DR. JOHN MICHAEL CONTE (M.D.) – Specialist, NPI 1952307803
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
45 RHEUMATOLOGY in RI
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Provider Addresses for DR. JOHN MICHAEL CONTE (M.D.)
East Avenue, Woodlawn, Pawtucket, Providence County, Rhode Island, 02860, United States
SUITE 250
PAWTUCKET, RI 02860
Phone: (401) 351-2280
Fax: (401) 721-5709
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)
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: 2012-04-30
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 |
|---|---|---|---|---|
| I20120430000278 | I | Rheumatology | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 38 | $0 |
Insurance plans in this area (ZIP 02860)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RHEUMATOLOGY | RI | 20610 | Aspiration and/or injection of large joint or joint capsule | 109 | 73 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | RI | |
| E N D O C R I N O L O G Y | RI | |
| - | RI | |
| Pain Management | RI | |
| Hematology/Oncology, Internal Medicine | RI | |
| Gastroenterology, Pediatric Medicine | RI | |
| N E U R O L O G Y | RI | |
| Internal Medicine | RI | |
| - | RI | |
| N E U R O L O G Y | RI |
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