Active NPI 1104959832 Individual Practitioner Male Practitioner

Dr. Joseph A Decesare , DPM

Podiatrist • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Decesare, DPM is a certified Podiatrist practicing in Providence, RI. With approximately 39 years of clinical experience since graduating from New York College Of Podiatric Medicine in 1987, Dr. Decesare delivers high-quality medical care to the local community at 201 BROADWAY.

Dr. Decesare accepts Medicare assignment.

Frequently performed procedures and clinical services include trimming of dystrophic nails, any number, removal of single thickened skin growth, removal of noncancer thickened skin growth, 2-4 growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

201 Broadway

Providence, RI 029033015

Telephone 4014219167

Fax 4014219193

Associated Practice Facility / Clinic

🏢 Alan R. Nowick, Dpm Facility NPI 1962437442

Medicare Profile & Education

Medical School

New York College Of Podiatric Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Providence, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +13.5 yrs vs City Avg

City Avg: 25.5 Yrs

State Avg: 32.6 Yrs

Regional Practice Density

8 Specialists

Practicing in Providence, RI (42 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

9.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Decesare (39 Years) 39 Yrs

Providence Specialty Average (25.5 Years) 25.5 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
G0127 Trimming of dystrophic nails, any number	1,093	395	$27.00	$17.15
11055 Removal of single thickened skin growth	363	134	$80.00	$76.68
11056 Removal of noncancer thickened skin growth, 2-4 growths	320	106	$90.00	$88.66
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	82	75	$55.00	$42.56
99213 Established patient office or other outpatient visit, typically 15 minutes	61	43	$98.00	$97.05
11057 Removal of noncancer thickened skin growth, more than 4 growths	57	15	$98.00	$97.08
99341 New patient home visit, typically 20 minutes	37	37	$68.65	$52.10
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$85.00	$77.18
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	23	23	$78.00	$79.23
G0127 Trimming of dystrophic nails, any number	23	15	$27.00	$6.25
11721 Removal of fingernails or toenails, 6 or more nails	16	16	$47.00	$47.98
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	16	16	$91.44	$82.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,069	370	$27.00	$15.92
11055 Removal of single thickened skin growth	372	141	$80.00	$74.65
11056 Removal of noncancer thickened skin growth, 2-4 growths	316	104	$90.00	$85.65
99213 Established patient office or other outpatient visit, typically 15 minutes	83	47	$98.00	$92.10
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	83	53	$55.00	$40.20
11057 Removal of noncancer thickened skin growth, more than 4 growths	55	18	$98.00	$93.17
G0127 Trimming of dystrophic nails, any number	50	39	$27.00	$5.92
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	26	26	$55.00	$40.09
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$85.00	$74.15
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	20	19	$78.00	$75.41
11055 Removal of single thickened skin growth	20	18	$80.00	$15.95
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	19	19	$78.00	$75.28
99341 New patient home visit, typically 20 minutes	17	17	$68.00	$49.28
11721 Removal of fingernails or toenails, 6 or more nails	15	15	$47.00	$45.47
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	12	12	$91.75	$77.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,228	440	$27.00	$16.17
11055 Removal of single thickened skin growth	407	164	$77.42	$75.44
11056 Removal of noncancer thickened skin growth, 2-4 growths	378	132	$87.01	$85.86
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	135	103	$55.00	$44.67
99213 Established patient office or other outpatient visit, typically 15 minutes	87	48	$98.00	$94.48
11057 Removal of noncancer thickened skin growth, more than 4 growths	75	22	$96.43	$95.28
G0127 Trimming of dystrophic nails, any number	51	46	$27.00	$5.54
99202 New patient office or other outpatient visit, typically 20 minutes	45	45	$85.00	$76.12
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	40	38	$55.00	$44.53
99324 New patient assisted living visit, typically 20 minutes	32	32	$68.00	$55.29
11055 Removal of single thickened skin growth	20	19	$78.00	$16.51
11721 Removal of fingernails or toenails, 6 or more nails	19	19	$47.00	$46.27
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	12	11	$78.00	$70.55
11056 Removal of noncancer thickened skin growth, 2-4 growths	12	12	$89.17	$22.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,539	529	$27.00	$16.77
11055 Removal of single thickened skin growth	505	190	$67.49	$67.66
11056 Removal of noncancer thickened skin growth, 2-4 growths	476	159	$77.39	$77.47
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	194	164	$55.00	$45.36
99213 Established patient office or other outpatient visit, typically 15 minutes	106	54	$95.74	$93.90
11057 Removal of noncancer thickened skin growth, more than 4 growths	93	25	$86.77	$86.98
99202 New patient office or other outpatient visit, typically 20 minutes	54	54	$85.00	$76.61
11721 Removal of fingernails or toenails, 6 or more nails	37	36	$47.00	$47.06
99324 New patient assisted living visit, typically 20 minutes	13	13	$68.00	$55.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,127	476	$27.00	$16.18
11056 Removal of noncancer thickened skin growth, 2-4 growths	389	156	$68.82	$69.14
11055 Removal of single thickened skin growth	367	175	$58.87	$59.43
99213 Established patient office or other outpatient visit, typically 15 minutes	111	57	$86.00	$77.26
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	102	98	$55.00	$46.55
11057 Removal of noncancer thickened skin growth, more than 4 growths	74	24	$78.85	$79.50
11721 Removal of fingernails or toenails, 6 or more nails	44	43	$47.00	$46.67
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$85.00	$79.01
99324 New patient assisted living visit, typically 20 minutes	18	18	$68.00	$57.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,768	654	$27.00	$16.59
11055 Removal of single thickened skin growth	594	243	$55.00	$54.88
11056 Removal of noncancer thickened skin growth, 2-4 growths	579	214	$65.00	$64.86
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	226	215	$55.00	$46.10
99213 Established patient office or other outpatient visit, typically 15 minutes	106	64	$86.00	$78.00
11057 Removal of noncancer thickened skin growth, more than 4 growths	95	33	$75.00	$74.84
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$85.00	$80.27
11721 Removal of fingernails or toenails, 6 or more nails	30	30	$47.00	$46.89
99324 New patient assisted living visit, typically 20 minutes	12	12	$68.00	$57.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,819	677	$27.00	$16.36
11056 Removal of noncancer thickened skin growth, 2-4 growths	595	215	$65.00	$59.93
11055 Removal of single thickened skin growth	535	227	$55.00	$49.25
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	165	160	$55.00	$44.79
11057 Removal of noncancer thickened skin growth, more than 4 growths	123	40	$75.00	$67.69
99213 Established patient office or other outpatient visit, typically 15 minutes	95	65	$86.00	$73.51
99202 New patient office or other outpatient visit, typically 20 minutes	41	41	$85.00	$75.71
11721 Removal of fingernails or toenails, 6 or more nails	32	31	$47.00	$46.11
99324 New patient assisted living visit, typically 20 minutes	27	27	$68.00	$55.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0127 Trimming of dystrophic nails, any number	1,710	649	$27.00	$15.10
11056 Removal of noncancer thickened skin growth, 2-4 growths	590	226	$65.00	$58.62
11055 Removal of single thickened skin growth	495	221	$55.00	$48.08
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	179	175	$55.00	$44.22
99213 Established patient office or other outpatient visit, typically 15 minutes	132	82	$85.89	$72.32
11057 Removal of noncancer thickened skin growth, more than 4 growths	122	40	$75.00	$65.63
99202 New patient office or other outpatient visit, typically 20 minutes	75	75	$84.62	$74.54
99324 New patient assisted living visit, typically 20 minutes	31	31	$68.00	$54.66
11721 Removal of fingernails or toenails, 6 or more nails	26	26	$47.00	$44.77

