Active NPI 1750348157 Individual Practitioner Male Practitioner

Dr. Robert James Koness , MD

Surgery • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Koness, MD is a certified Surgery practicing in Providence, RI. With approximately 43 years of clinical experience since graduating from State University Of New York At Buffalo School Of Medicine in 1983, Dr. Koness delivers high-quality medical care to the local community at 830 CHALKSTONE AVE.

Dr. Koness is affiliated with Prospect Chartercare Rwmc, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

830 Chalkstone Ave

Providence, RI 029084734

Telephone 4012737100

Fax 4013573053

Associated Practice Facility / Clinic

🏢 Va Medical Center Facility NPI 1447213731

Medicare Profile & Education

Medical School

State University Of New York At Buffalo School Of Medicine

Graduation Year

1983

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

43 Yrs +18.5 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

59.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Koness (43 Years) 43 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	79	63	$151.00	$64.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	33	$91.00	$34.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	66	56	$151.00	$65.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	37	$91.00	$35.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$341.00	$134.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$224.00	$83.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	91	74	$151.00	$67.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	26	$91.00	$37.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$224.00	$85.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$341.00	$139.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	94	72	$151.00	$68.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	42	$91.00	$36.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$224.00	$86.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	129	99	$151.00	$53.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	43	$91.00	$26.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$224.00	$78.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$341.00	$128.29
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$90.00	$53.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	165	106	$91.00	$26.26
99213 Established patient office or other outpatient visit, typically 15 minutes	137	115	$151.00	$52.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$224.00	$76.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$341.00	$133.27
10005 Fine needle aspiration of first lesion using ultrasound guidance	15	14	$216.00	$74.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	197	114	$91.00	$25.55
99213 Established patient office or other outpatient visit, typically 15 minutes	118	106	$151.00	$51.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$224.00	$75.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$341.00	$129.89
10022 Fine needle aspiration using imaging guidance	17	15	$298.00	$58.81
92511 Exam of the nose and throat using an endoscope	12	11	$289.00	$38.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	167	97	$91.00	$24.61
99213 Established patient office or other outpatient visit, typically 15 minutes	115	93	$151.00	$49.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$224.00	$73.74

Medical Specialties & State Licenses

CMS Verified: 2025-09-18

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI 07304

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.

Surgery - Surgical Oncology

NUCC Taxonomy Code: 2086X0206X

State License RI 07304

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

9006606 (RI)

Hospital & Practice Group Affiliations

Prospect Chartercare Rwmc, Llc

825 Chalkstone Ave, Providence, RI 029084735

Prospect Chartercare Rwmc, Llc

825 Chalkstone Ave, Providence, RI 029084728

Phone: 4014562026

Secondary Practice Locations

50 Maude St

Providence, RI 029084325

Phone: 4014562441

Practice Associates & Co-Workers

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

40 Associated Practitioners

Toni Acampora , LICSW

Social Worker - Clinical

NPI 1003511809

Licensed Independent Clinical Social Worker

Roosevelt Maldonado

Social Worker - Clinical

NPI 1003525601

Lily Curreri , RDN

Dietitian, Registered

NPI 1003789132

Registered Dietitian Nutritionist

Jennifer Ouellette , MSN, RNP

Nurse Practitioner

NPI 1003821869

Master of Science in Nursing, RNP

Helen Sullivan , RN

Registered Nurse

NPI 1003924135

Registered Nurse

Renee Watson , LICSW

Social Worker - Clinical

NPI 1013051242

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 18, 2025

Registered at 830 CHALKSTONE AVE, PROVIDENCE, RI 029084734 (Tel: 4012737100)

📍

Updated Business Mailing Address September 18, 2025

Registered at 830 CHALKSTONE AVE, PROVIDENCE, RI 029084734 (Tel: 4012737100)

👤

Provider Name / Credentials Updated September 18, 2025

Recorded as ROBERT KONESS, M.D.

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 50 MAUDE ST, PROVIDENCE, RI 029084325 (Tel: 4014562441)

📍

Updated Business Mailing Address July 08, 2007

Registered at 50 MAUDE ST, PROVIDENCE, RI 029084325 (Tel: 4014565368)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as R. KONESS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #07304 in RI)

🟢

Initial NPI Registration & Enumeration April 28, 2006

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: 1750348157

Entity Type:

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

Enumeration Date: April 28, 2006

Last Update: September 18, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

830 Chalkstone Ave

Providence, RI 029084734

Phone: 4012737100

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.