BRIAN F PONTARELLI DPM
NPI 1194804831
Podiatrist - Foot & Ankle Surgery in Providence, RI

Q: What is Brian Pontarelli's NPI number?

The NPI number for Brian Pontarelli is 1194804831. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Q: What is Brian Pontarelli's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Brian Pontarelli was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 November 03, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

486 SILVER SPRING ST, PROVIDENCE, RI 02904(401) 751-2660(401) 751-9990 Get Directions Write a Review

NPPES record last updated: February 7, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Brian F Pontarelli Dpm NPPES

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

BRIAN F PONTARELLI DPM (NPI 1194804831) is an individual foot & ankle surgery provider in Providence, Rhode Island, licensed in Rhode Island (DPM00294) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and is a graduate of Temple University School Of Podiatric Medicine (1997).

NPPES Registry Identity

NPI1194804831

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameBRIAN F PONTARELLICredential: DPM

Location Address486 SILVER SPRING STProvidence, RI 02904

Mailing Address250 Wampanoag Trail, Suite 205 Rhode Island Foot Care IncEast Providence, RI 02915 · (401) 431-0283 · Fax (401) 438-5956

Phone(401) 751-2660

Fax(401) 751-9990

Sole ProprietorNo

Medical School CMSTemple University School Of Podiatric MedicineGraduated 1997

Enumeration DateNovember 3, 2006

Last NPPES UpdateFebruary 7, 2008

✔ NPI 1194804831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in RI · DPM00294

486 SILVER SPRING ST, Providence, RI 02904

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Other Identifiers 3

Medicare UPINU74660

Medicare NSC0661220001RI

Medicaid7007118RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian F Pontarelli 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 ID7810081122

PECOS Enrollment IDI20090209000035, I20120220000023

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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Pontarelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rhode Island Foot Care, Inc

1.1 mi

Foot & Ankle Surgery

649 EAST AVE
Pawtucket, RI 02860

Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
9 clinicians in this Medicare group

NPI 1134242472 (401) 305-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

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.

512 services200 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.

275 services139 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.

241 services113 patients

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

232 services105 patients

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.

232 services105 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

76 services46 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

76 services76 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

68 services47 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.

39 services23 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

33 services15 patients

X-ray of foot, 2 views 73620

An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.

32 services20 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.

32 services23 patients

Permanent removal fingernail or toenail 11750

Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.

24 services21 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

23 services18 patients

Ultrasound of leg arteries at rest and after exercise 93924

An ultrasound of leg arteries at rest and after exercise involves using sound waves to create images of the blood vessels in your legs. This helps to detect blockages or narrowing. You'll rest, then perform light exercise, and images are taken before and after to compare blood flow.

16 services16 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number220020

Location795 Middle StreetFall River, MA 02721 · Bristol 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.

0/100

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

Individually scored

Quality

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

1 supplier18 claims36 services$61.31 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

1 supplier12 claims28 services$24.98 avg. paid by Medicare

Dynamic adjustable toe extension/flexion device, includes soft interface material E1830

DME-Orthotic Devices · category DF000N

1 supplier36 claims36 services$86.50 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 3

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

DR. ROBERT B PATTERSON MD

Surgery (Vascular Surgery)

486 SILVER SPRING ST
PROVIDENCE, RI 02904

Providence County (401) 454-0690

PROVIDENCE SURGICAL CARE GROUP, INCORPORATED

Surgery (Vascular Surgery)

486 SILVER SPRING ST
PROVIDENCE, RI 02904

Providence County (401) 454-0690

DR. ALBERT K WEYMAN MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

486 SILVER SPRING ST
PROVIDENCE, RI 02904

Providence County (401) 454-0690

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 Brian Pontarelli's NPI number?

The NPI number for Brian Pontarelli is 1194804831. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Brian Pontarelli located?

Brian Pontarelli practices at 486 Silver Spring St, Providence, RI 02904. The listed phone number is (401) 751-2660.

What is Brian Pontarelli's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Brian Pontarelli enrolled in Medicare?

Yes. Brian Pontarelli 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.

Which organization bills Medicare for Brian Pontarelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Pontarelli reassigns Medicare benefits to Rhode Island Foot Care, Inc (Pawtucket, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Pontarelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Brian Pontarelli affiliated with any hospitals?

According to CMS data, Brian Pontarelli is affiliated with Saint Anne's Hospital.

When was this NPI record last updated?

The NPPES record for Brian Pontarelli was last updated on February 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.