Active NPI 1124025663 Individual Practitioner Female Practitioner

Dr. Theresa A. Graves , MD

Surgery • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theresa Graves, MD is a certified Surgery practicing in Providence, RI. With approximately 41 years of clinical experience since graduating from University Of Vermont College Of Medicine in 1985, Dr. Graves delivers high-quality medical care to the local community at 2 DUDLEY ST.

Dr. Graves maintains professional affiliations with Rhode Island Hospital, University Surgical Associates, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, repair of wound by transferring skin, partial removal of breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 Dudley St
Suite 470

Providence, RI 029053236

Telephone 4015538304

Fax 4018682304

Associated Practice Facility / Clinic

🏢 Northeast Orthotics & Prosthetics, Inc. Facility NPI 1356343651

Medicare Profile & Education

Medical School

University Of Vermont College Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Providence, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +16.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 29.0 Yrs

Regional Practice Density

95 Specialists

Practicing in Providence, RI (160 Statewide)

Telehealth Adoption Rate

4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Graves (41 Years) 41 Yrs

Providence Specialty Average (24.5 Years) 24.5 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	67	$388.67	$128.97
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	62	24	$672.06	$209.18
19301 Partial removal of breast	27	26	$2112.11	$339.88
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	25	25	$2761.28	$813.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	15	$489.94	$182.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$561.69	$181.34
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$474.00	$180.11

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	70	55	$417.00	$128.58
19301 Partial removal of breast	42	40	$2201.90	$337.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	34	$524.90	$170.76
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	35	34	$2947.86	$781.95
14302 Repair of wound by transferring skin, each additional 30.0 sq cm	32	25	$704.00	$217.35
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$1454.00	$204.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$538.50	$196.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$375.33	$144.43

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	52	$419.00	$132.14
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	39	$524.56	$175.51
19301 Partial removal of breast	31	29	$2207.03	$594.20
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	25	16	$96.64	$33.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$388.21	$149.47

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	55	47	$419.00	$133.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$543.40	$170.87
19301 Partial removal of breast	12	12	$1826.00	$609.16
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$295.00	$95.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	103	72	$175.00	$78.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	34	$250.00	$114.04
19301 Partial removal of breast	22	21	$1898.36	$625.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	65	$175.00	$75.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	44	$250.00	$112.77
19301 Partial removal of breast	24	24	$1763.75	$591.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$174.00	$81.31
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	14	14	$853.86	$242.56

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	93	70	$250.00	$109.71
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$175.00	$75.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	13	$174.00	$81.17
19301 Partial removal of breast	15	15	$2065.00	$608.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	68	$150.00	$74.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	57	$210.00	$110.58
19301 Partial removal of breast	26	26	$2075.00	$660.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$174.00	$79.15

Medical Specialties & State Licenses

CMS Verified: 2020-01-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD08747

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

9020216 (RI)

Hospital & Practice Group Affiliations

Rhode Island Hospital

1454 S County Trl, East Greenwich, RI 028181749

Phone: 4016062000

University Surgical Associates, Inc.

2 Dudley St, Providence, RI 029053248

Phone: 4012721800

Rhode Island Hospital

593 Eddy St, Providence, RI 029034923

Practice Associates & Co-Workers

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

1 Associated Practitioners

Karen Kazin , RNP

Nurse Practitioner

NPI 1457351256

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 24, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 24, 2012

Registered at 2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 029053236 (Tel: 4015538304)

📍

Updated Business Mailing Address April 24, 2012

Registered at PO BOX 16149, RUMFORD, RI 029160697 (Tel: 4014539625)

👤

Provider Name / Credentials Updated April 24, 2012

Recorded as THERESA GRAVES, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2012

Surgery (License #MD08747 in RI)

🟢

Initial NPI Registration & Enumeration June 30, 2005

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: 1124025663

Entity Type:

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

Enumeration Date: June 30, 2005

Last Update: January 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 16149

Rumford, RI 029160697

Phone: 4014539625

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.