DAVID RICE
NPI 1710049184
Internal Medicine - Pulmonary Disease in Pittsburgh, PA

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
9104 BABCOCK BLVD, SUITE 2103, PITTSBURGH, PA 15237(412) 748-5020 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Rice NPPES

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

DAVID RICE (NPI 1710049184) is an individual pulmonary disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD435816) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Passavant, and is a graduate of State University Of New York At Buffalo School Of Medicine (2000).

NPPES Registry Identity

NPI1710049184
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDAVID RICE
Location Address9104 BABCOCK BLVD, SUITE 2103Pittsburgh, PA 15237-5818
Mailing Address9104 Babcock Blvd, Suite 2103Pittsburgh, PA 15237-5818
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2000
Enumeration DateDecember 14, 2006
Last NPPES UpdateMarch 25, 2021
NPI 1710049184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in PA · MD435816
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
9104 BABCOCK BLVD, Pittsburgh, PA 15237

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

David Rice 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 ID5294872289
PECOS Enrollment IDI20091023000273
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 16

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 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.
204 services134 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.
130 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
118 services71 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
118 services52 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
111 services111 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
52 services51 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15237 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Referred Medical Equipment & Supplies CMS DME claims 21

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers64 claims64 services$30.98 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers16 claims31 services$1.06 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers35 claims35 services$68.28 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers28 claims77 services$25.70 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
9 suppliers46 claims243 services$15.05 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers33 claims144 services$11.95 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.

Student in an Organized Health Care Education/Training Program
9104 BABCOCK BLVD, 5TH FLOOR
PITTSBURGH, PA 15237
Physician Assistant (Surgical)
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Obstetrics & Gynecology
9104 BABCOCK BLVD, SUITE 5113
PITTSBURGH, PA 15237
Physical Medicine & Rehabilitation (Pain Medicine)
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Student in an Organized Health Care Education/Training Program
9104 BABCOCK BLVD, 5TH FLOOR
PITTSBURGH, PA 15237
Internal Medicine (Infectious Disease)
9104 BABCOCK BLVD, STE 6118
PITTSBURGH, PA 15237
Internal Medicine
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237
Specialist
9104 BABCOCK BLVD, SUITE 2120
PITTSBURGH, PA 15237

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 David Rice's NPI number?

The NPI number for David Rice is 1710049184. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is David Rice located?

David Rice practices at 9104 Babcock Blvd Suite 2103, Pittsburgh, PA 15237. The listed phone number is (412) 748-5020.

What is David Rice's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is David Rice enrolled in Medicare?

Yes. David Rice 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 David Rice affiliated with any hospitals?

According to CMS data, David Rice is affiliated with Upmc Passavant and Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for David Rice was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.