Active NPI 1033122098 Individual Practitioner Male Practitioner

Peter J Reilly , NP

Nurse Practitioner • Warwick, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Peter Reilly, NP is a certified Nurse Practitioner practicing in Warwick, RI. With approximately 29 years of clinical experience since graduating from Yale University School Of Medicine in 1997, Peter Reilly delivers high-quality medical care to the local community at 400 BALD HILL RD.

Peter Reilly maintains professional affiliations with Lifespan Physician Group Inc, Brown Dermatology Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Bald Hill Rd
Suite 526

Warwick, RI 028861617

Telephone 4017384323

Fax 4017383857

Associated Practice Facility / Clinic

🏢 Tollgate Sleep Disorders Center, Inc. Facility NPI 1598762106

Medicare Profile & Education

Medical School

Yale University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Warwick, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +17.3 yrs vs City Avg

City Avg: 11.7 Yrs

State Avg: 13.5 Yrs

Regional Practice Density

29 Specialists

Practicing in Warwick, RI (397 Statewide)

Telehealth Adoption Rate

3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Reilly (29 Years) 29 Yrs

Warwick Specialty Average (11.7 Years) 11.7 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	454	371	$210.00	$77.90
17003 Destruction of precancer skin growth, 2-14 growths	358	113	$16.00	$5.76
17000 Destruction of skin growth	188	164	$157.71	$51.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	129	$296.70	$109.90
17110 Destruction of up to 14 skin growths	77	69	$268.31	$97.84
11102 Tangential biopsy of single skin lesion	67	59	$238.85	$81.43
11103 Biopsy of related skin growth, each additional growth	15	12	$118.47	$43.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$260.71	$95.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	414	341	$212.74	$78.21
17003 Destruction of precancer skin growth, 2-14 growths	386	111	$16.00	$5.90
17000 Destruction of skin growth	201	172	$160.16	$53.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	131	$299.97	$110.84
11102 Tangential biopsy of single skin lesion	77	70	$246.30	$83.44
17110 Destruction of up to 14 skin growths	75	71	$272.16	$99.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$263.43	$97.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$391.32	$144.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	16	$133.50	$49.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	463	135	$16.00	$6.05
99213 Established patient office or other outpatient visit, typically 15 minutes	390	332	$214.68	$79.78
17000 Destruction of skin growth	226	195	$158.13	$53.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	148	$303.55	$110.92
11102 Tangential biopsy of single skin lesion	89	87	$248.39	$90.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$264.00	$98.94
17110 Destruction of up to 14 skin growths	63	60	$272.41	$101.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$393.79	$147.08
11104 Punch biopsy, first skin growth	15	15	$312.00	$111.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$132.57	$50.16
11103 Biopsy of related skin growth, each additional growth	13	11	$126.38	$45.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	334	104	$33.32	$5.88
99213 Established patient office or other outpatient visit, typically 15 minutes	333	293	$221.85	$81.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	185	163	$339.54	$115.17
17000 Destruction of skin growth	173	150	$166.87	$52.99
11102 Tangential biopsy of single skin lesion	88	83	$285.51	$86.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$297.68	$100.27
17110 Destruction of up to 14 skin growths	52	47	$305.63	$101.50
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	36	11	$15.00	$1.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$379.79	$149.53
11104 Punch biopsy, first skin growth	21	19	$302.29	$118.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	392	110	$40.00	$5.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	254	239	$349.21	$96.13
17000 Destruction of skin growth	194	171	$171.00	$50.29
99213 Established patient office or other outpatient visit, typically 15 minutes	189	166	$225.00	$66.84
11102 Tangential biopsy of single skin lesion	94	85	$300.00	$84.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	63	$130.00	$40.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$310.00	$95.75
17110 Destruction of up to 14 skin growths	62	59	$325.00	$99.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	35	15	$15.00	$1.44
11103 Biopsy of related skin growth, each additional growth	28	17	$300.00	$48.05
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$200.00	$67.60
11104 Punch biopsy, first skin growth	15	15	$300.00	$113.47
11900 Injection into skin growth, 1-7 growths	13	13	$125.14	$41.93
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	12	11	$516.98	$198.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	649	154	$40.00	$5.06
17000 Destruction of skin growth	260	211	$171.00	$51.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	229	$350.00	$95.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	201	153	$129.68	$40.10
99213 Established patient office or other outpatient visit, typically 15 minutes	168	154	$225.00	$64.65
11102 Tangential biopsy of single skin lesion	120	108	$300.00	$86.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$310.00	$96.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	78	24	$15.00	$1.60
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$200.00	$67.93
17110 Destruction of up to 14 skin growths	51	49	$325.00	$95.44
11104 Punch biopsy, first skin growth	39	39	$300.00	$107.33
11103 Biopsy of related skin growth, each additional growth	28	21	$300.00	$47.88
11900 Injection into skin growth, 1-7 growths	16	13	$125.14	$44.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	12	11	$75.00	$14.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	537	111	$36.91	$4.71
99213 Established patient office or other outpatient visit, typically 15 minutes	272	249	$225.00	$64.20
17000 Destruction of skin growth	214	167	$171.00	$50.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	189	133	$120.51	$38.73
11100 Biopsy of single growth of skin and/or tissue	138	120	$232.94	$87.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	66	$350.00	$95.06
17110 Destruction of up to 14 skin growths	64	61	$307.21	$99.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$297.39	$95.53
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$191.51	$66.38
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	33	12	$15.00	$1.79
11101 Biopsy of each additional growth of skin and/or tissue	30	25	$85.64	$29.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	446	101	$22.92	$4.92
99213 Established patient office or other outpatient visit, typically 15 minutes	351	313	$225.00	$63.74
17000 Destruction of skin growth	188	155	$171.00	$49.95
11100 Biopsy of single growth of skin and/or tissue	158	145	$232.94	$83.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	123	$99.06	$38.06
17110 Destruction of up to 14 skin growths	100	91	$249.08	$98.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$244.42	$93.57
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	46	18	$15.00	$1.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	28	$350.00	$94.11
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$168.60	$65.57
11101 Biopsy of each additional growth of skin and/or tissue	19	17	$73.64	$27.44

