Active NPI 1528085289 Individual Practitioner Male Practitioner

Dr. Vincent James Zizza , DO

Urology • Warwick, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vincent Zizza, DO is a certified Urology practicing in Warwick, RI. With approximately 34 years of clinical experience since graduating from University Of New England, College Of Osteo Medicine in 1992, Dr. Zizza delivers high-quality medical care to the local community at 400 BALD HILL RD.

Dr. Zizza maintains professional affiliations with Armistice Urgent Care And Occupational Health, Inc., Garden City Treatment Center, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, automated urinalysis test. 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

Warwick, RI 028861617

Telephone 4017392984

Fax 4017390867

Associated Practice Facility / Clinic

🏢 Tollgate Sleep Disorders Center, Inc. Facility NPI 1598762106

Medicare Profile & Education

Medical School

University Of New England, College Of Osteo Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Warwick, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +1.3 yrs vs City Avg

City Avg: 32.7 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Warwick, RI (71 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

37.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Zizza (34 Years) 34 Yrs

Warwick Specialty Average (32.7 Years) 32.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	52	$174.38	$129.30
99213 Established patient office or other outpatient visit, typically 15 minutes	35	35	$150.00	$91.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$171.13	$109.84
81003 Automated urinalysis test	24	16	$25.00	$2.20
71046 X-ray of chest, 2 views	17	16	$61.91	$34.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$259.20	$168.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$35.00	$14.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	716	537	$254.89	$75.22
51798 Ultrasound measurement of bladder capacity after voiding	416	353	$77.81	$16.62
81003 Automated urinalysis test	326	286	$22.02	$2.68
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	177	26	$781.36	$205.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	166	47	$154.82	$40.56
76775 Limited ultrasound scan behind abdominal cavity	74	73	$353.38	$61.05
51741 Electronic assessment of bladder emptying	64	55	$100.78	$16.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$350.79	$112.16
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	56	38	$164.29	$46.26
52005 Insertion of tube into ureter using an endoscope through bladder area	51	43	$630.88	$88.66
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	44	27	$67.50	$32.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	30	$178.13	$45.77
52000 Diagnostic exam of bladder and urethra using an endoscope	30	28	$555.00	$174.57
50590 Shock wave crushing of kidney stones	27	20	$1355.56	$587.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$490.00	$209.95
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	19	$540.91	$62.66
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	21	20	$1300.00	$205.79
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	21	20	$535.71	$33.70
55700 Biopsy of prostate gland	21	18	$535.71	$263.20
99306 Initial nursing facility visit, typically 45 minutes per day	19	19	$423.68	$172.72
55700 Biopsy of prostate gland	18	17	$550.00	$138.69
76872 Ultrasound scan of pelvic region through rectum	17	14	$429.41	$101.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$300.00	$170.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$281.25	$112.06
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	11	11	$625.45	$258.63
52332 Insertion of stent in urinary duct (ureter) using an endoscope	11	11	$1005.91	$116.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding	703	485	$35.00	$20.21
99213 Established patient office or other outpatient visit, typically 15 minutes	694	516	$200.00	$74.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	496	138	$100.00	$40.15
81003 Automated urinalysis test	444	346	$15.00	$2.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	317	286	$150.00	$44.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	245	233	$250.00	$108.33
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	201	23	$550.00	$198.19
76775 Limited ultrasound scan behind abdominal cavity	138	119	$175.00	$60.84
51741 Electronic assessment of bladder emptying	137	101	$150.00	$15.98
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	118	60	$100.00	$45.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	78	70	$450.00	$207.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$250.00	$110.11
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	63	30	$60.00	$33.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$300.00	$165.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	56	48	$325.00	$140.00
52000 Diagnostic exam of bladder and urethra using an endoscope	52	50	$325.00	$163.96
50590 Shock wave crushing of kidney stones	41	33	$1200.00	$593.10
52005 Insertion of tube into ureter using an endoscope through bladder area	39	35	$425.00	$70.63
52204 Biopsy of the bladder using an endoscope	39	37	$600.00	$128.35
52332 Insertion of stent in urinary duct (ureter) using an endoscope	38	34	$815.00	$138.19
99306 Initial nursing facility visit, typically 45 minutes per day	36	35	$350.00	$170.94
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	29	20	$380.00	$151.77
76872 Ultrasound scan of pelvic region through rectum	23	22	$200.00	$93.81
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	20	$350.00	$61.36
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	21	$350.00	$33.38
55700 Biopsy of prostate gland	22	21	$350.00	$129.24
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	21	15	$100.00	$45.92
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	18	$380.00	$253.85
55700 Biopsy of prostate gland	18	18	$350.00	$258.31
99238 Hospital discharge day management, 30 minutes or less	17	16	$200.00	$74.58
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	13	13	$310.00	$36.02
52240 Destruction and/or removal of large growth of bladder using an endoscope	13	11	$600.00	$409.44
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$250.00	$103.63
51700 Simple bladder irrigation and/or instillation	11	11	$150.00	$75.96
52351 Diagnostic examination of the bladder, bladder canal (urethra), and urinary duct (ureter) or kidney using an endoscope	11	11	$475.00	$244.51

