Active NPI 1295723773 Individual Practitioner Male Practitioner

Dr. Philip J Reilly , MD

Orthopaedic Surgery • Warwick, RI

Professional Overview & Biography Verified Profile Summary

Dr. Philip Reilly, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Warwick, RI. Practice services are available at 120 CENTERVILLE RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, 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

120 Centerville Rd

Warwick, RI 028864336

Telephone 4017383730

Fax 4017383777

Associated Practice Facility / Clinic

🏢 West Bay Orthopaedics And Neurosurgery, Inc. Facility NPI 1871691204

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Warwick, RI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.0 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

14 Specialists

Practicing in Warwick, RI (154 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.8% 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 (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$170.00	$53.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	201	113	$170.00	$53.07
20610 Aspiration and/or injection of fluid from large joint	97	70	$141.00	$48.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$252.00	$79.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	43	$102.00	$26.32
73560 X-ray of knee, 1-2 views	56	45	$29.98	$9.26
73565 X-ray of both knees while standing	53	49	$34.00	$9.17
73030 X-ray of shoulder, minimum of 2 views	47	32	$27.78	$10.31
73502 X-ray of hip, 2-3 views	34	24	$38.80	$11.72
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$233.00	$104.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$250.00	$81.28
73562 X-ray of knee, 3 views	19	15	$33.60	$9.89
72100 X-ray of lower and sacral spine, 2-3 views	19	18	$32.80	$11.71
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$175.00	$52.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	201	127	$140.59	$72.92
20610 Aspiration and/or injection of fluid from large joint	99	76	$207.36	$60.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	64	$222.11	$109.17
73562 X-ray of knee, 3 views	80	63	$117.83	$36.58
J1040 Injection, methylprednisolone acetate, 80 mg	78	66	$19.08	$10.37
73030 X-ray of shoulder, minimum of 2 views	62	42	$95.71	$29.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	61	52	$89.79	$44.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$216.59	$108.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$335.20	$164.61
J1030 Injection, methylprednisolone acetate, 40 mg	29	15	$9.50	$6.26
73502 X-ray of hip, 2-3 views	26	20	$145.62	$42.93
72100 X-ray of lower and sacral spine, 2-3 views	25	25	$118.72	$36.39
73110 X-ray of wrist, minimum of 3 views	19	11	$117.11	$31.32
72170 X-ray of pelvis, 1-2 views	15	14	$100.27	$32.96

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License RI MD07857

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License MA 73223

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3066827 (MA)

Practice Associates & Co-Workers

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

20 Associated Practitioners

Dr. Vaughn Gooding , MD

Orthopaedic Surgery - Hand Surgery

NPI 1003815168

Doctor of Medicine (M.D.)

Arlene Kavanagh , PA-C

Physician Assistant - Surgical

NPI 1033488218

Physician Assistant (Certified)

Dr. Maria Guglielmo , MD

Neurological Surgery

NPI 1063504512

Doctor of Medicine (M.D.)

Ashley O'rourke

Nurse Practitioner - Acute Care

NPI 1114680881

Dr. William Brennan , MD

Orthopaedic Surgery

NPI 1114926185

Doctor of Medicine (M.D.)

Dr. Norman Kornwitz , MD

Orthopaedic Surgery

NPI 1124027297

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 May 05, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 05, 2008

Registered at 120 CENTERVILLE RD, WARWICK, RI 028864336 (Tel: 4017383730)

📍

Updated Business Mailing Address May 05, 2008

Registered at 120 CENTERVILLE RD, WARWICK, RI 028864336 (Tel: 4017383730)

👤

Provider Name / Credentials Updated May 05, 2008

Recorded as PHILIP REILLY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2008

Orthopaedic Surgery (License #MD07857 in RI)

🟢

Initial NPI Registration & Enumeration October 10, 2005

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: 1295723773

Entity Type:

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

Enumeration Date: October 10, 2005

Last Update: May 05, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

120 Centerville Rd

Warwick, RI 028864336

Phone: 4017383730

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.