JOSEPH D. PIANKA (MD) – Gastroenterology Physician, NPI 1023189370
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
129 GASTROENTEROLOGY in RI
Provider Addresses for JOSEPH D. PIANKA (MD)
110 CLOCK TOWER SQ
PORTSMOUTH, RI 028711396
Phone: (401) 293-5600
Fax: (401) 293-5604
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $524.
Total Amount is formed as General ($524) + Research ($0) + Ownership ($0) = $524.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($400).
Total Amount
$524
General + Research + Ownership
Payments
28
Total payment records
General Amount
$524
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $400 |
| NESTLE HEALTHCARE NUTRITION INC. | $49 |
| Ardelyx, Inc. | $30 |
| Takeda Pharmaceuticals U.S.A., Inc. | $24 |
| Organon LLC | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-12-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041206000171 | I | Gastroenterology | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 166 | 166 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 142 | 142 | $0 |
| G0500 | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 118 | 118 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 109 | 109 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 50 | 50 | $0 |
Insurance plans in this area (ZIP 02871)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | RI | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 55 | 55 |
| GASTROENTEROLOGY | RI | 45378 | Diagnostic examination of large bowel using an endoscope | 31 | 31 |
| GASTROENTEROLOGY | RI | 45385 | Removal of polyps or growths of large bowel using an endoscope | 134 | 132 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | RI | |
| Nurse Practitioner | RI | |
| G A S T R O E N T E R O L O G Y | RI | |
| Certified Registered Nurse Anesthetist (Crna) | RI | |
| Certified Registered Nurse Anesthetist (Crna) | RI | |
| Certified Registered Nurse Anesthetist (Crna) | RI | |
| Physician Assistant | RI | |
| Physician Assistant | CA | |
| G A S T R O E N T E R O L O G Y | NH | |
| Nurse Practitioner | RI |
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