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

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: August 09, 2026.

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
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

Other Identifiers 3

Medicare UPINU74660
Medicare NSC0661220001RI
Medicaid7007118RI

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

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.

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

Hospital Affiliations CMS Care Compare 2

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

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 4

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

Surgery (Vascular Surgery)
486 SILVER SPRING ST
PROVIDENCE, RI 02904
Surgery (Vascular Surgery)
486 SILVER SPRING ST
PROVIDENCE, RI 02904
Nurse Practitioner
486 SILVER SPRING ST
PROVIDENCE, RI 02904
Thoracic Surgery (Cardiothoracic Vascular Surgery)
486 SILVER SPRING ST
PROVIDENCE, RI 02904

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.

Is Brian Pontarelli affiliated with any hospitals?

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