Dr. Jack R Bevivino , MD
Plastic Surgery • Providence, RI
Professional Overview & Biography Verified Profile Summary
Dr. Jack Bevivino, MD is a registered healthcare professional specializing in Plastic Surgery in Providence, RI. Practice services are available at 120 DUDLEY STREET under active NPI credentials.
Frequently performed procedures and clinical services include 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
120 Dudley Street
Suite #201
Providence, RI 029052431
Specialty Benchmarks & Practice Insights
Comparative analytics for Plastic Surgery in Providence, RI
Practicing in Providence, RI (31 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
13 | 13 | $250.00 | $157.88 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208200000X
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Ophthalmology - Retina Specialist
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 120 DUDLEY STREET, SUITE #201, PROVIDENCE, RI 029052431 (Tel: 4015219290)
Registered at 120 DUDLEY STREET, SUITE #201, PROVIDENCE, RI 029052431 (Tel: 4015219290)
Recorded as JACK BEVIVINO, MD
Plastic Surgery (License #RIMD05259 in RI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
120 Dudley Street, Suite #201
Providence, RI 029052431
Phone: 4015219290
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