Active NPI 1477579407 Individual Practitioner Male Practitioner

Dr. Mark J Mancini , MD

Internal Medicine - Nephrology • Westerly, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Mancini, MD is a certified Internal Medicine - Nephrology practicing in Westerly, RI. With approximately 34 years of clinical experience since graduating from University Of Connecticut School Of Medicine in 1992, Dr. Mancini delivers high-quality medical care to the local community at 268 POST RD STE 204.

Dr. Mancini is affiliated with Silver Spring Health Care Management Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units, injection, epoetin alfa, (for non-esrd use), 1000 units, established 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

268 Post Rd Ste 204

Westerly, RI 028916601

Telephone 4015963313

Fax 4015962650

Associated Practice Facility / Clinic

🏢 Shoreline Nephrology Associates, Inc. Facility NPI 1770665424

Medicare Profile & Education

Medical School

University Of Connecticut School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Westerly, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +4.0 yrs vs City Avg

City Avg: 30.0 Yrs

State Avg: 17.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Westerly, RI (53 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mancini (34 Years) 34 Yrs

Westerly Specialty Average (30.0 Years) 30.0 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
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	2,830	27	$38.00	$7.19
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	740	11	$47.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	500	283	$277.56	$127.79
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	188	34	$757.32	$348.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	132	50	$105.98	$48.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	121	30	$31.45	$14.33
85018 Blood count, hemoglobin	103	27	$5.30	$2.32
99213 Established patient office or other outpatient visit, typically 15 minutes	83	76	$194.52	$88.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	81	39	$168.40	$76.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$358.64	$166.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	33	$278.46	$128.74
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	34	20	$630.68	$290.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$385.40	$179.30
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	11	11	$36.00	$16.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	3,320	30	$35.84	$7.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	463	263	$262.77	$123.22
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	440	12	$45.60	$6.58
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	188	26	$716.06	$338.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	117	33	$29.41	$13.79
99213 Established patient office or other outpatient visit, typically 15 minutes	111	97	$182.69	$87.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	86	46	$161.37	$75.85
85018 Blood count, hemoglobin	68	21	$4.22	$2.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	27	$99.50	$47.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$341.24	$160.95
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	33	17	$597.91	$279.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	29	$262.06	$124.87
90935 Hemodialysis procedure with physician evaluation	27	11	$143.67	$68.39
99442 Telephone medical discussion with physician, 11-20 minutes	17	16	$183.29	$87.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$367.29	$173.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	4,760	38	$35.48	$7.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	373	197	$271.00	$124.81
99213 Established patient office or other outpatient visit, typically 15 minutes	264	202	$191.00	$89.07
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	188	25	$693.00	$346.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	148	38	$28.00	$14.18
85018 Blood count, hemoglobin	121	31	$5.00	$2.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	88	52	$148.00	$68.96
90935 Hemodialysis procedure with physician evaluation	37	16	$140.00	$70.36
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	26	$79.00	$37.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$279.00	$130.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$350.00	$164.77
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	26	12	$576.00	$289.30
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	17	$212.00	$98.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$235.00	$110.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$411.00	$191.93
81001 Manual urinalysis test with examination using microscope, automated	12	12	$10.00	$3.17
99442 Telephone medical discussion with physician, 11-20 minutes	11	11	$192.00	$89.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	4,780	37	$35.48	$8.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	452	229	$260.95	$133.58
99213 Established patient office or other outpatient visit, typically 15 minutes	257	199	$184.65	$94.38
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	196	26	$693.00	$367.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	179	92	$140.29	$73.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	134	37	$28.00	$14.34
85018 Blood count, hemoglobin	83	24	$6.00	$2.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	49	$198.75	$106.40
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	61	$268.52	$138.18
90935 Hemodialysis procedure with physician evaluation	63	30	$140.00	$74.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	43	$76.45	$38.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	42	$390.78	$205.12
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	37	19	$576.00	$305.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$331.84	$174.50
81003 Automated urinalysis test	29	28	$6.00	$2.25
99442 Telephone medical discussion with physician, 11-20 minutes	26	26	$184.15	$94.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	22	$364.46	$180.12
81001 Manual urinalysis test with examination using microscope, automated	17	16	$10.00	$2.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$229.67	$109.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	2,991	21	$35.48	$8.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	490	262	$229.00	$112.58
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	203	28	$599.75	$297.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	198	93	$152.00	$75.48
99213 Established patient office or other outpatient visit, typically 15 minutes	190	153	$158.00	$77.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	89	21	$30.00	$14.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	88	59	$218.00	$108.78
85018 Blood count, hemoglobin	71	16	$5.00	$2.33
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	60	$288.75	$143.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	54	$424.00	$211.65
99442 Telephone medical discussion with physician, 11-20 minutes	56	56	$116.00	$78.38
90935 Hemodialysis procedure with physician evaluation	55	25	$154.00	$76.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	40	$83.92	$40.99
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	26	20	$504.77	$251.04
81001 Manual urinalysis test with examination using microscope, automated	25	25	$7.00	$3.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	23	$307.00	$148.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$345.00	$171.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units	1,370	16	$35.48	$9.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	541	296	$228.94	$108.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	356	133	$152.05	$72.82
99213 Established patient office or other outpatient visit, typically 15 minutes	228	170	$155.87	$73.59
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	222	32	$597.00	$286.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	106	97	$287.00	$136.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	87	53	$218.00	$105.43
90935 Hemodialysis procedure with physician evaluation	84	33	$153.90	$73.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	57	$424.03	$203.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	18	$35.33	$16.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	38	$82.93	$39.61
90970 Dialysis services, per day, less than full month service (20 years or older)	36	19	$16.00	$7.95
81001 Manual urinalysis test with examination using microscope, automated	35	30	$7.17	$3.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$346.00	$164.70
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	31	21	$502.00	$238.37
81003 Automated urinalysis test	24	23	$4.09	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	1,600	16	$43.58	$12.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	538	291	$225.35	$105.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	278	119	$151.62	$71.52
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	242	31	$588.00	$279.21
99213 Established patient office or other outpatient visit, typically 15 minutes	209	165	$152.85	$71.88
90935 Hemodialysis procedure with physician evaluation	91	30	$150.00	$71.83
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	75	69	$285.77	$134.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	70	51	$217.17	$103.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	62	52	$81.69	$38.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	55	$422.20	$200.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	17	$49.20	$20.08
81003 Automated urinalysis test	39	39	$5.85	$2.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$344.32	$151.88
81001 Manual urinalysis test with examination using microscope, automated	36	30	$9.00	$3.75
90970 Dialysis services, per day, less than full month service (20 years or older)	35	17	$16.00	$7.65
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	24	19	$495.00	$235.46
85018 Blood count, hemoglobin	19	12	$14.00	$2.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$430.00	$203.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units	1,041	11	$43.58	$13.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	455	210	$224.00	$104.37
99213 Established patient office or other outpatient visit, typically 15 minutes	259	165	$151.00	$71.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	254	118	$149.00	$69.42
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	252	31	$588.00	$272.35
90935 Hemodialysis procedure with physician evaluation	98	32	$150.00	$70.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	66	$283.00	$132.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	45	$215.00	$101.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	57	46	$81.00	$38.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	43	$419.00	$196.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	49	14	$53.00	$25.26
81001 Manual urinalysis test with examination using microscope, automated	32	29	$9.00	$4.26
81003 Automated urinalysis test	24	20	$5.50	$2.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$341.00	$160.11
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	15	13	$495.00	$231.56

