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DR. ALEXANDER ORFANOS MD
NPI 1033601968
Orthopaedic Surgery in Providence, RI

Active since June 06, 2018PECOS EnrolledAccepts Medicare Assignment
75.39/100
CMS Quality Rating
2 DUDLEY ST STE 200, PROVIDENCE, RI 02905(401) 457-1500 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2024, Jun 16, 2023 (2 updates tracked since 2023).

About Dr. Alexander Orfanos Md NPPES

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

DR. ALEXANDER ORFANOS MD (NPI 1033601968) is an individual orthopaedic surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD19057) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1033601968
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ALEXANDER ORFANOSCredential: MD
Location Address2 DUDLEY ST STE 200Providence, RI 02905-3248
Mailing Address1 Kettle Point AveEast Providence, RI 02914-5375
Phone(401) 457-1500
Sole ProprietorYes
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2018
Enumeration DateJune 6, 2018
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1033601968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in RI · MD19057✔ Licensed in NH · 32149
Definition
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.
2 DUDLEY ST STE 200, Providence, RI 02905
Open in Google Maps ↗

Secondary Practice Locations 3

Location 110 Alice Peck Day DrLebanon, NH 03766-2900 · Phone (603) 448-3121
Location 2273 County RdNew London, NH 03257-5736 · Phone (603) 526-2911
Location 31 Medical Center DrLebanon, NH 03756-0001 · Phone (603) 650-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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

Dr. Alexander Orfanos 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 ID9133474992
PECOS Enrollment IDI20240710002714
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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services27 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
33 services33 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
15 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients
Revision of thigh and lower leg bone components of total knee joint prosthesis 27487
This procedure involves replacing parts of your knee joint prosthesis that have worn out or become damaged. Specifically, components in your thigh and lower leg bones are revised to improve joint function and alleviate discomfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Littleton Regional Healthcare

Critical Access Hospitals · Littleton, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301302
Location600 St Johnsbury RoadLittleton, NH 03561 · Grafton County
Emergency services

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301307
Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County
Emergency services

Northeastern Vermont Regional Hospital

Critical Access Hospitals · Saint Johnsbury, VT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471303
Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County
Emergency services Birthing friendly

North Country Hospital And Health Center

Critical Access Hospitals · Newport, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471304
Location189 Prouty DriveNewport, VT 05855 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.78
Promoting Interoperability95
Improvement Activities40
Cost62.35

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.

DR. BLAIRE BURTON MCCARTHY MD
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 457-2168
DR. DANIEL AARON PORTNEY MD
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 457-1500
DR. LAUREN ELIZABETH PIANA MD
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 443-4205
DR. DEVAN PATEL M.D.
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 443-4205
DR. ELEANOR SYDNEY BURSTEIN MD
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 443-4205
DR. DAVID P. WOODS MD
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 457-1500
DR. MICHAEL MACALISTER SHIPP MD
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 443-4205
DR. TUCKER CALLANAN MD
Orthopaedic Surgery
2 DUDLEY ST STE 200
PROVIDENCE, RI 02905
Providence County (401) 443-4205

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 Alexander Orfanos's NPI number?

The NPI number for Alexander Orfanos is 1033601968. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Alexander Orfanos located?

Alexander Orfanos practices at 2 Dudley St Ste 200, Providence, RI 02905. The listed phone number is (401) 457-1500.

What is Alexander Orfanos's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Alexander Orfanos enrolled in Medicare?

Yes. Alexander Orfanos 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.

What insurance does Alexander Orfanos accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Alexander Orfanos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alexander Orfanos affiliated with any hospitals?

According to CMS data, Alexander Orfanos is affiliated with Mary Hitchcock Memorial Hospital, Littleton Regional Healthcare, Memorial Hospital, The, Northeastern Vermont Regional Hospital and North Country Hospital And Health Center.

When was this NPI record last updated?

The NPPES record for Alexander Orfanos was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.