ALFRED HENRY LIDDLE PA
NPI 1205813615
Physician Assistant in Lincoln, RI

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
6 BLACKSTONE VALLEY PL STE 201, LINCOLN, RI 02865(401) 638-6374(401) 358-9042 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alfred Henry Liddle Pa NPPES

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

ALFRED HENRY LIDDLE PA (NPI 1205813615) is an individual physician assistant in Lincoln, Rhode Island, licensed in Rhode Island (PA00023) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1205813615
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALFRED HENRY LIDDLECredential: PA
Location Address6 BLACKSTONE VALLEY PL STE 201Lincoln, RI 02865-1112
Mailing Address6 Blackstone Valley Pl Ste 201Lincoln, RI 02865-1112 · (401) 638-6374 · Fax (401) 358-9042
Fax(401) 358-9042
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateDecember 28, 2005
Last NPPES UpdateJune 4, 2026
NPPES CertifiedJune 4, 2026
NPI 1205813615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in RI · PA00023
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6 BLACKSTONE VALLEY PL STE 201, Lincoln, RI 02865

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

Alfred Henry Liddle Pa 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 ID3577454537
PECOS Enrollment IDI20080908000013
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 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.
261 services96 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.
65 services39 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
30 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

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 02865 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims36 services$5.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$63.92 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$28.53 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.02 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.

Family Medicine
6 BLACKSTONE VALLEY PL STE 201
LINCOLN, RI 02865
Nurse Practitioner (Family)
6 BLACKSTONE VALLEY PL STE 201
LINCOLN, RI 02865
Nurse Practitioner (Family)
6 BLACKSTONE VALLEY PL STE 201
LINCOLN, RI 02865

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 Alfred Liddle's NPI number?

The NPI number for Alfred Liddle is 1205813615. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Alfred Liddle located?

Alfred Liddle practices at 6 Blackstone Valley Pl Ste 201, Lincoln, RI 02865. The listed phone number is (401) 638-6374.

What is Alfred Liddle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alfred Liddle enrolled in Medicare?

Yes. Alfred Liddle 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 Alfred Liddle affiliated with any hospitals?

According to CMS data, Alfred Liddle is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Alfred Liddle was last updated on June 4, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.