Active NPI 1053324384 Individual Practitioner Male Practitioner

Dr. James G Stuart , DO

Internal Medicine • Westerly, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Stuart, DO is a certified Internal Medicine practicing in Westerly, RI. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Stuart delivers high-quality medical care to the local community at 46 WELLS STREET.

Dr. Stuart accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, influenza vaccine split virus, preservative free. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

46 Wells Street

Westerly, RI 02891

Telephone 4015960174

Fax 4015962266

Associated Practice Facility / Clinic

🏢 Westerly Medical Center Inc Facility NPI 1588777957

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Westerly, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs -1.1 yrs vs City Avg

City Avg: 34.1 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

18 Specialists

Practicing in Westerly, RI (1079 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

37.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stuart (33 Years) 33 Yrs

Westerly Specialty Average (34.1 Years) 34.1 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	104	77	$126.00	$90.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	61	$170.00	$128.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$270.00	$130.22
90662 Influenza vaccine split virus, preservative free	16	16	$0.01	$0.01
G0008 Administration of influenza virus vaccine	16	16	$50.00	$32.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	166	101	$126.00	$88.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$270.00	$131.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	59	$170.00	$129.06
G0008 Administration of influenza virus vaccine	27	27	$50.00	$31.37
90662 Influenza vaccine split virus, preservative free	18	18	$0.01	$0.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	98	$126.00	$93.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	82	$170.00	$132.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	95	95	$270.00	$134.92
G0008 Administration of influenza virus vaccine	26	26	$50.00	$30.61
90662 Influenza vaccine split virus, preservative free	24	24	$0.01	$0.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	173	103	$126.00	$95.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	148	91	$170.00	$136.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	121	121	$270.00	$139.13
G0008 Administration of influenza virus vaccine	47	47	$50.00	$17.73
90662 Influenza vaccine split virus, preservative free	33	33	$0.01	$0.01
99496 Transitional care management services for problem of high complexity	13	13	$250.00	$251.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	181	117	$126.80	$78.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	89	$179.55	$113.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	104	104	$270.00	$121.21
G0008 Administration of influenza virus vaccine	59	57	$50.00	$17.61
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	42	17	$45.00	$24.35
90662 Influenza vaccine split virus, preservative free	36	34	$18.76	$4.58
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	20	20	$0.01	$0.01
G0009 Administration of pneumococcal vaccine	15	15	$30.00	$17.54
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$10.84	$10.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	302	168	$126.00	$76.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	237	135	$185.00	$112.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	98	98	$270.00	$120.24
G0008 Administration of influenza virus vaccine	47	47	$50.00	$17.28
90662 Influenza vaccine split virus, preservative free	39	39	$69.36	$28.30
G0009 Administration of pneumococcal vaccine	18	18	$30.00	$17.28
90670 Pneumococcal vaccine for injection into muscle	16	16	$55.32	$54.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	325	176	$126.00	$75.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	161	$185.00	$111.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	131	131	$270.00	$121.22
G0008 Administration of influenza virus vaccine	36	36	$50.00	$21.32
G0009 Administration of pneumococcal vaccine	31	31	$30.65	$21.32
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	22	22	$40.23	$17.34
90670 Pneumococcal vaccine for injection into muscle	15	15	$72.33	$70.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$230.00	$170.99
90662 Influenza vaccine split virus, preservative free	12	12	$24.17	$17.44

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	476	215	$185.00	$106.36
99213 Established patient office or other outpatient visit, typically 15 minutes	327	191	$126.00	$72.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	87	87	$270.00	$114.59
83036 Hemoglobin A1C level	41	26	$50.00	$11.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$235.00	$168.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$230.00	$162.87

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI 0485

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

7006097 (RI)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Jeffrey Christian , MD

Surgery

NPI 1164435491

Doctor of Medicine (M.D.)

Russell Lenihan , PA

Physician Assistant

NPI 1780697011

Physician Assistant

Allen Leadbetter

Surgery

NPI 1790798023

Dr. Walter Lentz , MD

Internal Medicine

NPI 1871506105

Doctor of Medicine (M.D.)

Dr. Edsell Bernardo , MD

Internal Medicine

NPI 1962664706

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 April 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 24, 2015

Registered at 46 WELLS STREET, WESTERLY, RI 02891 (Tel: 4015960174)

📍

Updated Business Mailing Address April 24, 2015

Registered at 46 WELLS STREET, WESTERLY, RI 02891 (Tel: 4015960174)

👤

Provider Name / Credentials Updated April 24, 2015

Recorded as JAMES STUART, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2015

Internal Medicine (License #0485 in RI)

🟢

Initial NPI Registration & Enumeration August 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1053324384

Entity Type:

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

Enumeration Date: August 15, 2006

Last Update: April 24, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

46 Wells Street

Westerly, RI 02891

Phone: 4015960174

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.