Active NPI 1205879608 Individual Practitioner Male Practitioner

Dr. Timothy J O'mara , MD

Internal Medicine • Wakefield, RI

Professional Overview & Biography Verified Profile Summary

Dr. Timothy O'Mara, MD is a registered healthcare professional specializing in Internal Medicine in Wakefield, RI. Practice services are available at 481 KINGSTOWN RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, assessment of emotional or behavioral problems, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

481 Kingstown Rd

Wakefield, RI 028793626

Telephone 4017890283

Fax 4017890314

Associated Practice Facility / Clinic

🏢 South County Internal Medicine, Inc. Facility NPI 1215946827

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wakefield, RI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 29.9 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

30 Specialists

Practicing in Wakefield, RI (1079 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

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	91	86	$292.00	$129.13
99213 Established patient office or other outpatient visit, typically 15 minutes	47	42	$206.00	$92.19
96127 Assessment of emotional or behavioral problems	23	23	$12.00	$4.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$298.00	$131.28

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	393	266	$155.85	$132.69
99213 Established patient office or other outpatient visit, typically 15 minutes	239	154	$112.61	$93.07
99442 Telephone medical discussion with physician, 11-20 minutes	40	35	$110.63	$93.59
93000 Routine ekg using at least 12 leads including interpretation and report	35	33	$53.20	$14.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$278.74	$172.58
99496 Transitional care management services for problem of high complexity	16	16	$350.00	$287.84
G0008 Administration of influenza virus vaccine	12	12	$30.83	$27.33

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	365	253	$145.00	$135.17
99213 Established patient office or other outpatient visit, typically 15 minutes	239	152	$105.00	$95.67
93000 Routine ekg using at least 12 leads including interpretation and report	39	35	$55.00	$15.60
G0008 Administration of influenza virus vaccine	33	32	$27.00	$17.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$208.00	$176.09
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	26	26	$0.01	$0.01
99442 Telephone medical discussion with physician, 11-20 minutes	22	18	$97.73	$93.91
99496 Transitional care management services for problem of high complexity	17	15	$350.00	$287.86
81002 Urinalysis, manual test	16	16	$12.00	$3.48

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	328	219	$145.00	$113.67
99213 Established patient office or other outpatient visit, typically 15 minutes	263	160	$105.00	$77.70
99442 Telephone medical discussion with physician, 11-20 minutes	36	26	$116.67	$78.09
G0008 Administration of influenza virus vaccine	27	27	$27.00	$17.63
90662 Influenza vaccine split virus, preservative free	25	25	$0.01	$0.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$208.00	$172.24
93000 Routine ekg using at least 12 leads including interpretation and report	24	23	$55.00	$17.92
81002 Urinalysis, manual test	20	15	$12.00	$3.44
99496 Transitional care management services for problem of high complexity	20	15	$350.00	$254.69
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	15	12	$25.00	$15.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$143.00	$121.08

