MATTHEW J FRANCO MD
NPI 1013177369
Internal Medicine - Cardiovascular Disease in East Providence, RI

Active since June 11, 2008PECOS EnrolledAccepts Medicare Assignment
900 WARREN AVE, SUITE 401, EAST PROVIDENCE, RI 02914(800) 508-4908(401) 228-6236 Get Directions Write a Review

NPPES record last updated: April 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 18, 2017, Jan 15, 2016 (2 updates tracked since 2016).

About Matthew J Franco Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW J FRANCO MD (NPI 1013177369) is an individual cardiovascular disease provider in East Providence, Rhode Island, licensed in Rhode Island (MD15045) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and is a graduate of University Of Massachusetts Medical School (2008).

NPPES Registry Identity

NPI1013177369
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMATTHEW J FRANCOCredential: MD
Location Address900 WARREN AVE, SUITE 401East Providence, RI 02914-1430
Mailing Address10 Davol Sq, Suite 400Providence, RI 02903-4754 · (401) 421-4000 · Fax (401) 272-1456
Fax(401) 228-6236
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2008
Enumeration DateJune 11, 2008
Last NPPES UpdateApril 6, 20182 updates tracked since enumeration
NPI 1013177369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in RI · MD15045
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

900 WARREN AVE, East Providence, RI 02914

Other Identifiers 1

Medicaid1013177369RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew J Franco Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204149321
PECOS Enrollment IDI20150720000516
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
450 services376 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
390 services357 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
376 services333 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
327 services324 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services39 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Newport Hospital

Acute Care Hospitals · Newport, RI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410006
Location11 Friendship StreetNewport, RI 02840 · Newport County
Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
900 WARREN AVE, SUITE 400
EAST PROVIDENCE, RI 02914
Non-Pharmacy Dispensing Site
900 WARREN AVE
EAST PROVIDENCE, RI 02914
Nurse Practitioner (Acute Care)
900 WARREN AVE, SUITE 401
EAST PROVIDENCE, RI 02914
Internal Medicine
900 WARREN AVE, SUITE 400
EAST PROVIDENCE, RI 02914
Internal Medicine
900 WARREN AVE, STE 401
EAST PROVIDENCE, RI 02914
Nurse Practitioner
900 WARREN AVE
EAST PROVIDENCE, RI 02914
Family Medicine
900 WARREN AVE, STE 100
EAST PROVIDENCE, RI 02914
Internal Medicine
900 WARREN AVE, SUITE 400
EAST PROVIDENCE, RI 02914

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Franco's NPI number?

The NPI number for Matthew Franco is 1013177369. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Matthew Franco located?

Matthew Franco practices at 900 Warren Ave Suite 401, East Providence, RI 02914. The listed phone number is (800) 508-4908.

What is Matthew Franco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Matthew Franco enrolled in Medicare?

Yes. Matthew Franco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Matthew Franco affiliated with any hospitals?

According to CMS data, Matthew Franco is affiliated with Newport Hospital, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Franco was last updated on April 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.