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License RI DPM00240

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7001766 (RI)

Commercial Insurance / Payer ID Neighborhood Health

2343 (RI)

Commercial Insurance / Payer ID United Healthcare Of New

2700150 (RI)

Commercial Insurance / Payer ID Bluechip Of Ri

400515 (RI)

Commercial Insurance / Payer ID Blue Cross Of Ri

0000007071 (RI)

Commercial Insurance / Payer ID Wps Tricare

050456966 (RI)

Commercial Insurance / Payer ID Bluechip Group

0000007071 (RI)

Commercial Insurance / Payer ID Tufts

001868 (RI)

Commercial Insurance / Payer ID United Healthcare

050456966 (RI)

Commercial Insurance / Payer ID Nhic, Corp. Dme Mac

1006490001 (RI)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 26, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location August 26, 2011

Registered at 201 BROADWAY, PROVIDENCE, RI 029033015 (Tel: 4014219167)

📍

Updated Business Mailing Address August 26, 2011

Registered at 201 BROADWAY, PROVIDENCE, RI 029033015 (Tel: 4014219167)

👤

Provider Name / Credentials Updated August 26, 2011

Recorded as JOSEPH DECESARE, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2011

Podiatrist (License #DPM00240 in RI)

🟢

Initial NPI Registration & Enumeration March 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104959832

Entity Type:

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

Enumeration Date: March 13, 2007

Last Update: August 26, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

201 Broadway

Providence, RI 029033015

Phone: 4014219167

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.