DR. MARK LEWIS PETRARCA D.O.
NPI 1548499668
Emergency Medicine in Warwick, RI

Q: What is Mark Petrarca's NPI number?

The NPI number for Mark Petrarca is 1548499668. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Q: What is Mark Petrarca's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Petrarca was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 10, 2009PECOS EnrolledAccepts Medicare Assignment

455 TOLL GATE RD, WARWICK, RI 02886(401) 737-7010(401) 453-7597 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mark Lewis Petrarca D.o. NPPES

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

DR. MARK LEWIS PETRARCA D.O. (NPI 1548499668) is an individual emergency medicine provider in Warwick, Rhode Island, licensed in New Hampshire (16048) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains a secondary practice location in Nashua.

NPPES Registry Identity

NPI1548499668

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. MARK LEWIS PETRARCACredential: D.O.

Location Address455 TOLL GATE RDWarwick, RI 02886-2759

Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 737-7010 · Fax (401) 453-7597

Phone(401) 737-7010

Fax(401) 453-7597

Sole ProprietorNo

Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2009

Enumeration DateJuly 10, 2009

Last NPPES UpdateOctober 31, 2022

NPPES CertifiedOctober 31, 2022

✔ NPI 1548499668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NH · 16048

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License LP01618 (RI)

455 TOLL GATE RD, Warwick, RI 02886

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Secondary Practice Location 1

Location 1172 Kinsley StNashua, NH 03060-3648 · Phone (603) 882-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.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

Dr. Mark Lewis Petrarca D.o. 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 ID42461121

PECOS Enrollment IDI20130712000369

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 7

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

155 services150 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.

125 services124 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.

45 services45 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.

35 services35 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

34 services32 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Hospital

Acute Care Hospitals · Nashua, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number300011

Location172 Kinsley StNashua, NH 03060 · Hillsborough County

Emergency services Birthing friendly

Elliot Hospital

Acute Care Hospitals · Manchester, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300012

Location1 Elliot WayManchester, NH 03103 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. STERLING LEAF MALISH M.D.

Internal Medicine