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	387	249	$145.00	$111.91
99213 Established patient office or other outpatient visit, typically 15 minutes	381	189	$105.00	$76.89
G0008 Administration of influenza virus vaccine	39	38	$27.00	$17.28
90662 Influenza vaccine split virus, preservative free	30	30	$0.01	$0.01
99496 Transitional care management services for problem of high complexity	29	23	$312.07	$240.02
81002 Urinalysis, manual test	27	21	$12.00	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$55.00	$17.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$208.00	$170.51
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	13	13	$20.00	$15.35
69210 Removal of impacted ear wax	13	13	$75.00	$49.31
99495 Transitional care management services for problem of at least moderate complexity	11	11	$212.73	$170.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$143.00	$120.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	392	191	$103.30	$75.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	308	217	$142.81	$111.22
36415 Insertion of needle into vein for collection of blood sample	148	115	$12.00	$2.94
84450 Liver enzyme (sgot), level	89	79	$19.00	$6.26
84460 Liver enzyme (sgpt), level	89	79	$19.00	$6.41
82565 Blood creatinine level	76	64	$20.00	$6.12
80061 Blood test, lipids (cholesterol and triglycerides)	75	69	$65.00	$15.98
84520 Urea nitrogen level to assess kidney function	74	63	$20.00	$4.72
84132 Blood potassium level	70	59	$21.00	$5.49
84295 Blood sodium level	70	59	$21.00	$5.74
82435 Blood chloride level	69	58	$21.00	$5.49
81000 Manual urinalysis test with examination using microscope, non-automated	54	51	$18.00	$3.87
82947 Blood glucose (sugar) level	49	43	$18.00	$4.65
81002 Urinalysis, manual test	43	34	$12.00	$3.41
82550 Creatine kinase (cardiac enzyme) level, total	40	37	$27.00	$7.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$208.00	$170.76
93000 Routine ekg using at least 12 leads including interpretation and report	36	34	$55.00	$17.70
83036 Hemoglobin A1C level	35	31	$41.00	$11.41
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	34	28	$19.00	$9.40
84443 Blood test, thyroid stimulating hormone (TSH)	33	29	$48.00	$20.33
G0103 Prostate cancer screening; prostate specific antigen test (psa)	30	30	$66.00	$22.26
87088 Bacterial urine culture	22	15	$24.00	$9.79
84439 Thyroxine (thyroid chemical), free	22	19	$65.00	$10.91
82043 Urine microalbumin (protein) level	22	21	$76.00	$7.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$133.00	$121.22
99496 Transitional care management services for problem of high complexity	20	17	$250.00	$241.52
90662 Influenza vaccine split virus, preservative free	16	16	$0.01	$0.01
G0008 Administration of influenza virus vaccine	15	15	$27.00	$21.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	431	210	$98.00	$74.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	284	209	$132.00	$110.13
36415 Insertion of needle into vein for collection of blood sample	161	117	$12.00	$2.94
84450 Liver enzyme (sgot), level	98	83	$19.00	$2.53
84460 Liver enzyme (sgpt), level	96	82	$19.00	$2.52
80061 Blood test, lipids (cholesterol and triglycerides)	87	75	$65.00	$9.13
82565 Blood creatinine level	78	68	$20.00	$1.96
84520 Urea nitrogen level to assess kidney function	76	66	$20.00	$1.95
84132 Blood potassium level	74	65	$21.00	$2.00
82435 Blood chloride level	74	65	$21.00	$2.00
84295 Blood sodium level	74	65	$21.00	$2.00
82947 Blood glucose (sugar) level	64	58	$18.00	$1.99
81002 Urinalysis, manual test	51	46	$12.00	$3.43
81000 Manual urinalysis test with examination using microscope, non-automated	50	48	$18.00	$4.26
83036 Hemoglobin A1C level	44	34	$41.00	$11.75
84443 Blood test, thyroid stimulating hormone (TSH)	42	36	$48.00	$22.59
82550 Creatine kinase (cardiac enzyme) level, total	40	30	$27.00	$3.67
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	37	32	$19.00	$10.45
93000 Routine ekg using at least 12 leads including interpretation and report	31	31	$55.00	$17.58
G0103 Prostate cancer screening; prostate specific antigen test (psa)	29	29	$66.00	$24.64
82043 Urine microalbumin (protein) level	23	20	$76.00	$7.77
84439 Thyroxine (thyroid chemical), free	21	17	$65.00	$12.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$128.00	$119.32
99496 Transitional care management services for problem of high complexity	16	12	$250.00	$238.16
87088 Bacterial urine culture	14	12	$24.00	$10.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$208.00	$168.34
G0008 Administration of influenza virus vaccine	11	11	$27.00	$26.42

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD08795

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

TO21159 (RI)

Commercial Insurance / Payer ID Blue Cross License

RI8795 (RI)

Commercial Insurance / Payer ID Blue Chip - Hmori

005002 (RI)

Commercial Insurance / Payer ID Unitedhealthcare

0400880 (RI)

Commercial Insurance / Payer ID State Of Ri License

MD08795 (RI)

Practice Associates & Co-Workers

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

15 Associated Practitioners

Dr. Ulana Farmer , MD

Internal Medicine

NPI 1114967585

Doctor of Medicine (M.D.)

Dr. Bartel Crisafi , MD

Family Medicine

NPI 1124079090

Doctor of Medicine (M.D.)

Dr. Rikhi D'souza , DO

Internal Medicine

NPI 1215924063

Doctor of Osteopathic Medicine (D.O.)

Dr. Monique Pouliot , DO

Internal Medicine

NPI 1285674614

Doctor of Osteopathic Medicine (D.O.)

Dr. Nitin Damle , MD

Internal Medicine

NPI 1457399388

Doctor of Medicine (M.D.)

Joseph Hunyady-Manes , NP

Nurse Practitioner

NPI 1477960359

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 10, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 10, 2007

Registered at 481 KINGSTOWN RD, WAKEFIELD, RI 028793626 (Tel: 4017890283)

📍

Updated Business Mailing Address July 10, 2007

Registered at 481 KINGSTOWN RD, WAKEFIELD, RI 028793626 (Tel: 4017890283)

👤

Provider Name / Credentials Updated July 10, 2007

Recorded as TIMOTHY O'MARA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2007

Internal Medicine (License #MD08795 in RI)

🟢

Initial NPI Registration & Enumeration June 14, 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: 1205879608

Entity Type:

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

Enumeration Date: June 14, 2006

Last Update: July 10, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

481 Kingstown Rd

Wakefield, RI 028793626

Phone: 4017890283

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.