DR. JOSEPH A DECESARE DPM
NPI 1104959832
Podiatrist in Providence, RI

Q: What is Joseph Decesare's NPI number?

The NPI number for Joseph Decesare is 1104959832. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Q: What is Joseph Decesare's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Decesare was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 13, 2007PECOS EnrolledAccepts Medicare Assignment

95.94/100

CMS Quality Rating

201 BROADWAY, PROVIDENCE, RI 02903(401) 421-9167(401) 421-9193 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Joseph A Decesare Dpm NPPES

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

DR. JOSEPH A DECESARE DPM (NPI 1104959832) is an individual podiatrist in Providence, Rhode Island, licensed in Rhode Island (DPM00240) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (1987).

NPPES Registry Identity

NPI1104959832

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameDR. JOSEPH A DECESARECredential: DPM

Location Address201 BROADWAYProvidence, RI 02903-3015

Mailing Address201 BroadwayProvidence, RI 02903-3015 · (401) 421-9167 · Fax (401) 421-9193

Phone(401) 421-9167

Fax(401) 421-9193

Sole ProprietorYes

Medical School CMSNew York College Of Podiatric MedicineGraduated 1987

Enumeration DateMarch 13, 2007

Last NPPES UpdateAugust 26, 2011

✔ NPI 1104959832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in RI · DPM00240

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

201 BROADWAY, Providence, RI 02903

Open in Google Maps ↗

Other Identifiers 19

OtherR003457RI · Wps Tricare

Medicare PIN007011766RI

Other782937RI · Aetna

Other0000000007071RI · Blue Cross Fep

Other0005779230RI · Aetna

Other050456966RI · United Healthcare

Other1006490001RI · Nhic, Corp. Dme Mac

Other2700150RI · United Healthcare Of New

Medicaid7001766RI

Other0000007071RI · Bluechip Group

Other001868RI · Tufts

Other2343RI · Neighborhood Health

OtherZE5188RI · Blue Cross Of Ma

Other050456966RI · Cigna

Other400515RI · Bluechip Of Ri

Medicare UPINT70925RI

Other0000007071RI · Blue Cross Of Ri

Other0137515002RI · Cigna

Other050456966RI · Wps Tricare

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. Joseph A Decesare Dpm 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 ID5092826339

PECOS Enrollment IDI20111019000387

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 12

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.

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

1,093 services395 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

363 services134 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

320 services106 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

82 services75 patients

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.

61 services43 patients

Removal of noncancer thickened skin growth, more than 4 growths 11057

This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.

57 services15 patients

Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99341

A new patient home visit is a brief, 20-minute appointment where a healthcare professional comes to your home. This visit is to understand your health needs, answer your queries, and plan your care. It's a convenient way to start your healthcare journey.

37 services37 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

34 services34 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

23 services23 patients

Trimming of dystrophic nails, any number G0127

23 services15 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

16 services16 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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.

95.94/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

74.55

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%668 patients5/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

35%133 patients3/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

100%1,725 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

98%874 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

94%1,273 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

FEDERAL HILL PODIATRY GROUP

Podiatrist (Foot & Ankle Surgery)

201 BROADWAY
PROVIDENCE, RI 02903

Providence County (401) 421-9167

ALAN R. NOWICK, DPM

Podiatrist

201 BROADWAY
PROVIDENCE, RI 02903

Providence County (401) 273-8855

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 Joseph Decesare's NPI number?

The NPI number for Joseph Decesare is 1104959832. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Joseph Decesare located?

Joseph Decesare practices at 201 Broadway, Providence, RI 02903. The listed phone number is (401) 421-9167.

What is Joseph Decesare's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Joseph Decesare enrolled in Medicare?

Yes. Joseph Decesare 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.

When was this NPI record last updated?

The NPPES record for Joseph Decesare was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.