Deactivated NPI 1124059555 Deactivated / Inactive NPI Male Practitioner

Dr. Prabhakar Tipirneni , MD

Specialist • Wakefield, RI

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Prabhakar Tipirneni has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 05, 2006

NPI Deactivation Date March 19, 2026

Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Prabhakar Tipirneni, MD was a registered Specialist practicing in Wakefield, RI. Throughout an active medical career spanning 20 years, Dr. Tipirneni provided care at the practice location at 24 SALT POND RD until profile deactivation on 2026-03-19.

Historical Medicare Part B clinical services included professional service for preparation and provision of, established patient outpatient office visit, professional service for multiple injections of allergen. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

24 Salt Pond Rd
Building H-2

Wakefield, RI 028794314

Telephone 4017890227

Fax 4017894882

Associated Practice Facility / Clinic

🏢 Frank A. Dequattro, Dmd Facility NPI 1508828088

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Wakefield, RI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 55.0 Yrs

State Avg: 34.6 Yrs

Regional Practice Density

7 Specialists

Practicing in Wakefield, RI (216 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.7% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,570	28	$55.00	$14.83
99213 Established patient office or other outpatient visit, typically 15 minutes	569	367	$132.00	$91.34
95117 Professional service for multiple injections of allergen	332	23	$34.00	$12.52
92557 Comprehensive hearing and speech recognition test	268	247	$214.00	$36.49
92567 Eardrum testing using ear probe	266	247	$133.00	$16.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	151	151	$264.00	$167.02
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	80	78	$150.00	$52.49
31575 Diagnostic exam of voice box using a flexible endoscope	47	39	$500.00	$130.50
69210 Removal of impacted ear wax	38	36	$75.00	$46.92
69209 Removal of impacted ear wax by washing	32	24	$35.00	$18.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	19	$186.00	$128.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$186.00	$111.78
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$300.00	$221.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,580	29	$55.00	$15.58
99213 Established patient office or other outpatient visit, typically 15 minutes	622	395	$132.00	$91.75
95117 Professional service for multiple injections of allergen	335	27	$34.00	$12.16
92567 Eardrum testing using ear probe	328	290	$133.00	$16.75
92557 Comprehensive hearing and speech recognition test	325	288	$214.00	$37.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	172	172	$264.00	$168.50
95115 Injection of incremental dosages of allergen	110	12	$34.00	$10.41
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	91	88	$150.00	$53.30
31575 Diagnostic exam of voice box using a flexible endoscope	40	38	$500.00	$134.50
69210 Removal of impacted ear wax	39	36	$75.00	$48.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$186.00	$114.49
69209 Removal of impacted ear wax by washing	25	22	$35.00	$17.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	1,839	28	$55.00	$16.42
99213 Established patient office or other outpatient visit, typically 15 minutes	585	362	$132.00	$94.09
95117 Professional service for multiple injections of allergen	316	24	$34.00	$12.18
92557 Comprehensive hearing and speech recognition test	298	271	$214.00	$39.21
92567 Eardrum testing using ear probe	296	270	$133.00	$17.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	150	$264.00	$172.03
95115 Injection of incremental dosages of allergen	93	15	$34.00	$10.03
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	79	76	$150.00	$53.13
69210 Removal of impacted ear wax	57	50	$75.00	$49.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$186.00	$116.37
31575 Diagnostic exam of voice box using a flexible endoscope	45	42	$500.00	$137.20
69209 Removal of impacted ear wax by washing	24	22	$35.00	$16.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	2,041	27	$55.00	$16.85
99213 Established patient office or other outpatient visit, typically 15 minutes	548	356	$132.00	$95.71
92557 Comprehensive hearing and speech recognition test	303	276	$214.00	$40.29
92567 Eardrum testing using ear probe	300	276	$133.00	$17.33
95117 Professional service for multiple injections of allergen	277	25	$34.00	$12.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	127	127	$264.00	$172.74
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	102	97	$150.00	$52.98
69210 Removal of impacted ear wax	72	62	$75.00	$50.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$186.00	$116.98
31575 Diagnostic exam of voice box using a flexible endoscope	39	36	$500.00	$137.22
69209 Removal of impacted ear wax by washing	14	12	$35.00	$16.75
92540 Evaluation and testing for balance with recording	11	11	$264.00	$116.65
92537 Test to assess balance during warm and cool irrigation in both ears	11	11	$120.00	$44.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	2,253	30	$55.00	$15.40
95027 Test for allergy using airborne allergenic extract injected into skin	636	26	$16.00	$5.25
99213 Established patient office or other outpatient visit, typically 15 minutes	599	386	$132.00	$77.92
95117 Professional service for multiple injections of allergen	294	26	$34.00	$11.32
92557 Comprehensive hearing and speech recognition test	220	202	$214.00	$39.63
92567 Eardrum testing using ear probe	207	189	$133.00	$16.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$264.00	$168.70
69210 Removal of impacted ear wax	100	89	$75.00	$49.82
95115 Injection of incremental dosages of allergen	93	13	$34.00	$9.79
31575 Diagnostic exam of voice box using a flexible endoscope	60	51	$574.32	$130.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$186.00	$112.87
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	52	49	$150.00	$53.28
69209 Removal of impacted ear wax by washing	37	31	$35.00	$13.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$108.00	$47.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	2,260	26	$55.00	$14.85
99213 Established patient office or other outpatient visit, typically 15 minutes	639	403	$132.00	$76.73
95117 Professional service for multiple injections of allergen	293	22	$34.00	$11.10
92567 Eardrum testing using ear probe	253	222	$133.00	$15.72
92557 Comprehensive hearing and speech recognition test	251	220	$214.00	$39.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	190	190	$264.00	$166.82
69210 Removal of impacted ear wax	118	96	$75.00	$49.14
95115 Injection of incremental dosages of allergen	94	12	$34.00	$9.68
31575 Diagnostic exam of voice box using a flexible endoscope	80	69	$591.00	$121.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$186.00	$112.44
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	65	62	$150.00	$51.54
69209 Removal of impacted ear wax by washing	42	36	$35.00	$14.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$108.00	$46.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$186.00	$106.71
30520 Reshaping of nasal cartilage	11	11	$4356.00	$664.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	2,261	28	$47.25	$13.55
99213 Established patient office or other outpatient visit, typically 15 minutes	726	432	$112.03	$75.16
95117 Professional service for multiple injections of allergen	268	27	$29.26	$10.78
92557 Comprehensive hearing and speech recognition test	248	219	$182.82	$38.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	219	219	$224.42	$167.86
92567 Eardrum testing using ear probe	214	196	$113.15	$14.86
69210 Removal of impacted ear wax	111	99	$63.59	$50.07
95115 Injection of incremental dosages of allergen	108	15	$29.00	$9.29
31575 Diagnostic exam of voice box using a flexible endoscope	82	71	$504.78	$114.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$158.10	$111.25
92550 Test for eardrum and muscle function	13	13	$49.23	$22.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	2,053	27	$46.20	$13.12
99213 Established patient office or other outpatient visit, typically 15 minutes	715	419	$110.00	$72.46
95117 Professional service for multiple injections of allergen	254	22	$28.60	$10.31
92567 Eardrum testing using ear probe	217	189	$111.10	$14.35
92557 Comprehensive hearing and speech recognition test	216	188	$178.20	$37.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	211	211	$217.34	$162.14
95115 Injection of incremental dosages of allergen	148	22	$28.60	$8.96
69210 Removal of impacted ear wax	114	101	$62.70	$48.70
31575 Diagnostic exam of voice box using a flexible endoscope	82	69	$492.80	$114.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$151.17	$107.84
92540 Evaluation and testing for balance with recording	15	15	$220.00	$102.40
92537 Test to assess balance during warm and cool irrigation in both ears	15	15	$100.00	$40.34

