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DR. MICHAEL JAMES BELANGER M.D.
NPI 1114985041
Orthopaedic Surgery - Sports Medicine in Johnston, RI

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
75.39/100
CMS Quality Rating
1524 ATWOOD AVE, SUITE 140, JOHNSTON, RI 02919(401) 351-6200(401) 351-6201 Get Directions Write a Review

NPPES record last updated: April 8, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael James Belanger M.d. NPPES

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

DR. MICHAEL JAMES BELANGER M.D. (NPI 1114985041) is an individual sports medicine provider in Johnston, Rhode Island, licensed in Rhode Island (MD09773) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Fatima Hospital, and is a graduate of University Of Vermont College Of Medicine (1993).

NPPES Registry Identity

NPI1114985041
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. MICHAEL JAMES BELANGERCredential: M.D.
Location Address1524 ATWOOD AVE, SUITE 140Johnston, RI 02919-3228
Mailing Address1524 Atwood Ave, Suite 4Johnston, RI 02919-3228 · (401) 351-6200 · Fax (401) 351-6201
Phone(401) 351-6200
Fax(401) 351-6201
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1993
Enumeration DateMay 2, 2006
Last NPPES UpdateApril 8, 2009
✔ NPI 1114985041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in RI · MD09773
Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

1524 ATWOOD AVE, Johnston, RI 02919
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Other Identifiers 17

OtherCD1829Railroad Medicare
Other7104180Aetna
Other402575RI · Bluechip Of Ri
Medicare UPING75542RI
Other050397249Workers Compensation
Other103714900U.s. Dept. Of Labor-wc
Other29556RI · Bc Bs Of Ri
Other3849RI · Neighborhood Health Plans
Other$$$$$$$$$/050397249Tricare
Other009773MA · Tufts Health Plans
OtherAA33827MA · Harvard Pilgrim
Other050397249Unitedhealthcare
Other050397249Pequot Plus Health Plans
Other050397249Firsthealth/coventry/hcvm
Medicare PIN209021281RI
Medicaid7006586RI
Medicare NSC0771230001

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. Michael James Belanger M.d. 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 ID3779479902
PECOS Enrollment IDI20040225000380, I20220324002133
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
681 services93 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.
249 services155 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.
230 services167 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
194 services138 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
151 services99 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
113 services79 patients

Hospital Affiliations CMS Care Compare 4

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

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410005
Location200 High Service AvenueNorth Providence, RI 02904 · Providence County
Emergency services

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

Landmark Medical Center

Acute Care Hospitals · Woonsocket, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410011
Location115 Cass AvenueWoonsocket, RI 02895 · Providence County
Emergency services Birthing friendly

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

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

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
42%891 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
81%3,544 patients3/55-star benchmark: 100%
e-Prescribing
96%246 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
5%814 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
15%1,762 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 1,301 patients
Patients screened: 95% · 1,301 patients
24%145 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
69%727 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 857 patients
Patients totalRate: 2% · 858 patients
2%858 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.

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.

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
1 supplier23 claims26 services$105.30 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.

JUDITH ADEWUYI
Nurse Practitioner (Psychiatric/Mental Health)
1524 ATWOOD AVE
JOHNSTON, RI 02919
Providence County (401) 259-0340
DR. WILLIAM J ANDREONI OPHTHALMOLOGIST
Ophthalmology
1524 ATWOOD AVE
JOHNSTON, RI 02919
Providence County (401) 272-2110
MS. LISA A MELLOW P.T.
Physical Therapist
1524 ATWOOD AVE, DBA/ROBERT BUONANNO
JOHNSTON, RI 02919
Providence County (401) 351-6200
DR. KILEY TODER M.D.
Internal Medicine
1524 ATWOOD AVE, SUITE 333
JOHNSTON, RI 02919
Providence County (401) 421-6011
ANTHONY F TESTA M.D.
Internal Medicine (Hematology & Oncology)
1524 ATWOOD AVE, SUITE340
JOHNSTON, RI 02919
Providence County (401) 273-0220
MRS. JESSICA MARIE DIROCCO APRN, FNP-BC
Nurse Practitioner (Family)
1524 ATWOOD AVE
JOHNSTON, RI 02919
Providence County (401) 274-2910
DR. TERRY WAYNE TSCHIRLEY MD
Internal Medicine (Cardiovascular Disease)
1524 ATWOOD AVE, SUITE 226
JOHNSTON, RI 02919
Providence County (401) 273-2730
DR. ROBERT ALEXANDER MARZILLI PHD
Psychologist (Clinical)
1524 ATWOOD AVE, STE. NO. 433
JOHNSTON, RI 02919
Providence County (401) 861-2190

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 Michael Belanger's NPI number?

The NPI number for Michael Belanger is 1114985041. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Michael Belanger located?

Michael Belanger practices at 1524 Atwood Ave Suite 140, Johnston, RI 02919. The listed phone number is (401) 351-6200.

What is Michael Belanger's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Michael Belanger enrolled in Medicare?

Yes. Michael Belanger 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 Michael Belanger affiliated with any hospitals?

According to CMS data, Michael Belanger is affiliated with Our Lady Of Fatima Hospital, Rhode Island Hospital, Landmark Medical Center and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Michael Belanger was last updated on April 8, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.