	96	59	$257.00	$61.50
73562 X-ray of knee, 3 views	56	43	$152.00	$35.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$455.00	$109.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$454.00	$110.25
73030 X-ray of shoulder, minimum of 2 views	18	13	$125.00	$30.20
72100 X-ray of lower and sacral spine, 2-3 views	17	16	$149.00	$36.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$575.00	$139.19
73502 X-ray of hip, 2-3 views	14	12	$176.00	$42.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	393	173	$110.00	$73.86
20610 Aspiration and/or injection of fluid from large joint	118	66	$235.00	$61.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$175.00	$107.06
73565 X-ray of both knees while standing	64	55	$90.00	$36.74
73560 X-ray of knee, 1-2 views	64	54	$95.00	$31.60
73501 X-ray of hip with pelvis, 1 view	27	21	$120.00	$30.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$150.00	$110.79
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$115.00	$36.59
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	17	16	$10.00	$6.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$250.00	$140.12

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License RI MD12056

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Sports Medicine

NUCC Taxonomy Code: 207XX0005X

State License RI MD12056

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

9004975 (RI)

Hospital & Practice Group Affiliations

Orthopedics Rhode Island Inc

300 Crossings Blvd, Warwick, RI 028862878

Phone: 4017777000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Peter Pizzarello , MD

Orthopaedic Surgery

NPI 1669466942

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 28, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location August 28, 2009

Registered at 868 ADMIRAL ST, PROVIDENCE, RI 02904 (Tel: 4012738402)

📍

Updated Business Mailing Address August 28, 2009

Registered at 868 ADMIRAL ST, PROVIDENCE, RI 02904 (Tel: 4012738402)

👤

Provider Name / Credentials Updated August 28, 2009

Recorded as PETER PIZZARELLO, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2009

Orthopaedic Surgery (License #MD12056 in RI)

🟢

Initial NPI Registration & Enumeration May 03, 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: 1568420115

Entity Type:

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

Enumeration Date: May 03, 2006

Last Update: August 28, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

868 Admiral St

Providence, RI 02904

Phone: 4012738402

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.