Deactivated NPI 1720035264 Deactivated / Inactive NPI Male Practitioner

Dr. Mark A Palumbo , MD

Orthopaedic Surgery • 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. Mark Palumbo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 30, 2006

NPI Deactivation Date October 15, 2019

Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Palumbo, MD was a registered Orthopaedic Surgery practicing in Providence, RI. Throughout an active medical career spanning 13 years, Dr. Palumbo provided care at the practice location at 2 DUDLEY ST until profile deactivation on 2019-10-15.

Historical Medicare Part B clinical services included x-ray of lower and sacral spine, minimum of 4 views, established patient outpatient office visit, x-ray of lower and sacral spine, 2-3 views. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2 Dudley St

Providence, RI 029053236

Telephone 4014571596

Associated Practice Facility / Clinic

🏢 Northeast Orthotics & Prosthetics, Inc. Facility NPI 1356343651

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Providence, RI

Active Practitioner

Practitioner Clinical Experience

Active

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

58.2% 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
72110 X-ray of lower and sacral spine, minimum of 4 views	44	44	$149.00	$51.41
99213 Established patient office or other outpatient visit, typically 15 minutes	42	41	$172.00	$76.31
72100 X-ray of lower and sacral spine, 2-3 views	35	26	$108.00	$34.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$256.00	$113.36
72050 X-ray of upper spine, 4 or 5 views	14	14	$146.00	$52.98
72082 X-ray of entire middle and lower spine, 2-3 views	12	12	$120.00	$68.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	254	182	$172.00	$72.41
72110 X-ray of lower and sacral spine, minimum of 4 views	119	112	$149.00	$47.93
63048 Partial removal of spine bone with release of spinal cord and/or nerves	65	28	$1300.00	$214.33
72082 X-ray of entire middle and lower spine, 2-3 views	61	44	$120.00	$59.88
72100 X-ray of lower and sacral spine, 2-3 views	61	43	$108.00	$32.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	47	$256.00	$103.48
22614 Fusion of additional segment of spine	43	20	$2750.00	$370.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$391.00	$163.66
72050 X-ray of upper spine, 4 or 5 views	35	34	$146.00	$44.36
72040 X-ray of upper spine, 2-3 views	28	19	$100.00	$28.51
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	23	$5299.00	$694.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$257.00	$105.08
22842 Placement of stabilizing device to back, 3-6 spine bone segments	18	18	$6000.00	$783.96
72148 MRI scan of lower spinal canal	14	14	$1200.00	$130.66
22612 Fusion of spine in lower back	13	13	$5664.00	$1436.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	350	221	$172.02	$71.00
72110 X-ray of lower and sacral spine, minimum of 4 views	111	105	$148.86	$47.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$391.09	$159.32
72100 X-ray of lower and sacral spine, 2-3 views	93	55	$107.92	$33.18
63048 Partial removal of spine bone with release of spinal cord and/or nerves	78	28	$1300.00	$206.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	68	$255.85	$105.28
22614 Fusion of additional segment of spine	48	19	$2750.00	$353.40
72082 X-ray of entire middle and lower spine, 2-3 views	41	28	$120.00	$57.23
72050 X-ray of upper spine, 4 or 5 views	31	29	$146.07	$43.29
72040 X-ray of upper spine, 2-3 views	25	16	$100.04	$31.73
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	22	22	$5298.93	$718.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$103.95	$42.82
22842 Placement of stabilizing device to back, 3-6 spine bone segments	17	16	$6000.00	$717.62
22612 Fusion of spine in lower back	13	13	$5663.92	$1447.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$344.98	$131.59

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License RI 09091

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Lars Stangenberg , MD

Surgery - Vascular Surgery

NPI 1003077090

Doctor of Medicine (M.D.)

Alicia Caprio

Student in an Organized Health Care Education/Training Program

NPI 1003539081

Dr. Charlene Tate , MD

Psychiatry & Neurology - Neurology

NPI 1013959808

Doctor of Medicine (M.D.)

Dr. Phillip Lucas , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1033175435

Doctor of Medicine (M.D.)

Dr. J Easton , MD

Psychiatry & Neurology - Neurology

NPI 1043254329

Doctor of Medicine (M.D.)

Amy Pilotte , APN, BC

Nurse Practitioner - Adult Health

NPI 1043315476

Advanced Practice Nurse, BC

Career & Practice History Timeline

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

7 Historical Events

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NPI Profile Deactivated October 15, 2019

Record deactivated on October 15, 2019

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NPI Profile Active September 23, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 23, 2011

Registered at 2 DUDLEY ST, PROVIDENCE, RI 029053236 (Tel: 4014571596)

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Updated Business Mailing Address September 23, 2011

Registered at 2 DUDLEY ST, PROVIDENCE, RI 029053236 (Tel: 4014571596)

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Provider Name / Credentials Updated September 23, 2011

Recorded as MARK PALUMBO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2011

Orthopaedic Surgery (License #09091 in RI)

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Initial NPI Registration & Enumeration May 30, 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: 1720035264

Entity Type:

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

Enumeration Date: May 30, 2006

Last Update: September 23, 2011

Deactivation Date: October 15, 2019

Update or Correct Profile

Mailing Address

2 Dudley St

Providence, RI 029053236

Phone: 4014571596

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.