ANTHONY J BARONE M.D.
NPI 1316980121
Otolaryngology in Cranston, RI

Q: What is Anthony Barone's NPI number?

The NPI number for Anthony Barone is 1316980121. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Anthony Barone's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Barone was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 13, 2006PECOS EnrolledAccepts Medicare Assignment

0/100

CMS Quality Rating

725 RESERVOIR AVE, SUITE 303, CRANSTON, RI 02910(401) 944-6510(401) 943-2379 Get Directions Write a Review

NPPES record last updated: October 25, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Anthony J Barone M.d. NPPES

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

ANTHONY J BARONE M.D. (NPI 1316980121) is an individual otolaryngology provider in Cranston, Rhode Island, licensed in Rhode Island (5879) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Roger Williams Medical Center, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1316980121

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameANTHONY J BARONECredential: M.D.

Location Address725 RESERVOIR AVE, SUITE 303Cranston, RI 02910-4448

Mailing Address725 Reservoir Avenue, Suite 303Cranston, RI 02910 · (401) 944-6510 · Fax (401) 943-2379

Phone(401) 944-6510

Fax(401) 943-2379

Sole ProprietorYes

Medical School CMSOtherGraduated 1979

Enumeration DateJune 13, 2006

Last NPPES UpdateOctober 25, 2018

✔ NPI 1316980121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in RI · 5879

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 5879 (RI)

725 RESERVOIR AVE, Cranston, RI 02910

Open in Google Maps ↗

Other Identifiers 4

Other711930RI · Tufts

Other200847RI · Blue Chip

Medicaid9000443RI

Other294676RI · Blue Cross Blue Sheild

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Anthony J Barone 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 ID6800869371

PECOS Enrollment IDI20040813000977

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 15

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.

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

910 services38 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

896 services41 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.

352 services263 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

240 services227 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.

197 services158 patients

Test to assess middle ear function 92567

A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.

163 services147 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.

64 services64 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

56 services46 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.

46 services42 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

44 services40 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

37 services36 patients

Test for ability to detect and repeat spoken words 92555

This procedure assesses your ability to understand and repeat spoken words. You'll listen to a series of words and then repeat them back. It helps identify any issues related to hearing or speech comprehension, crucial for effective communication.

29 services29 patients

Test for hearing various pitches using earphone 92552

This is a hearing test where earphones are worn to detect different pitch levels. Sounds of various frequencies are played, and you indicate when you hear them. This helps evaluate your hearing ability. It's safe, comfortable, and non-invasive.

28 services28 patients

Test for hearing various pitches using earphone and device placed against the bone 92553

This is a hearing test that checks your ability to hear different pitches or frequencies. It involves wearing earphones and placing a device against your bone, usually behind the ear. It helps identify any hearing issues you might have.

19 services17 patients

Removal of impacted ear wax by washing 69209

Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.

14 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Roger Williams Medical Center

Acute Care Hospitals · Providence, RI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number410004

Location825 Chalkstone AvenueProvidence, RI 02908 · Providence County

Emergency services

Our Lady Of Fatima Hospital

Acute Care Hospitals · North Providence, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410005

Location200 High Service AvenueNorth Providence, RI 02904 · Providence County

Emergency services

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02910 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

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.

0/100

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

Individually scored

Quality

Improvement Activities

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.

JOSEPH V. CENTOFANTI, MD

Specialist

725 RESERVOIR AVE, SUITE 308
CRANSTON, RI 02910

Providence County (401) 944-9559

MELISSA A ROBERTS-CENTOFANTI SPEECH PATHOLOGY

Speech-Language Pathologist

725 RESERVOIR AVE, SUITE 308
CRANSTON, RI 02910

Providence County (401) 944-9559

DR. MARK ROSENBERG M.D.

Family Medicine

725 RESERVOIR AVE, SUITE 102
CRANSTON, RI 02910

Providence County (401) 943-6910

DR. PATRICK JOSEPH BRANNON M.D.

Specialist

725 RESERVOIR AVE, SUITE 204
CRANSTON, RI 02910

Providence County (401) 946-1810

MICHAEL PETER MARIORENZI MD

Orthopaedic Surgery

725 RESERVOIR AVE, #101
CRANSTON, RI 02910

Providence County (401) 944-3800

COMPREHENSIVE OB/GYN CARE, INC

Obstetrics & Gynecology

725 RESERVOIR AVE
CRANSTON, RI 02910

Providence County (401) 946-4022

A. MICHAEL COPPA MD

Obstetrics & Gynecology

725 RESERVOIR AVE
CRANSTON, RI 02910

Providence County (401) 946-4022

JEFFREY WILSON MD

Family Medicine

725 RESERVOIR AVE, SUITE 102
CRANSTON, RI 02910

Providence County (401) 943-6910

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 Anthony Barone's NPI number?

The NPI number for Anthony Barone is 1316980121. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Anthony Barone located?

Anthony Barone practices at 725 Reservoir Ave Suite 303, Cranston, RI 02910. The listed phone number is (401) 944-6510.

What is Anthony Barone's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Anthony Barone enrolled in Medicare?

Yes. Anthony Barone 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 Anthony Barone affiliated with any hospitals?

According to CMS data, Anthony Barone is affiliated with Roger Williams Medical Center, Our Lady Of Fatima Hospital, Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Barone was last updated on October 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.