Active NPI 1245277953 Individual Practitioner Male Practitioner

Dr. Thomas A. Bledsoe , MD

Internal Medicine • Riverside, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Bledsoe, MD is a certified Internal Medicine practicing in Riverside, RI. With approximately 38 years of clinical experience since graduating from Warren Alpert Medical School Of Brown University in 1988, Dr. Bledsoe delivers high-quality medical care to the local community at 375 WAMPANOAG TRL.

Dr. Bledsoe maintains professional affiliations with Coastal Medical Physicians Inc, Brown Medicine and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

375 Wampanoag Trl
Suite 201

Riverside, RI 029152232

Telephone 4016494020

Fax 4016494021

Associated Practice Facility / Clinic

🏢 Brown Medicine Facility NPI 1689626764

Medicare Profile & Education

Medical School

Warren Alpert Medical School Of Brown University

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Riverside, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +14.9 yrs vs City Avg

City Avg: 23.1 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

39 Specialists

Practicing in Riverside, RI (1079 Statewide)

Telehealth Adoption Rate

61.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

74.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bledsoe (38 Years) 38 Yrs

Riverside Specialty Average (23.1 Years) 23.1 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	463	254	$296.75	$66.80
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	203	203	$300.74	$44.94
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	197	134	$37.24	$16.37
99213 Established patient office or other outpatient visit, typically 15 minutes	90	77	$210.00	$78.65
90480 Admn sarscov2 vacc 1 dose	54	49	$90.00	$43.58
G0008 Administration of influenza virus vaccine	43	43	$40.00	$32.68
83036 Hemoglobin A1C level	30	26	$24.80	$9.52
99496 Transitional care management services for problem of high complexity	16	15	$645.25	$121.75
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$33.75	$14.44

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	438	261	$299.89	$67.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	218	218	$305.98	$46.50
99213 Established patient office or other outpatient visit, typically 15 minutes	123	103	$212.86	$70.48
G0008 Administration of influenza virus vaccine	49	49	$40.00	$31.37
90480 Admn sarscov2 vacc 1 dose	30	30	$90.00	$41.83
83036 Hemoglobin A1C level	29	25	$29.59	$9.52
99496 Transitional care management services for problem of high complexity	25	25	$652.20	$113.14
0134A Fee covid-19 vac 14 res	20	19	$99.00	$41.83
0124A Fee covid-19 vac 13 res	16	16	$99.00	$41.83
99442 Telephone medical discussion with physician, 11-20 minutes	15	14	$212.00	$92.13
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$391.09	$133.39

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	453	269	$303.98	$73.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	218	218	$309.39	$44.75
99213 Established patient office or other outpatient visit, typically 15 minutes	141	103	$214.81	$74.16
99441 Telephone medical discussion with physician, 5-10 minutes	39	36	$132.00	$58.37
83036 Hemoglobin A1C level	37	31	$29.49	$9.60
G0008 Administration of influenza virus vaccine	37	37	$40.00	$30.66
99442 Telephone medical discussion with physician, 11-20 minutes	32	26	$215.44	$94.14
0134A Fee covid-19 vac 14 res	28	28	$98.36	$40.46
0064A Adm sarscov2 50mcg/0.25mlbst	25	25	$90.00	$40.86
0004A Fee covid-19 vac 1 res	22	22	$90.00	$40.94
0124A Fee covid-19 vac 13 res	15	15	$97.80	$40.46
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$34.67	$14.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$132.18	$63.78

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	490	277	$268.27	$102.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	222	222	$285.34	$137.94
99213 Established patient office or other outpatient visit, typically 15 minutes	153	119	$186.45	$70.34
G0442 Annual alcohol misuse screening, 5 to 15 minutes	103	103	$48.00	$19.55
G0444 Annual depression screening, 5 to 15 minutes	99	99	$36.49	$19.55
G0008 Administration of influenza virus vaccine	45	45	$49.27	$17.73
83036 Hemoglobin A1C level	44	34	$27.70	$9.71
99442 Telephone medical discussion with physician, 11-20 minutes	23	22	$182.96	$95.79
99441 Telephone medical discussion with physician, 5-10 minutes	17	15	$112.88	$58.83
0013A Adm sarscov2 100mcg/0.5ml3rd	17	17	$90.00	$41.63
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$39.64	$15.52
0064A Adm sarscov2 50mcg/0.25mlbst	13	13	$90.00	$41.63
0004A Fee covid-19 vac 1 res	13	13	$90.00	$41.63

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	443	264	$257.00	$86.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	185	185	$276.00	$120.74
G0442 Annual alcohol misuse screening, 5 to 15 minutes	182	182	$48.00	$18.90
G0444 Annual depression screening, 5 to 15 minutes	162	162	$36.00	$18.91
99213 Established patient office or other outpatient visit, typically 15 minutes	158	123	$176.00	$60.10
99442 Telephone medical discussion with physician, 11-20 minutes	71	63	$176.00	$78.76
G0008 Administration of influenza virus vaccine	45	44	$48.00	$17.61
99441 Telephone medical discussion with physician, 5-10 minutes	42	35	$105.29	$47.54
83036 Hemoglobin A1C level	29	22	$26.00	$9.61
G0009 Administration of pneumococcal vaccine	18	18	$48.00	$17.47
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$40.00	$17.89
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$130.38	$116.92

