DR. JOHN ISAAC JR. M.D.
NPI 1225037435
Surgery in Warwick, RI

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
89.75/100
CMS Quality Rating
390 TOLL GATE RD, STE.200, WARWICK, RI 02886(401) 739-8010(401) 739-6087 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2025, Sep 27, 2022, May 14, 2020 and 1 more (4 updates tracked since 2020).

About Dr. John Isaac Jr. M.d. NPPES

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

DR. JOHN ISAAC JR. M.D. (NPI 1225037435) is an individual surgery provider in Warwick, Rhode Island, licensed in Rhode Island (RI7525) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Johnston Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1225037435
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN ISAAC JR.Credential: M.D.
Location Address390 TOLL GATE RD, STE.200Warwick, RI 02886-4326
Mailing Address390 Toll Gate Rd, Ste.200Warwick, RI 02886-4326 · (401) 739-8010 · Fax (401) 739-6087
Fax(401) 739-6087
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 19, 2005
Last NPPES UpdateSeptember 17, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
NPI 1225037435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in RI · RI7525 Licensed in NH · 20154 Licensed in VA · 0101268741
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License MD07525 (RI)
390 TOLL GATE RD, Warwick, RI 02886

Secondary Practice Locations 3

Location 116000 Johnston Memorial Dr Ste 101Abingdon, VA 24211-7664 · Phone (276) 258-1777
Location 27554 Hospital Dr # D-303Gloucester, VA 23061-4178 · Phone (804) 693-3400 · Fax (804) 693-9793
Location 3168 Kinsley StNashua, NH 03060-3634 · Phone (603) 598-0455 · Fax (603) 598-0456

Other Identifiers 4

Other200881RI · Blue Chip Provider Id
Medicaid7000784RI
Medicaid3121659NH
Other29065-0RI · Blue Cross Provider Id

Accepted Insurance

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. John Isaac Jr. 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 ID3375595408
PECOS Enrollment IDI20200520002358
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Johnston Memorial Hospital

Acute Care Hospitals · Abingdon, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490053
Location16000 Johnston Memorial DriveAbingdon, VA 24211 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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.

89.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.37
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
390 TOLL GATE RD, SUITE 201
WARWICK, RI 02886
Internal Medicine
390 TOLL GATE RD, SUITE 103
WARWICK, RI 02886
Internal Medicine (Cardiovascular Disease)
390 TOLL GATE RD, STE 108
WARWICK, RI 02886
Surgery
390 TOLL GATE RD, STE.200
WARWICK, RI 02886
Surgery
390 TOLL GATE RD, STE.200
WARWICK, RI 02886
Ophthalmology
390 TOLL GATE RD
WARWICK, RI 02886
Internal Medicine (Cardiovascular Disease)
390 TOLL GATE RD, SUITE 202
WARWICK, RI 02886
Obstetrics & Gynecology (Gynecology)
390 TOLL GATE RD, SUITE 101
WARWICK, RI 02886

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 John Isaac's NPI number?

The NPI number for John Isaac is 1225037435. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is John Isaac located?

John Isaac practices at 390 Toll Gate Rd Ste.200, Warwick, RI 02886. The listed phone number is (401) 739-8010.

What is John Isaac's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Isaac enrolled in Medicare?

Yes. John Isaac 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.

What insurance does John Isaac accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list John Isaac as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John Isaac affiliated with any hospitals?

According to CMS data, John Isaac is affiliated with Johnston Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Isaac was last updated on September 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.