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MICHAEL S PICCHIONI M.D.
NPI 1730147679
Internal Medicine in Pawtucket, RI

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
111 BREWSTER ST, PAWTUCKET, RI 02860(401) 729-3463(401) 729-3279 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 19, 2024, Nov 9, 2020, Aug 4, 2020 and 3 more (6 updates tracked since 2016).

About Michael S Picchioni M.d. NPPES

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

MICHAEL S PICCHIONI M.D. (NPI 1730147679) is an individual internal medicine provider in Pawtucket, Rhode Island, licensed in Massachusetts (159733) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and maintains a secondary practice location in Marlborough.

NPPES Registry Identity

NPI1730147679
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL S PICCHIONICredential: M.D.
Location Address111 BREWSTER STPawtucket, RI 02860-4400
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(401) 729-3463
Fax(401) 729-3279
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1991
Enumeration DateMay 2, 2006
Last NPPES UpdateJuly 19, 20246 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
✔ NPI 1730147679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MA · 159733✔ Licensed in RI · MD09226
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
111 BREWSTER ST, Pawtucket, RI 02860
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Secondary Practice Location 1

Location 1157 Union StMarlborough, MA 01752-1228 · Phone (508) 486-5678 · Fax (508) 486-5577

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael S Picchioni 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 ID3173667961
PECOS Enrollment IDI20200908003387
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Picchioni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Physicians LLC
4.5 mi
Anesthesiology
101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1053038471 (401) 274-1122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
53 services34 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.
45 services28 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.
20 services11 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims50 services$6.19 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims24 services$1.13 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims12 services$185.34 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.

MAHMOUD MOWAFY M.D.
Internal Medicine
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2258
ASHLEY NANCY MASTRANGELO DPM
Podiatrist (Foot & Ankle Surgery)
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2977
JOHN RIEDEL MD
Emergency Medicine
111 BREWSTER ST, DEPARTMENT OF EMERGENCY MEDICINE
PAWTUCKET, RI 02860
Providence County (401) 729-2191
MEMORIAL HOSPITAL
General Acute Care Hospital
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2836
JALEH FALLAH MD
Internal Medicine (Hematology & Oncology)
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 729-2258
MS. COLLEEN FOLEY-LUNT
Speech-Language Pathologist
111 BREWSTER ST, SPEECH LANGUAGE PATHOLOGY
PAWTUCKET, RI 02860
Providence County (508) 729-2316
MAXWELL VAN HOVEN MD
Family Medicine
111 BREWSTER ST
PAWTUCKET, RI 02860
Providence County (401) 737-7000
SCOTT MICHAEL CAMPBELL
Physical Therapist
111 BREWSTER ST, ND PHYSICAL THERAPY
PAWTUCKET, RI 02860
Providence County (401) 729-3481

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 Picchioni's NPI number?

The NPI number for Michael Picchioni is 1730147679. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Michael Picchioni located?

Michael Picchioni practices at 111 Brewster St, Pawtucket, RI 02860. The listed phone number is (401) 729-3463.

What is Michael Picchioni's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Picchioni enrolled in Medicare?

Yes. Michael Picchioni 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.

Which organization bills Medicare for Michael Picchioni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Picchioni reassigns Medicare benefits to Affinity Physicians LLC (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Picchioni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Picchioni accept?

Health plans from Taro Health list Michael Picchioni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Picchioni affiliated with any hospitals?

According to CMS data, Michael Picchioni is affiliated with Kent County Memorial Hospital and Women & Infants Hospital Of Rhode Island.

When was this NPI record last updated?

The NPPES record for Michael Picchioni was last updated on July 19, 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.