Active NPI 1548499668 Individual Practitioner Male Practitioner

Dr. Mark Lewis Petrarca , DO

Emergency Medicine • Warwick, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mark Petrarca, DO is a certified Emergency Medicine practicing in Warwick, RI. With approximately 17 years of clinical experience since graduating from University Of New England, College Of Osteo Medicine in 2009, Dr. Petrarca delivers high-quality medical care to the local community at 455 TOLL GATE RD.

Dr. Petrarca maintains professional affiliations with Elliot Professional Services, St. Joseph Hospital Of Nashua Nh and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

455 Toll Gate Rd

Warwick, RI 028862759

Telephone 4017377010

Fax 4014537597

Associated Practice Facility / Clinic

🏢 Kent County Memorial Hospital Facility NPI 1386643294

Medicare Profile & Education

Medical School

University Of New England, College Of Osteo Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Warwick, RI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs +2.8 yrs vs City Avg

City Avg: 14.2 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

106 Specialists

Practicing in Warwick, RI (427 Statewide)

Telehealth Adoption Rate

1.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Petrarca (17 Years) 17 Yrs

Warwick Specialty Average (14.2 Years) 14.2 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
99285 Emergency department visit for life threatening or functioning severity	155	150	$442.46	$176.14
99213 Established patient office or other outpatient visit, typically 15 minutes	125	124	$200.38	$66.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	45	45	$285.87	$98.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$272.94	$81.91
99284 Emergency department visit with moderate level of medical decision making	34	32	$362.41	$121.36
99291 Critical care, first 30-74 minutes	15	15	$591.13	$214.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$133.27	$39.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	194	191	$397.79	$173.55
99213 Established patient office or other outpatient visit, typically 15 minutes	106	104	$185.65	$65.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	39	$260.36	$93.78
99284 Emergency department visit with moderate level of medical decision making	35	35	$395.03	$119.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$236.39	$82.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	188	185	$628.66	$177.62
99213 Established patient office or other outpatient visit, typically 15 minutes	136	136	$178.40	$67.26
99284 Emergency department visit with moderate level of medical decision making	56	56	$467.11	$122.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	38	$254.10	$98.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$223.42	$84.03
99283 Emergency department visit with low level of medical decision making	21	21	$280.29	$72.59
99291 Critical care, first 30-74 minutes	17	17	$557.00	$217.37
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	14	13	$108.00	$8.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$338.50	$136.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$110.92	$36.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	147	146	$352.00	$182.14
99213 Established patient office or other outpatient visit, typically 15 minutes	106	105	$149.00	$69.12
99284 Emergency department visit with moderate level of medical decision making	56	56	$240.00	$124.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$217.00	$85.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$219.00	$99.38
99291 Critical care, first 30-74 minutes	22	22	$557.00	$223.68
99283 Emergency department visit with low level of medical decision making	17	16	$128.00	$73.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$88.00	$36.84
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$156.71	$50.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	201	195	$427.16	$179.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	85	$217.99	$82.01
99284 Emergency department visit with moderate level of medical decision making	58	57	$254.03	$123.67
99291 Critical care, first 30-74 minutes	22	22	$672.64	$230.31
99283 Emergency department visit with low level of medical decision making	21	21	$214.33	$67.36
99213 Established patient office or other outpatient visit, typically 15 minutes	21	21	$148.43	$53.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$217.00	$76.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	238	229	$362.89	$175.45
99284 Emergency department visit with moderate level of medical decision making	59	57	$269.32	$119.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	56	$217.00	$79.55
99291 Critical care, first 30-74 minutes	31	31	$557.00	$226.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$217.00	$80.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$217.00	$77.67
99283 Emergency department visit with low level of medical decision making	14	14	$303.71	$62.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	314	301	$1138.13	$175.13
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	135	120	$108.00	$8.63
99284 Emergency department visit with moderate level of medical decision making	64	64	$672.44	$118.92
99283 Emergency department visit with low level of medical decision making	27	26	$606.59	$62.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$217.00	$79.90
99291 Critical care, first 30-74 minutes	26	26	$1014.31	$226.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	477	459	$1105.17	$173.21
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	110	95	$107.73	$8.57
99284 Emergency department visit with moderate level of medical decision making	91	91	$712.37	$116.23
99291 Critical care, first 30-74 minutes	65	65	$1378.43	$225.33
99283 Emergency department visit with low level of medical decision making	61	61	$527.56	$62.25

Medical Specialties & State Licenses

CMS Verified: 2022-10-31

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License NH 16048

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License RI LP01618

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

St. Joseph Hospital Of Nashua Nh

172 Kinsley St, Nashua, NH 030603648

Phone: 6038845600

Elliot Professional Services

1 Elliot Way, Manchester, NH 031033502

Phone: 6036632830

Secondary Practice Locations

172 Kinsley St

Nashua, NH 030603648

Phone: 6038823000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Christopher Palmer , DO

Internal Medicine

NPI 1003102302

Doctor of Osteopathic Medicine (D.O.)

Jennifer Jennings , NP

Nurse Practitioner - Adult Health

NPI 1003213257

Nurse Practitioner

Dr. Christopher Baze , DO

Emergency Medicine

NPI 1003550401

Doctor of Osteopathic Medicine (D.O.)

Dr. Kelly Sanchez , MD

Family Medicine

NPI 1003610312

Doctor of Medicine (M.D.)

Dr. Richard Pedro , DO

Anesthesiology

NPI 1013237924

Doctor of Osteopathic Medicine (D.O.)

Jessica Devine , FNP

Nurse Practitioner - Family

NPI 1013354430

Family Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2022

Student in an Organized Health Care Education/Training Program (License #LP01618 in RI)

✅

NPI Profile Active May 01, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 01, 2013

Registered at 455 TOLL GATE RD, WARWICK, RI 028862759 (Tel: 4017377010)

📍

Updated Business Mailing Address May 01, 2013

Registered at 455 TOLL GATE RD, WARWICK, RI 028862759 (Tel: 4017377010)

👤

Provider Name / Credentials Updated May 01, 2013

Recorded as MARK PETRARCA, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2013

Emergency Medicine (License #16048 in NH)

🟢

Initial NPI Registration & Enumeration July 10, 2009

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: 1548499668

Entity Type:

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

Enumeration Date: July 10, 2009

Last Update: October 31, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

455 Toll Gate Rd

Warwick, RI 028862759

Phone: 4017377010

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.