Active NPI 1497753644 Individual Practitioner Male Practitioner

Dr. Stephen J. Migliori , MD

Surgery • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Migliori, MD is a certified Surgery practicing in Providence, RI. With approximately 39 years of clinical experience since completing medical education in 1987, Dr. Migliori delivers high-quality medical care to the local community at 2 DUDLEY ST.

Dr. Migliori accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of groin hernia (5 years or older). 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 4015538353

Fax 4018682308

Associated Practice Facility / Clinic

🏢 Northeast Orthotics & Prosthetics, Inc. Facility NPI 1356343651

Medicare Profile & Education

Medical School

Other

Graduation Year

1987

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

39 Yrs +14.5 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

69.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Migliori (39 Years) 39 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
99213 Established patient office or other outpatient visit, typically 15 minutes	53	41	$279.49	$91.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	41	$175.06	$57.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$347.35	$112.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$416.15	$126.14
49505 Repair of groin hernia (5 years or older)	23	22	$1708.65	$508.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$539.82	$167.53
47562 Removal of gallbladder using an endoscope	12	12	$2178.67	$654.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	45	$295.00	$91.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$366.00	$114.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$417.00	$130.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	31	$185.00	$57.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$543.00	$169.29
49505 Repair of groin hernia (5 years or older)	20	20	$1727.00	$509.88
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$237.00	$73.85
49650 Repair of groin hernia using an endoscope	16	16	$1608.75	$496.62
47562 Removal of gallbladder using an endoscope	15	15	$2174.00	$669.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	47	$295.00	$92.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$361.00	$114.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	35	$184.00	$56.80
47562 Removal of gallbladder using an endoscope	22	22	$2174.00	$677.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$419.00	$133.03
49505 Repair of groin hernia (5 years or older)	21	21	$1723.00	$537.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$542.00	$173.50
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$234.00	$75.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$361.00	$114.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	40	$184.00	$58.83
99213 Established patient office or other outpatient visit, typically 15 minutes	45	43	$295.00	$95.45
47562 Removal of gallbladder using an endoscope	22	22	$2109.50	$660.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	16	$419.00	$135.36
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$234.00	$76.44
49650 Repair of groin hernia using an endoscope	12	12	$1470.50	$455.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$294.81	$110.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	42	$125.00	$46.77
99213 Established patient office or other outpatient visit, typically 15 minutes	43	39	$175.00	$75.59
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$225.00	$79.82
47562 Removal of gallbladder using an endoscope	22	22	$2111.00	$683.82
49505 Repair of groin hernia (5 years or older)	13	13	$1669.00	$559.70
49650 Repair of groin hernia using an endoscope	11	11	$1680.91	$567.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$270.79	$111.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	57	$125.00	$46.67
99213 Established patient office or other outpatient visit, typically 15 minutes	40	37	$175.00	$76.01
47562 Removal of gallbladder using an endoscope	29	29	$2043.72	$680.05
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$201.09	$79.60
49505 Repair of groin hernia (5 years or older)	18	18	$1658.00	$556.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$267.19	$109.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	53	$125.00	$45.36
99213 Established patient office or other outpatient visit, typically 15 minutes	32	32	$175.00	$73.78
47562 Removal of gallbladder using an endoscope	22	22	$2094.00	$695.29
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$185.00	$72.47
49505 Repair of groin hernia (5 years or older)	13	13	$1653.00	$549.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$293.55	$110.16
99213 Established patient office or other outpatient visit, typically 15 minutes	59	45	$150.00	$73.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	35	$90.00	$45.06
47562 Removal of gallbladder using an endoscope	27	27	$2097.00	$669.44
49505 Repair of groin hernia (5 years or older)	12	12	$1657.00	$517.24
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$206.82	$77.12

Medical Specialties & State Licenses

CMS Verified: 2020-01-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD08950

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

9020296 (RI)

Medicaid State Provider ID

3141764 (MA)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Thach Pham , MD

Surgery

NPI 1518137223

Doctor of Medicine (M.D.)

Dr. Cody Ness , MD

Surgery

NPI 1649899337

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 October 27, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 27, 2010

Registered at 2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 029053236 (Tel: 4015538353)

📍

Updated Business Mailing Address October 27, 2010

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

👤

Provider Name / Credentials Updated October 27, 2010

Recorded as STEPHEN MIGLIORI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2010

Surgery (License #MD08950 in RI)

🟢

Initial NPI Registration & Enumeration July 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1497753644

Entity Type:

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

Enumeration Date: July 12, 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.