Active NPI 1154372472 Individual Practitioner Male Practitioner

Dr. Anthony Lawrence Lombardi , MD

Internal Medicine • Warwick, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Lombardi, MD is a certified Internal Medicine practicing in Warwick, RI. With approximately 32 years of clinical experience since graduating from Creighton University School Of Medicine in 1994, Dr. Lombardi delivers high-quality medical care to the local community at 444 W SHORE RD.

Dr. Lombardi is affiliated with Affinity Physicians Llc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office 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, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

444 W Shore Rd

Warwick, RI 028891326

Telephone 4017387014

Fax 4017382461

Associated Practice Facility / Clinic

🏢 Kent County Memorial Hospital Facility NPI 1386643294

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Warwick, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +14.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

121 Specialists

Practicing in Warwick, RI (1079 Statewide)

Telehealth Adoption Rate

10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lombardi (32 Years) 32 Yrs

Warwick Specialty Average (17.8 Years) 17.8 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	419	155	$214.00	$91.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	112	91	$301.00	$129.33
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	26	25	$37.00	$16.41
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	25	12	$101.00	$40.28
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	15	$297.00	$132.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	529	162	$214.00	$91.87
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	51	18	$101.00	$40.13
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	37	29	$297.00	$134.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$301.00	$130.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	568	180	$209.72	$93.55
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	42	19	$101.50	$44.46
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	33	26	$299.12	$130.65
99442 Telephone medical discussion with physician, 11-20 minutes	26	21	$213.00	$93.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$294.71	$133.36
99443 Telephone medical discussion with physician, 21-30 minutes	14	12	$271.36	$132.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	560	196	$176.00	$95.68
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	101	37	$104.00	$45.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	49	$257.00	$133.95
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	43	34	$307.00	$133.96
99443 Telephone medical discussion with physician, 21-30 minutes	24	21	$141.88	$109.44
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$114.38	$77.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	523	216	$176.00	$77.62
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	95	36	$104.00	$46.02
99443 Telephone medical discussion with physician, 21-30 minutes	81	61	$96.96	$95.92
99442 Telephone medical discussion with physician, 11-20 minutes	65	56	$64.20	$63.13
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	45	40	$307.00	$135.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	38	$257.00	$111.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$389.00	$172.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	799	240	$175.36	$76.03
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	108	95	$306.35	$134.55
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	67	32	$104.00	$45.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$256.58	$113.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	790	256	$170.00	$72.62
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	142	131	$302.00	$131.07
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	94	46	$104.00	$44.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$383.00	$158.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$250.00	$108.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	881	295	$170.00	$71.38
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	114	105	$302.00	$129.63
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	77	38	$104.00	$44.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$250.00	$107.36

Medical Specialties & State Licenses

CMS Verified: 2025-08-12

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD09347

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

AL41751 (RI)

Commercial Insurance / Payer ID Blue Shield

22358 (RI)

Commercial Insurance / Payer ID Uhc

0403375 (RI)

Commercial Insurance / Payer ID Aetna Alpha Numeric

2501708 (RI)

Commercial Insurance / Payer ID Blue Chip

403219 (RI)

Hospital & Practice Group Affiliations

Affinity Physicians Llc.

455 Toll Gate Rd, Warwick, RI 028862759

Phone: 4017377010

Secondary Practice Locations

21 College Hill Rd, 1st Floor

Warwick, RI 028862771

Phone: 4018286800

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Nicholas Turilli , DO

Internal Medicine

NPI 1265599393

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 17, 2023

Registered at 444 W SHORE RD, WARWICK, RI 028891326 (Tel: 4017387015)

📍

Updated Business Mailing Address February 17, 2023

Registered at 455 TOLL GATE RD, WARWICK, RI 028862759 (Tel: 4012730641)

✅

NPI Profile Active February 26, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 26, 2010

Registered at 21 COLLEGE HILL RD, 1ST FLOOR, WARWICK, RI 028862771 (Tel: 4018286800)

📍

Updated Business Mailing Address February 26, 2010

Registered at 21 COLLEGE HILL RD, 1ST FLOOR, WARWICK, RI 028862771 (Tel: 4018286800)

👤

Provider Name / Credentials Updated February 26, 2010

Recorded as ANTHONY LOMBARDI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2010

Internal Medicine (License #MD09347 in RI)

🟢

Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Anthony Lombardi. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1154372472

Entity Type:

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

Enumeration Date: May 12, 2006

Last Update: August 12, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

455 Toll Gate Rd

Warwick, RI 028862759

Phone: 4012730641

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.