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License RI NPP35094

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

9025374 (RI)

Commercial Insurance / Payer ID Group Medicare

709004108 (RI)

Hospital & Practice Group Affiliations

Brown Dermatology Inc

593 Eddy St, Providence, RI 029034923

Phone: 4014447959

Lifespan Physician Group Inc

375 Wampanoag Trl, Riverside, RI 029152237

Phone: 4014447959

Practice Associates & Co-Workers

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

3 Associated Practitioners

Tami Menard , PA-C

Physician Assistant - Medical

NPI 1023019403

Physician Assistant (Certified)

Ashton Lokar , NP

Nurse Practitioner - Family

NPI 1376193896

Nurse Practitioner

Dr. Nicole Grenier , MD

Dermatology

NPI 1689899734

Doctor of Medicine (M.D.)

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 400 BALD HILL RD, SUITE 526, WARWICK, RI 028861617 (Tel: 4017384323)

📍

Updated Business Mailing Address July 10, 2007

Registered at 400 BALD HILL RD, SUITE 526, WARWICK, RI 028861617 (Tel: 4017384323)

👤

Provider Name / Credentials Updated July 10, 2007

Recorded as PETER REILLY, NP

🎓

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

Nurse Practitioner (License #NPP35094 in RI)

🟢

Initial NPI Registration & Enumeration August 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: 1033122098

Entity Type:

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

Enumeration Date: August 14, 2006

Last Update: July 10, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

400 Bald Hill Rd, Suite 526

Warwick, RI 028861617

Phone: 4017384323

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.