DR. THOMAS JAMES BARRETT M.D.
NPI 1467742734
Orthopaedic Surgery in East Greenwich, RI

Active since April 07, 2011PECOS EnrolledAccepts Medicare Assignment
75.39/100
CMS Quality Rating
1598 S COUNTY TRL STE 100, EAST GREENWICH, RI 02818(401) 402-1090 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2019, Jan 16, 2017 (2 updates tracked since 2017).

About Dr. Thomas James Barrett M.d. NPPES

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

DR. THOMAS JAMES BARRETT M.D. (NPI 1467742734) is an individual orthopaedic surgery provider in East Greenwich, Rhode Island, licensed in Rhode Island (MD15689) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Baylor College Of Medicine (2016).

NPPES Registry Identity

NPI1467742734
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. THOMAS JAMES BARRETTCredential: M.D.
Location Address1598 S COUNTY TRL STE 100East Greenwich, RI 02818-1627
Mailing AddressPo Box 1119Providence, RI 02901-1119
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 2016
Enumeration DateApril 7, 2011
Last NPPES UpdateJuly 31, 20192 updates tracked since enumeration
NPI 1467742734 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 · MD15689
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.
1598 S COUNTY TRL STE 100, East Greenwich, RI 02818

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. Thomas James Barrett 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 ID6507135480
PECOS Enrollment IDI20170710000265
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 12

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.
218 services174 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.
194 services149 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
180 services17 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.
154 services120 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.
135 services101 patients
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.
117 services85 patients

Hospital Affiliations CMS Care Compare 2

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

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 02818 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.

75.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.78
Promoting Interoperability95
Improvement Activities40
Cost62.35

Reported Quality Measures

Advance Care Plan
69%861 patients3/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
50%263 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
89%2,174 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
29%824 patients2/55-star benchmark: 100%
Osteoporosis Management in Women Who Had a Fracture
17%60 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%1,410 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 92% · 1,120 patients
Patients screened: 96% · 1,120 patients
13%52 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 60% · 496 patients
Patients screened: 68% · 496 patients
0%39 patients
Provide Patients Electronic Access to Their Health Information
65%476 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.
0.03%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
4%496 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 875 patients
Patients totalRate: 8% · 877 patients
8%877 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 17

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

Neuromusculoskeletal Medicine & OMM
1598 S COUNTY TRL STE 100
EAST GREENWICH, RI 02818
Orthopaedic Surgery
1598 S COUNTY TRL STE 100
EAST GREENWICH, RI 02818
Physical Therapist
1598 S COUNTY TRL STE 100
EAST GREENWICH, RI 02818
Nurse Practitioner (Acute Care)
1598 S COUNTY TRL STE 100
EAST GREENWICH, RI 02818
Physical Therapist
1598 S COUNTY TRL STE 100
E GREENWICH, RI 02818
Physical Therapist
1598 S COUNTY TRL STE 100
EAST GREENWICH, RI 02818
Physical Medicine & Rehabilitation (Sports Medicine)
1598 S COUNTY TRL STE 100
EAST GREENWICH, RI 02818
Orthopaedic Surgery (Hand Surgery)
1598 S COUNTY TRL STE 100
E 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 Thomas Barrett's NPI number?

The NPI number for Thomas Barrett is 1467742734. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Thomas Barrett located?

Thomas Barrett practices at 1598 S County Trl Ste 100, East Greenwich, RI 02818. The listed phone number is (401) 402-1090.

What is Thomas Barrett's specialty?

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

Is Thomas Barrett enrolled in Medicare?

Yes. Thomas Barrett 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 Thomas Barrett affiliated with any hospitals?

According to CMS data, Thomas Barrett is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Barrett was last updated on July 31, 2019. 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.