DR. JOSEPH GIL M.D.
NPI 1699035634
Orthopaedic Surgery - Hand Surgery in East Providence, RI

Active since May 24, 2012PECOS EnrolledAccepts Medicare Assignment
75.39/100
CMS Quality Rating
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914(401) 457-1500 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2024, Aug 6, 2018, May 15, 2017 (3 updates tracked since 2017).

About Dr. Joseph Gil M.d. NPPES

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

DR. JOSEPH GIL M.D. (NPI 1699035634) is an individual hand surgery provider in East Providence, Rhode Island, licensed in Rhode Island (MD15850) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2012).

NPPES Registry Identity

NPI1699035634
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. JOSEPH GILCredential: M.D.
Location Address1 KETTLE POINT AVEEast Providence, RI 02914-5375
Mailing Address1 Kettle Point AveEast Providence, RI 02914-5375
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2012
Enumeration DateMay 24, 2012
Last NPPES UpdateJune 13, 20243 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
NPI 1699035634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in RI · MD15850
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD15850 (RI)
1 KETTLE POINT AVE, East Providence, RI 02914

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. Joseph Gil 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 ID547487225
PECOS Enrollment IDI20170613001706, I20220323002562
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 18

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.

X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
322 services105 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.
269 services156 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
210 services114 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.
198 services163 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
153 services122 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
115 services70 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 02914 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

Closing the Referral Loop: Receipt of Specialist Report
6%948 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
95%5,086 patients4/55-star benchmark: 100%
e-Prescribing
100%210 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
15%743 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
26%2,526 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 84% · 2,071 patients
Patients screened: 92% · 2,071 patients
18%218 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
53%1,140 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 812 patients
Patients totalRate: 1% · 812 patients
1%812 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment L3808
DME-Orthotic Devices · category DF000N
3 suppliers18 claims18 services$308.77 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
3 suppliers71 claims82 services$54.47 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
2 suppliers12 claims12 services$177.68 avg. paid by Medicare
Hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3919
DME-Orthotic Devices · category DF000N
2 suppliers11 claims12 services$198.96 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3923
DME-Orthotic Devices · category DF000N
2 suppliers22 claims26 services$88.26 avg. paid by Medicare
Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment L3933
DME-Orthotic Devices · category DF000N
4 suppliers17 claims19 services$150.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Orthopaedic Surgery
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Nurse Practitioner (Family)
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Nurse Practitioner (Family)
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Physician Assistant
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Physical Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Physical Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Orthopaedic Surgery
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Occupational Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914

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 Joseph Gil's NPI number?

The NPI number for Joseph Gil is 1699035634. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is Joseph Gil located?

Joseph Gil practices at 1 Kettle Point Ave, East Providence, RI 02914. The listed phone number is (401) 457-1500.

What is Joseph Gil's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Joseph Gil enrolled in Medicare?

Yes. Joseph Gil 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 Joseph Gil affiliated with any hospitals?

According to CMS data, Joseph Gil is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Gil was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.