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MICHAEL C COBURN MD
NPI 1720040728
Psychiatry & Neurology - Addiction Medicine in North Kingstown, RI

Active since April 05, 2006Opted out of Medicare · through Apr 1, 2027
1950 TOWER HILL RD, NORTH KINGSTOWN, RI 02852(401) 559-3954(401) 294-4116 Get Directions Write a Review

NPPES record last updated: October 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Feb 12, 2018 (2 updates tracked since 2018).

About Michael C Coburn Md NPPES

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

MICHAEL C COBURN MD (NPI 1720040728) is an individual addiction medicine provider in North Kingstown, Rhode Island, licensed in Rhode Island (MD08308) and active in the NPI registry since April 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Warwick.

NPPES Registry Identity

NPI1720040728
Entity TypeIndividualMale
Primary Taxonomy2084A0401X
Provider Legal NameMICHAEL C COBURNCredential: MD
Location Address1950 TOWER HILL RDNorth Kingstown, RI 02852-6639
Mailing Address1950 Tower Hill RdNorth Kingstown, RI 02852-6639 · (401) 559-3954 · Fax (401) 294-4116
Phone(401) 559-3954
Fax(401) 294-4116
Sole ProprietorYes
Enumeration DateApril 5, 2006
Last NPPES UpdateOctober 4, 20252 updates tracked since enumeration
NPPES CertifiedOctober 4, 2025
✔ NPI 1720040728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
License✔ Licensed in RI · MD08308
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License MD08308 (RI)
1950 TOWER HILL RD, North Kingstown, RI 02852
Open in Google Maps ↗

Secondary Practice Location 1

Location 1875 Centerville Rd, Suite 15Warwick, RI 02886-4381 · Phone (401) 615-8500 · Fax (401) 615-8503

Other Identifiers 3

Other005185RI · Bcbsri/chip
Other838-7RI · Bcbsri
Medicaid7004684RI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michael C Coburn Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02852 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
$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.

SSTAR OF RHODE ISLAND, INC.
Substance Abuse Rehabilitation Facility
1950 TOWER HILL RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 294-6160
COMPREHENSIVE ADDICTION TREATMENT LLC
Psychiatry & Neurology (Addiction Medicine)
1950 TOWER HILL RD
N KINGSTOWN, RI 02852
Washington County (401) 559-3954
ADCARE RHODE ISLAND, INC.
Substance Abuse Rehabilitation Facility
1950 TOWER HILL RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 294-6160
MS. ANNE PATRICIA GLAVEN NP
Nurse Practitioner (Adult Health)
1950 TOWER HILL RD
NORTH KINGSTON, RI 02852
Washington County (401) 294-6160
KARA CADORET LCDP
Counselor (Addiction (Substance Use Disorder))
1950 TOWER HILL RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 235-7000
JUSTINE STROBLE RN
Registered Nurse
1950 TOWER HILL RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 294-6160
JESSA NAOMI GOLDSTEIN RN
Registered Nurse
1950 TOWER HILL RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 294-6160
LINDSAY ELIZABETH DANDURAND CRNP, AGPCNP-BC
Nurse Practitioner (Adult Health)
1950 TOWER HILL RD
NORTH KINGSTOWN, RI 02852
Washington County (401) 368-2382

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 Michael Coburn's NPI number?

The NPI number for Michael Coburn is 1720040728. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Michael Coburn located?

Michael Coburn practices at 1950 Tower Hill Rd, North Kingstown, RI 02852. The listed phone number is (401) 559-3954.

What is Michael Coburn's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Michael Coburn enrolled in Medicare?

No. Michael Coburn has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michael Coburn was last updated on October 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.