DR. PETER KARCZMAR (MD) – Pulmonary Disease Physician, NPI 1124015813
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
110 PULMONARY DISEASE in RI
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Provider Addresses for DR. PETER KARCZMAR (MD)
Davol Square, Downtown, Providence, Providence County, Rhode Island, 02903, United States
SUITE 400
PROVIDENCE, RI 029034754
Phone: (401) 421-4000
Fax: (401) 272-1456
Type: Mailing
900, Warren Avenue, Leonard Corner, East Providence, Providence County, Rhode Island, 02914, United States
SUITE 401
EAST PROVIDENCE, RI 029141430
Phone: (800) 508-4908
Fax: (401) 228-6236
Type: Location
110 ELM ST
PROVIDENCE, RI 029034626
Phone: (401) 443-4992
Fax: (401) 537-7241
Type: Mailing
375 WAMPANOAG TRL
RIVERSIDE, RI 029152232
Phone: (401) 649-4070
Fax: (401) 649-4071
Type: Location
900 Warren Ave
Suite 401
East Providence, RI 029141430
Phone: (800) 508-4908
Fax: (401) 228-6236
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-04-07
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 |
|---|---|---|---|---|
| I20050407001204 | I | Pulmonary Disease | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 327 | 253 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 227 | 165 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 61 | 61 | $0 |
| 95806 | Sleep study including heart rate, breathing, airflow, and effort | 24 | 24 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 02903)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | RI | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 161 | 157 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | RI | |
| - | RI | |
| P A T H O L O G Y | RI | |
| - | RI | |
| - | CT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Cardiovascular Disease (Cardiology) | RI | |
| - | RI | |
| P A T H O L O G Y | RI | |
| Nurse Practitioner | RI |
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