Active NPI 1457881666 Individual Practitioner Female Practitioner

Katelyn Mary Pires , PA-C

Physician Assistant • Providence, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Katelyn Pires, PA-C is a certified Physician Assistant practicing in Providence, RI. With approximately 9 years of clinical experience since completing medical education in 2017, Katelyn Pires delivers high-quality medical care to the local community at 539 EDDY ST..

Katelyn Pires is affiliated with Rhode Island Hospital and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

539 Eddy St.

Providence, RI 02903

Telephone 4014445435

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Providence, RI

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -1.6 yrs vs City Avg

City Avg: 10.6 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

267 Specialists

Practicing in Providence, RI (687 Statewide)

Telehealth Adoption Rate

16.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pires (9 Years) 9 Yrs

Providence Specialty Average (10.6 Years) 10.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	43	$326.00	$82.04
99213 Established patient office or other outpatient visit, typically 15 minutes	49	43	$280.00	$55.61
99442 Telephone medical discussion with physician, 11-20 minutes	19	13	$132.00	$76.54
99441 Telephone medical discussion with physician, 5-10 minutes	14	13	$71.00	$46.95

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	63	43	$307.38	$83.60
99213 Established patient office or other outpatient visit, typically 15 minutes	54	47	$262.59	$56.61

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	87	52	$303.00	$85.63
99213 Established patient office or other outpatient visit, typically 15 minutes	78	67	$260.00	$58.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$373.00	$127.72
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$123.00	$58.29

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	106	69	$303.00	$87.70
99213 Established patient office or other outpatient visit, typically 15 minutes	45	41	$260.00	$59.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	20	$373.00	$129.13
99442 Telephone medical discussion with physician, 11-20 minutes	17	13	$123.00	$59.66

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	99	64	$274.33	$70.11
99213 Established patient office or other outpatient visit, typically 15 minutes	44	37	$203.59	$45.52
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$123.00	$45.77

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	59	41	$174.00	$69.07
99213 Established patient office or other outpatient visit, typically 15 minutes	34	28	$114.00	$44.82

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Rhode Island Hospital

11 Friendship St, Newport, RI 028402209

Phone: 8442222881

Rhode Island Hospital

11 Friendship St, Newport, RI 028402209

Phone: 4014445435

Rhode Island Hospital

164 Summit Ave, Providence, RI 029062853

Phone: 4017932920

Rhode Island Hospital

593 Eddy St, Providence, RI 029034923

Rhode Island Hospital

1454 S County Trl, East Greenwich, RI 028181749

Phone: 4016062000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Humera Khurshid , MD

Internal Medicine - Hematology & Oncology

NPI 1013991926

Doctor of Medicine (M.D.)

Dr. Zhu Cui , MD

Internal Medicine - Hematology & Oncology

NPI 1083177596

Doctor of Medicine (M.D.)

Dr. Hrvoje Melinscak , MD

Internal Medicine - Hematology & Oncology

NPI 1083864995

Doctor of Medicine (M.D.)

David Tracey , PA-C

Physician Assistant

NPI 1114957701

Physician Assistant (Certified)

Jane Mcphillips , RNP

Nurse Practitioner - Family

NPI 1124212055

Dr. Peter Barth , MD

Internal Medicine - Hematology & Oncology

NPI 1124382445

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 June 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 20, 2017

Registered at 539 EDDY ST., PROVIDENCE, RI 02903 (Tel: 4014445435)

📍

Updated Business Mailing Address June 20, 2017

Registered at 15 WARNER ST # 2, NEWPORT, RI 028402038

👤

Provider Name / Credentials Updated June 20, 2017

Recorded as KATELYN PIRES, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2017

Physician Assistant

🟢

Initial NPI Registration & Enumeration June 20, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Katelyn Pires. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1457881666

Entity Type:

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

Enumeration Date: June 20, 2017

Last Update: June 20, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

15 Warner St # 2

Newport, RI 028402038

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.