WILLIAM G. TSIARAS M.D.
NPI 1376609180
Ophthalmology in Providence, RI

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
78 BAKER ST, PROVIDENCE, RI 02905(401) 831-4592(401) 831-4643 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About William G. Tsiaras M.d. NPPES

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

WILLIAM G. TSIARAS M.D. (NPI 1376609180) is an individual ophthalmology provider in Providence, Rhode Island, licensed in Rhode Island (4952) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (1975).

NPPES Registry Identity

NPI1376609180
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameWILLIAM G. TSIARASCredential: M.D.
Location Address78 BAKER STProvidence, RI 02905-4417
Mailing Address78 Baker StProvidence, RI 02905-4417 · (401) 831-4592 · Fax (401) 831-4643
Fax(401) 831-4643
Sole ProprietorYes
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1975
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 18, 2016
NPI 1376609180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in RI · 4952
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
78 BAKER ST, Providence, RI 02905

Other Identifiers 8

Other834RI · Bcbs Of Ri
Other15064RIHRI · Harvard Pilgrim Healthcare
Other002289RI · Bcbs - Blue Chip
Other9810RI · Neighborhood Health Plan Of Ri
Medicare UPINC-90046RI
Medicaid9000834RI
Other180021373RI · Railroad Medicare
Medicare PIN189000834RI

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

William G. Tsiaras 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 ID4385775287
PECOS Enrollment IDI20100621000671
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 5

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
762 services530 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
278 services204 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
97 services84 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
31 services26 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
15 services15 patients

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
$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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
78 BAKER ST
PROVIDENCE, RI 02905
Nurse Practitioner
78 BAKER ST
PROVIDENCE, RI 02905
Internal Medicine
78 BAKER ST
PROVIDENCE, RI 02905
Internal Medicine
78 BAKER ST
PROVIDENCE, RI 02905
Internal Medicine
78 BAKER ST
PROVIDENCE, RI 02905
Social Worker (Clinical)
78 BAKER ST
PROVIDENCE, RI 02905
Internal Medicine
78 BAKER ST
PROVIDENCE, RI 02905
Internal Medicine
78 BAKER ST
PROVIDENCE, RI 02905

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 William Tsiaras's NPI number?

The NPI number for William Tsiaras is 1376609180. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is William Tsiaras located?

William Tsiaras practices at 78 Baker St, Providence, RI 02905. The listed phone number is (401) 831-4592.

What is William Tsiaras's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is William Tsiaras enrolled in Medicare?

Yes. William Tsiaras 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.

When was this NPI record last updated?

The NPPES record for William Tsiaras was last updated on July 18, 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.