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License RI RI6624

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

22 Associated Practitioners

Dr. Judith Gilmore , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1114003209

Doctor of Medicine (M.D.)

Jayson Spas

Marriage & Family Therapist

NPI 1114126257

Diane Hall , RN, PCNS

Registered Nurse - Psychiatric/Mental Health, Adult

NPI 1134284805

Registered Nurse, PCNS

Nancy Himmel , LMFT

Marriage & Family Therapist

NPI 1164509238

Licensed Marriage and Family Therapist

Dr. Carol Bongiovanni , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1184134686

Doctor of Dental Medicine

Dr. Sean Patrick , DDS

Dentist - General Practice

NPI 1265743538

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated March 19, 2026

Record deactivated on March 19, 2026

✅

NPI Profile Active February 20, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location February 20, 2008

Registered at 24 SALT POND RD, BUILDING H-2, WAKEFIELD, RI 028794314 (Tel: 4017890227)

📍

Updated Business Mailing Address February 20, 2008

Registered at 24 SALT POND RD, BUILDING H2, WAKEFIELD, RI 02879 (Tel: 4017890227)

👤

Provider Name / Credentials Updated February 20, 2008

Recorded as PRABHAKAR TIPIRNENI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2008

Specialist (License #RI6624 in RI)

🟢

Initial NPI Registration & Enumeration July 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: 1124059555

Entity Type:

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

Enumeration Date: July 05, 2006

Last Update: February 20, 2008

Deactivation Date: March 19, 2026

Update or Correct Profile

Mailing Address

24 Salt Pond Rd, Building H2

Wakefield, RI 02879

Phone: 4017890227

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.