PHILIP JOSEPH OPALENSKI (MD) – Gastroenterology Physician, NPI 1619062411
Gastroenterology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
129 GASTROENTEROLOGY in RI
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Provider Addresses for PHILIP JOSEPH OPALENSKI (MD)
Cranston Medical Labs, 725, Reservoir Avenue, Cranston, Providence County, Rhode Island, 02920, United States
STE 205
CRANSTON, RI 02910
Phone: (401) 943-7222
Fax: (401) 944-7430
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)
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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: 2010-05-13
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 |
|---|---|---|---|---|
| I20100513000066 | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 76 | 70 | $0 |
| 43235 | Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 20 | 20 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 17 | 16 | $0 |
| 74328 | Review by radiologist of image from tube placement into bile duct using an endoscope | 14 | 12 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 13 | 13 | $0 |
Insurance plans in this area (ZIP 02910)
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Provider's Procedures
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