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DOREEN WIGGINS MD
NPI 1093734204
Obstetrics & Gynecology in Providence, RI

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
2 DUDLEY ST, SUITE 470, PROVIDENCE, RI 02905(401) 272-1800(401) 868-2314 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 29, 2020, Jan 10, 2017 (2 updates tracked since 2017).

About Doreen Wiggins Md NPPES

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

DOREEN WIGGINS MD (NPI 1093734204) is an individual obstetrics & gynecology provider in Providence, Rhode Island, licensed in Rhode Island (MD8082) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (1988).

NPPES Registry Identity

NPI1093734204
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDOREEN WIGGINSCredential: MD
Location Address2 DUDLEY ST, SUITE 470Providence, RI 02905-3236
Mailing AddressPo Box 16149Rumford, RI 02916-0697 · (401) 854-2428 · Fax (401) 435-7069
Phone(401) 272-1800
Fax(401) 868-2314
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1988
Enumeration DateJuly 19, 2006
Last NPPES UpdateJanuary 29, 20202 updates tracked since enumeration
✔ NPI 1093734204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in RI · MD8082
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2 DUDLEY ST, Providence, RI 02905
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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

Doreen Wiggins 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 ID7810979960
PECOS Enrollment IDI20040603000248
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 4

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.
43 services39 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.
23 services21 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
20 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 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 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
$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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
2 suppliers18 claims38 services$30.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LARS STANGENBERG MD
Surgery (Vascular Surgery)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8318
ALICIA P CAPRIO
Student in an Organized Health Care Education/Training Program
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 274-1100
CHARLENE A TATE MD
Psychiatry & Neurology (Neurology)
2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905
Providence County (401) 444-6168
DR. PHILLIP R LUCAS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 457-2102
J DONALD EASTON MD
Psychiatry & Neurology (Neurology)
2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905
Providence County (401) 444-6168
MRS. AMY POTTER PILOTTE APN, BC
Nurse Practitioner (Adult Health)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 228-0595
NANCY ELEANOR STONE NP
Nurse Practitioner
2 DUDLEY ST
PROVIDENCE, RI 02905
Providence County (401) 453-4500
EDWARD J. MARCACCIO JR. MD
Surgery (Vascular Surgery)
2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905
Providence County (401) 553-8318

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 Doreen Wiggins's NPI number?

The NPI number for Doreen Wiggins is 1093734204. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Doreen Wiggins located?

Doreen Wiggins practices at 2 Dudley St Suite 470, Providence, RI 02905. The listed phone number is (401) 272-1800.

What is Doreen Wiggins's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Doreen Wiggins enrolled in Medicare?

Yes. Doreen Wiggins 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 Doreen Wiggins affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Doreen Wiggins was last updated on January 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.