MR. BRIAN R THEROUX PA
NPI 1275546277
Physician Assistant - Medical in E Greenwich, RI

Active since August 14, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1672 S COUNTY TRL, STE 101, E GREENWICH, RI 02818(401) 885-7546(401) 885-6658 Get Directions Write a Review

NPPES record last updated: June 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Brian R Theroux Pa NPPES

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

MR. BRIAN R THEROUX PA (NPI 1275546277) is an individual medical provider in E Greenwich, Rhode Island, licensed in Rhode Island (PA00289) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1275546277
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. BRIAN R THEROUXCredential: PA
Location Address1672 S COUNTY TRL, STE 101E Greenwich, RI 02818-5098
Mailing Address1672 S County Trl, Ste. 301E Greenwich, RI 02818-5098 · (401) 885-7546 · Fax (401) 885-5465
Fax(401) 885-6658
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 14, 2006
Last NPPES UpdateJune 27, 2012
NPI 1275546277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in RI · PA00289
1672 S COUNTY TRL, E Greenwich, RI 02818

Other Identifiers 4

Medicare UPINP72131RI
Medicare PIN0011435RI
Medicare PIN3890033341RI
MedicaidDE76182RI

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

Mr. Brian R Theroux 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 ID8527054121
PECOS Enrollment IDI20050208000085, I20180622001720
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 13

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 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.
847 services730 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
600 services193 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
363 services306 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
124 services113 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.
111 services111 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.
83 services76 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

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
99%1,489 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.

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.

Internal Medicine
1672 S COUNTY TRL, SUITE 303
EAST GREENWICH, RI 02818
Dermatology
1672 S COUNTY TRL
EAST GREENWICH, RI 02818
Dermatology
1672 S COUNTY TRL
E GREENWICH, RI 02818
Physician Assistant (Medical)
1672 S COUNTY TRL
EAST GREENWICH, RI 02818
Dermatology (MOHS-Micrographic Surgery)
1672 S COUNTY TRL, SUITE 101
EAST GREENWICH, RI 02818
Internal Medicine
1672 S COUNTY TRL, SUITE 303
EAST GREENWICH, RI 02818
Pediatrics
1672 S COUNTY TRL, SUITE 201
EAST GREENWICH, RI 02818
Nurse Practitioner (Gerontology)
1672 S COUNTY TRL
EAST GREENWICH, RI 02818

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 Theroux's NPI number?

The NPI number for Brian Theroux is 1275546277. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Brian Theroux located?

Brian Theroux practices at 1672 S County Trl Ste 101, E Greenwich, RI 02818. The listed phone number is (401) 885-7546.

What is Brian Theroux's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brian Theroux enrolled in Medicare?

Yes. Brian Theroux 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 Brian Theroux accept?

Health plans from Anthem Blue Cross and Blue Shield list Brian Theroux 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 Brian Theroux affiliated with any hospitals?

According to CMS data, Brian Theroux is affiliated with The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Brian Theroux was last updated on June 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.