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	545	290	$207.40	$86.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	209	209	$190.16	$120.24
G0444 Annual depression screening, 5 to 15 minutes	201	201	$30.45	$18.75
99213 Established patient office or other outpatient visit, typically 15 minutes	175	124	$151.62	$57.81
G0442 Annual alcohol misuse screening, 5 to 15 minutes	150	150	$40.69	$18.75
83036 Hemoglobin A1C level	72	48	$21.78	$10.57
G0008 Administration of influenza virus vaccine	61	61	$40.26	$17.28
G0009 Administration of pneumococcal vaccine	52	52	$40.15	$17.28
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	40	40	$95.06	$93.12
90670 Pneumococcal vaccine for injection into muscle	15	15	$194.53	$189.68
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$75.00	$17.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$98.00	$55.28
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$203.00	$171.68

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	543	294	$204.00	$84.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	206	206	$184.00	$120.68
G0444 Annual depression screening, 5 to 15 minutes	197	197	$30.00	$18.73
G0442 Annual alcohol misuse screening, 5 to 15 minutes	167	167	$40.00	$19.10
99213 Established patient office or other outpatient visit, typically 15 minutes	166	130	$149.00	$56.92
96127 Assessment of emotional or behavioral problems	122	67	$12.00	$6.72
83036 Hemoglobin A1C level	68	41	$21.21	$11.58
G0009 Administration of pneumococcal vaccine	56	56	$40.00	$21.32
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	48	48	$96.75	$94.81
G0008 Administration of influenza virus vaccine	43	43	$40.00	$21.32
90662 Influenza vaccine split virus, preservative free	42	42	$0.50	$0.49
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	27	23	$98.00	$55.97
93000 Routine ekg using at least 12 leads including interpretation and report	23	19	$75.00	$17.71
99496 Transitional care management services for problem of high complexity	19	12	$352.00	$241.52
90670 Pneumococcal vaccine for injection into muscle	17	17	$191.76	$187.93
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$203.00	$167.93

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	546	288	$196.24	$96.83
96127 Assessment of emotional or behavioral problems	341	150	$12.00	$5.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	213	213	$184.00	$119.32
99213 Established patient office or other outpatient visit, typically 15 minutes	206	153	$138.83	$64.27
G0444 Annual depression screening, 5 to 15 minutes	206	206	$30.00	$18.64
G0442 Annual alcohol misuse screening, 5 to 15 minutes	177	177	$40.00	$18.64
83036 Hemoglobin A1C level	73	50	$20.00	$11.75
G0008 Administration of influenza virus vaccine	64	63	$40.00	$26.42
90662 Influenza vaccine split virus, preservative free	57	56	$0.50	$0.49
G0009 Administration of pneumococcal vaccine	35	35	$40.00	$26.42
93000 Routine ekg using at least 12 leads including interpretation and report	24	21	$75.00	$17.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	18	$98.00	$55.57
90670 Pneumococcal vaccine for injection into muscle	19	19	$190.00	$183.43
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$95.00	$91.86
99496 Transitional care management services for problem of high complexity	15	15	$352.00	$238.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$294.50	$168.88

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD08111

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

9006673 (RI)

Commercial Insurance / Payer ID Railroad Medicare

110222755 (RI)

Hospital & Practice Group Affiliations

Brown Medicine

375 Wampanoag Trl, Riverside, RI 029152232

Phone: 4016494010

Coastal Medical Physicians Inc

375 Wampanoag Trl, Riverside, RI 029152232

Phone: 4016494000

Practice Associates & Co-Workers

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

18 Associated Practitioners

Maria Calzado , LICSW

Social Worker - Clinical

NPI 1013661156

Licensed Independent Clinical Social Worker

Dr. Jonathan Leviss , MD

Internal Medicine

NPI 1013973627

Doctor of Medicine (M.D.)

Dr. Emily Long , MD

Family Medicine

NPI 1023675337

Doctor of Medicine (M.D.)

Dr. Anita Kaul , MD

Internal Medicine

NPI 1093096091

Doctor of Medicine (M.D.)

Dr. Jeffery Cunningham , MD

Internal Medicine

NPI 1114160058

Doctor of Medicine (M.D.)

Maxwell Hogue

Nurse Practitioner - Family

NPI 1235789231

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2016

Registered at 375 WAMPANOAG TRL, SUITE 201, RIVERSIDE, RI 029152232 (Tel: 4016494020)

📍

Updated Business Mailing Address September 12, 2016

Registered at 17 VIRGINIA AVE, SUITE 107, PROVIDENCE, RI 029054406 (Tel: 4014434992)

👤

Provider Name / Credentials Updated September 12, 2016

Recorded as THOMAS BLEDSOE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2016

Internal Medicine (License #MD08111 in RI)

🟢

Initial NPI Registration & Enumeration June 01, 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: 1245277953

Entity Type:

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

Enumeration Date: June 01, 2006

Last Update: September 12, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

17 Virginia Ave, Suite 107

Providence, RI 029054406

Phone: 4014434992

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.