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Active NPI 1437131430 Individual Practitioner Male Practitioner

Dr. Michael P Vezeridis , MD

Surgery • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Vezeridis, MD is a certified Surgery practicing in Providence, RI. With approximately 59 years of clinical experience since completing medical education in 1967, Dr. Vezeridis delivers high-quality medical care to the local community at 2 DUDLEY ST.

Dr. Vezeridis is affiliated with Rhode Island Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit. 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 4013311036
Fax 4018682317
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1967

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
59 Yrs +34.5 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
76.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vezeridis (59 Years) 59 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
11045 Removal of skin and tissue, each additional 20.0 sq cm or less
389 25 $86.00 $24.77
11042 Removal of skin and tissue, 20.0 sq cm or less
330 82 $199.00 $60.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
28 27 $228.00 $34.96

Medical Specialties & State Licenses

CMS Verified: 2020-01-29
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD06270

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
9006495 (RI)

Hospital & Practice Group Affiliations

Rhode Island Hospital

593 Eddy St, Providence, RI 029034923

Rhode Island Hospital

950 Warren Ave, East Providence, RI 029141432

Phone: 4016064325

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

6 Historical Events
NPI Profile Active October 22, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2010

Registered at 2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 029053236 (Tel: 4013311036)

📍
Updated Business Mailing Address October 22, 2010

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

👤
Provider Name / Credentials Updated October 22, 2010

Recorded as MICHAEL VEZERIDIS, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2010

Surgery (License #MD06270 in RI)

🟢
Initial NPI Registration & Enumeration November 16, 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: 1437131430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2005
Last Update: January 29, 2020
Sole Proprietor: No

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.