Medical Specialties & State Licenses

CMS Verified: 2022-03-02

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License RI MD 10090

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Medical License

MD 10090 (RI)

Hospital & Practice Group Affiliations

Silver Spring Health Care Management Inc

268 Post Rd, Westerly, RI 028916601

Phone: 4015963313

Silver Spring Health Care Management Inc

70 Kenyon Ave, Wakefield, RI 028794241

Phone: 4017898543

Silver Spring Health Care Management Inc

100 Kenyon Ave, Wakefield, RI 028794216

Phone: 4017828000

Silver Spring Health Care Management Inc

70 Kenyon Ave, Wakefield, RI 028794239

Phone: 4017820090

Secondary Practice Locations

70 Kenyon Ave Unit 326

Wakefield, RI 028794253

Phone: 4017820090

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Joseph Romanello , MD

Internal Medicine - Nephrology

NPI 1609889419

Doctor of Medicine (M.D.)

Dr. Robert Serra , MD

Internal Medicine - Nephrology

NPI 1740394030

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 02, 2022

Registered at 268 POST RD STE 204, WESTERLY, RI 028916601 (Tel: 4015963313)

📍

Updated Business Mailing Address March 02, 2022

Registered at 268 POST RD STE 204, WESTERLY, RI 028916601 (Tel: 4015963313)

✅

NPI Profile Active November 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location November 16, 2015

Registered at 17 WELLS ST, SUITE 202, WESTERLY, RI 028912923 (Tel: 4015963313)

📍

Updated Business Mailing Address November 16, 2015

Registered at PO BOX 229, WAKEFIELD, RI 028800229 (Tel: 4017883929)

👤

Provider Name / Credentials Updated November 16, 2015

Recorded as MARK MANCINI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2015

Internal Medicine (License #MD 10090 in RI)

🟢

Initial NPI Registration & Enumeration July 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: 1477579407

Entity Type:

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

Enumeration Date: July 14, 2006

Last Update: March 02, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

268 Post Rd Ste 204

Westerly, RI 028916601

Phone: 4015963313

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.