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License RI DO00487

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Specialist

NUCC Taxonomy Code: 174400000X

State License RI DO487

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

TC72651 (RI)

Commercial Insurance / Payer ID Tufts Health Plan

794230 (RI)

Commercial Insurance / Payer ID Harvard Pilgrim Health Care

AA38818 (RI)

Commercial Insurance / Payer ID United Healthcare

1805526 (RI)

Commercial Insurance / Payer ID Cigna

8177408002 (RI)

Commercial Insurance / Payer ID Aetna

7716215 (RI)

Commercial Insurance / Payer ID Blue Cross & Blue Shield Of Rhode Island

402643 (RI)

Commercial Insurance / Payer ID United Healthcare

2969061 (RI)

Commercial Insurance / Payer ID Neighborhood Health Plan Of Rhode Island

10246 (RI)

Commercial Insurance / Payer ID Railroad Medicare

DN3002 (RI)

Hospital & Practice Group Affiliations

Armistice Urgent Care And Occupational Health, Inc.

209 - 211 Armistice Blvd, Pawtucket, RI 028603242

Armistice Urgent Care And Occupational Health, Inc.

209 - 211 Armistice Blvd, Pawtucket, RI 028603242

Phone: 4017254100

Garden City Treatment Center, Inc.

1150 Reservoir Ave, Cranston, RI 029206074

Phone: 401946240020

Practice Associates & Co-Workers

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

40 Associated Practitioners

Lindsay Hillenberg

Social Worker - Clinical

NPI 1003778622

Tami Menard , PA-C

Physician Assistant - Medical

NPI 1023019403

Physician Assistant (Certified)

Peter Reilly , NP

Nurse Practitioner

NPI 1033122098

Nurse Practitioner

Dr. Tara Bogs , PhD

Psychologist - Clinical

NPI 1043385081

Doctor of Philosophy (Ph.D.)

Dr. Amber Champagne , PsyD

Psychologist - Clinical

NPI 1073245940

Doctor of Psychology (Psy.D.)

Dr. Robert Ellison , MD

Internal Medicine

NPI 1083610836

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 November 20, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 20, 2012

Registered at 400 BALD HILL RD, WARWICK, RI 028861617 (Tel: 4017392984)

📍

Updated Business Mailing Address November 20, 2012

Registered at 176 TOLL GATE ROAD, SUITE 301, WARWICK, RI 028864411 (Tel: 4017392984)

👤

Provider Name / Credentials Updated November 20, 2012

Recorded as VINCENT ZIZZA, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2012

Specialist (License #DO487 in RI)

🟢

Initial NPI Registration & Enumeration July 17, 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: 1528085289

Entity Type:

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

Enumeration Date: July 17, 2006

Last Update: November 20, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

176 Toll Gate Road, Suite 301

Warwick, RI 028864411

Phone: 4017392984

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.