ERIC COHEN M.D.
NPI 1245523463
Orthopaedic Surgery in Providence, RI

Q: What is Eric Cohen's NPI number?

The NPI number for Eric Cohen is 1245523463. It was assigned to this individual provider in the NPPES registry on May 20, 2011.

Q: What is Eric Cohen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Cohen was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 May 20, 2011PECOS EnrolledAccepts Medicare Assignment

81.53/100

CMS Quality Rating

2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 02905(401) 444-3581(401) 444-3609 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Eric Cohen M.d. NPPES

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

ERIC COHEN M.D. (NPI 1245523463) is an individual orthopaedic surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD15362) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2011).

NPPES Registry Identity

NPI1245523463

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameERIC COHENCredential: M.D.

Location Address2 DUDLEY ST, SUITE 200Providence, RI 02905-3236

Mailing AddressPo Box 1119Providence, RI 02901-1119 · (401) 444-3581 · Fax (401) 444-3609

Phone(401) 444-3581

Fax(401) 444-3609

Sole ProprietorNo

Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2011

Enumeration DateMay 20, 2011

Last NPPES UpdateMay 25, 2016

✔ NPI 1245523463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in RI · MD15362

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

2 DUDLEY ST, Providence, RI 02905

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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

Eric Cohen 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 ID8325265879

PECOS Enrollment IDI20160706000685

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.

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.

213 services137 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.

195 services180 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

194 services154 patients

X-ray of pelvis, 1-2 views 72170

An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.

137 services94 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.

127 services113 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

59 services57 patients

X-ray of thigh bone, 1 view 73551

An X-ray of the thigh bone, 1 view, is a quick, painless procedure that uses a small amount of radiation to create images of the inside of your thigh. It helps doctors to diagnose and monitor conditions like fractures, infections, or tumors.

58 services53 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

55 services53 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

44 services39 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

40 services36 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.

40 services39 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

30 services29 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.

26 services22 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.

17 services17 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

13 services12 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

11 services11 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 02905 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.

81.53/100

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

Individually scored

Quality

57.09

Promoting Interoperability

Improvement Activities

Cost

84.69

Reported Quality Measures

Advance Care Plan

80%889 patients4/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

40%229 patients2/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

99%1,714 patients4/55-star benchmark: 100%

e-Prescribing

100%128 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

28%843 patients2/55-star benchmark: 100%

Osteoporosis Management in Women Who Had a Fracture

23%31 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

18%1,406 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 95% · 1,107 patients

Patients screened: 99% · 1,107 patients

16%61 patients1/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients screened: 47% · 167 patients

43%167 patients

Provide Patients Electronic Access to Their Health Information

65%812 patients3/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.02%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

5%292 patients1/55-star benchmark: 98%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 897 patients

Patients totalRate: 1% · 901 patients

1%901 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 3

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

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers18 claims18 services$31.33 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$40.46 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier15 claims15 services$13.96 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.

LARS STANGENBERG MD

Surgery (Vascular Surgery)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 553-8318

ALICIA P CAPRIO

Student in an Organized Health Care Education/Training Program

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 274-1100

CHARLENE A TATE MD

Psychiatry & Neurology (Neurology)

2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905

Providence County (401) 444-6168

DR. PHILLIP R LUCAS M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 457-2102

J DONALD EASTON MD

Psychiatry & Neurology (Neurology)

2 DUDLEY ST, SUITE 555
PROVIDENCE, RI 02905

Providence County (401) 444-6168

MRS. AMY POTTER PILOTTE APN, BC

Nurse Practitioner (Adult Health)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 228-0595

NANCY ELEANOR STONE NP

Nurse Practitioner

2 DUDLEY ST
PROVIDENCE, RI 02905

Providence County (401) 453-4500

EDWARD J. MARCACCIO JR. MD

Surgery (Vascular Surgery)

2 DUDLEY ST, SUITE 470
PROVIDENCE, RI 02905

Providence County (401) 553-8318

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 Eric Cohen's NPI number?

The NPI number for Eric Cohen is 1245523463. It was assigned to this individual provider in the NPPES registry on May 20, 2011.

Where is Eric Cohen located?

Eric Cohen practices at 2 Dudley St Suite 200, Providence, RI 02905. The listed phone number is (401) 444-3581.

What is Eric Cohen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Eric Cohen enrolled in Medicare?

Yes. Eric Cohen 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 Eric Cohen affiliated with any hospitals?

According to CMS data, Eric Cohen is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Eric Cohen was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.