Active NPI 1801835939 Individual Practitioner Male Practitioner

Dr. David Robert Cloutier , MD

Surgery • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Cloutier, MD is a certified Surgery practicing in Providence, RI. With approximately 28 years of clinical experience since graduating from Geisel School Of Medicine At Dartmouth in 1998, Dr. Cloutier delivers high-quality medical care to the local community at 195 COLLYER ST.

Dr. Cloutier maintains professional affiliations with Lifespan Physician Group Inc, University Surgical Associates, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

195 Collyer St
Suite 302

Providence, RI 029041869

Telephone 4017935702

Fax 4017935181

Associated Practice Facility / Clinic

🏢 University Urological Associates, Inc. Facility NPI 1659463230

Medicare Profile & Education

Medical School

Geisel School Of Medicine At Dartmouth

Graduation Year

1998

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

28 Yrs +3.5 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

69.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cloutier (28 Years) 28 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	86	78	$285.09	$89.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$343.20	$111.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	26	$153.93	$48.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	35	$174.28	$56.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$536.89	$167.54
47562 Removal of gallbladder using an endoscope	21	21	$2153.90	$656.69
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$213.67	$72.92
49505 Repair of groin hernia (5 years or older)	18	18	$1789.56	$548.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$411.53	$128.53
99283 Emergency department visit with low level of medical decision making	14	13	$233.00	$69.44
49650 Repair of groin hernia using an endoscope	13	13	$1634.15	$513.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$427.00	$129.43

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	105	105	$366.00	$112.14
99213 Established patient office or other outpatient visit, typically 15 minutes	93	76	$295.00	$92.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	28	$162.00	$50.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	39	$185.00	$56.86
49505 Repair of groin hernia (5 years or older)	22	22	$1727.00	$532.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$543.00	$169.33
99284 Emergency department visit with moderate level of medical decision making	18	17	$394.00	$121.54
47562 Removal of gallbladder using an endoscope	17	17	$2174.00	$669.63
99283 Emergency department visit with low level of medical decision making	16	16	$234.00	$72.26
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$237.00	$69.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$417.00	$130.00
49650 Repair of groin hernia using an endoscope	11	11	$1560.00	$481.52
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$271.00	$83.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	67	$295.00	$92.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$361.00	$116.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	22	$123.00	$39.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	25	$184.00	$57.07
47562 Removal of gallbladder using an endoscope	21	21	$2174.00	$692.53
99283 Emergency department visit with low level of medical decision making	20	19	$233.00	$73.63
99284 Emergency department visit with moderate level of medical decision making	18	18	$392.00	$124.62
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$234.00	$75.61
49505 Repair of groin hernia (5 years or older)	18	18	$1723.00	$550.60
49650 Repair of groin hernia using an endoscope	14	14	$1577.79	$502.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$542.00	$172.57

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	101	68	$184.00	$57.76
99213 Established patient office or other outpatient visit, typically 15 minutes	60	51	$295.00	$95.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$361.00	$117.35
99202 New patient office or other outpatient visit, typically 20 minutes	55	55	$234.00	$73.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	27	$123.00	$39.39
49505 Repair of groin hernia (5 years or older)	39	38	$1732.85	$554.08
99283 Emergency department visit with low level of medical decision making	21	19	$231.00	$74.55
47562 Removal of gallbladder using an endoscope	19	19	$2160.00	$649.48
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$322.38	$103.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$419.00	$135.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	61	$175.00	$77.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$297.96	$111.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	30	$125.00	$47.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	29	$127.79	$41.04
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$217.19	$79.71
47562 Removal of gallbladder using an endoscope	23	23	$2111.00	$708.26
49505 Repair of groin hernia (5 years or older)	19	19	$1669.00	$559.78
99284 Emergency department visit with moderate level of medical decision making	18	18	$372.00	$124.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$250.00	$113.74
99283 Emergency department visit with low level of medical decision making	13	13	$202.00	$67.85
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$324.45	$106.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	101	$152.22	$67.93
11042 Removal of skin and tissue, 20.0 sq cm or less	107	35	$174.13	$71.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	89	40	$123.91	$40.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$256.66	$110.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	31	$232.46	$105.42
49505 Repair of groin hernia (5 years or older)	33	33	$1632.88	$542.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	20	$115.71	$43.95
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$179.00	$76.60
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$322.59	$104.58
99284 Emergency department visit with moderate level of medical decision making	16	15	$365.00	$121.12
99282 Emergency department visit with straightforward medical decision making	13	12	$136.38	$42.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	227	108	$145.44	$64.67
11042 Removal of skin and tissue, 20.0 sq cm or less	113	31	$155.82	$66.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	96	35	$126.38	$40.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$261.03	$108.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	36	$98.52	$37.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	38	$248.51	$107.75
99221 Initial hospital inpatient care per day, typically 30 minutes	39	33	$317.08	$104.85
49505 Repair of groin hernia (5 years or older)	27	27	$1714.26	$569.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	11	$227.00	$75.31
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$179.60	$76.67
47562 Removal of gallbladder using an endoscope	18	18	$2094.00	$695.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	213	44	$122.00	$40.15
99213 Established patient office or other outpatient visit, typically 15 minutes	184	103	$136.30	$65.25
11042 Removal of skin and tissue, 20.0 sq cm or less	106	26	$168.38	$68.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$282.05	$105.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	42	$78.60	$36.44
99221 Initial hospital inpatient care per day, typically 30 minutes	47	42	$316.74	$103.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	27	$208.94	$106.95
49505 Repair of groin hernia (5 years or older)	25	25	$1657.00	$539.73
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$219.74	$77.08
47562 Removal of gallbladder using an endoscope	14	14	$2097.00	$681.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$400.00	$169.01

Medical Specialties & State Licenses

CMS Verified: 2020-01-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD11212

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

50565 (RI)

Hospital & Practice Group Affiliations

University Surgical Associates, Inc.

195 Collyer St, Providence, RI 029041869

Phone: 4017935140

Lifespan Physician Group Inc

195 Collyer St, Providence, RI 029041869

Phone: 4012721800

Practice Associates & Co-Workers

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

22 Associated Practitioners

Dr. Boris Gershman , MD

Urology

NPI 1013177518

Doctor of Medicine (M.D.)

Ashley Norian

Speech-Language Pathologist

NPI 1013492073

Dr. Courtney Klenk , DPT

Physical Therapist

NPI 1114299112

Doctor of Physical Therapy

Jodi Bergeron

Occupational Therapist

NPI 1124181292

Alexis Dengel

Nurse Practitioner - Family

NPI 1174117022

Shannon Lane

Physical Therapy Assistant

NPI 1215283825

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 195 COLLYER ST, SUITE 302, PROVIDENCE, RI 029041869 (Tel: 4017935702)

📍

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 DAVID CLOUTIER, MD

🎓

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

Surgery (License #MD11212 in RI)

🟢

Initial NPI Registration & Enumeration June 05, 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: 1801835939

Entity Type:

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

Enumeration Date: June 05, 2006

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.