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Dr. Peter Karczmar

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NPI Number Detailed Information

Provider Information:

Name: Dr. Peter Karczmar
Gender: M
Provider License Number If Given: MD07447

NPI Information:

NPI: 1124015813
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/29/2005

Last Update Date: 1/3/2023

Reputation Report:

Provider Business Mailing Address:

Address: 110 ELM ST
Providence, RI 02903
Phone Number: 4014434992
Fax Number: 4015377241

Provider Business Practice Location Address:

Address: 375 WAMPANOAG TRL
Riverside, RI 02915
Phone Number: 4016494070
Fax Number: 4016494071

Provider Taxonomy:

Primary: 207RS0012X
Secondary (if any): 207RP1001X
State: RI

Top Doctors in RI

 

About Dr. Peter Karczmar

Dr. Peter Karczmar (DR. PETER KARCZMAR ) is An Internal Medicine Physician in Riverside, RI. The NPI Number for Dr. Peter Karczmar is 1124015813.
The current location address for Dr. Peter Karczmar is 375 WAMPANOAG TRL Riverside, RI 02915 and the contact number is 4014434992 and fax number is 4015377241. The mailing address for Dr. Peter Karczmar is 110 ELM ST Providence, RI 02903- 4016494070 (mailing address contact number - 4014434992).
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Peter Karczmar ?


Answer: The NPI Number for Dr. Peter Karczmar is 1124015813

Where is Dr. Peter Karczmar located?


Answer: Dr. Peter Karczmar is located at 375 WAMPANOAG TRL Riverside, RI 02915.

What is the specialty for Dr. Peter Karczmar ?


Answer: The Specialty of Dr. Peter Karczmar is An Internal Medicine Physician.

Are there any online reviews for Dr. Peter Karczmar ?


Answer: Yes! Check It Now.

Are there any other health care providers in Riverside, RI?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Peter Karczmar

Number of HCPCS 35
Number of Medicare Beneficiaries 796
Number of Services 2230
Total Submitted Charge Amount 247050.5
Total Medicare Allowed Amount 156314.01
Total Medicare Payment Amount 114893.43
Total Medicare Standardized Payment Amount 110084.64
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 7
Number of Medicare Beneficiaries With Drug Services 123
Number of Drug Services 514
Total Drug Submitted Charge Amount 5303.5
Total Drug Medicare Allowed Amount 156.35
Total Drug Medicare Payment Amount 137.16
Total Drug Medicare Standardized Payment Amount 134.47
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 28
Number of Medicare Beneficiaries With Medical 796
Number of Medical Services 1716
Total Medical Submitted Charge Amount 241747
Total Medical Medicare Allowed Amount 156157.66
Total Medical Medicare Payment Amount 114756.27
Total Medical Medicare Standardized Payment Amount 109950.17
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65 43
Number of Beneficiaries Age 65 to 74 366
Number of Beneficiaries Age 75 to 84 303
Number of Beneficiaries Age Greater 84 84
Number of Female Beneficiaries 411
Number of Male Beneficiaries 385
Number of Non-Hispanic White Beneficiaries 715
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 22
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified 35
Number of Beneficiaries With Medicare & Medicaid Entitlement 46
Number of Beneficiaries With Medicare Only Entitlement 750
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.17
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.08
Percent (%) of Beneficiaries Identified With Asthma 0.21
Percent (%) of Beneficiaries Identified With Cancer 0.17
Percent (%) of Beneficiaries Identified With Heart Failure 0.21
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.34
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.34
Percent (%) of Beneficiaries Identified With Depression 0.34
Percent (%) of Beneficiaries Identified With Diabetes 0.32
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.69
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.42
Percent (%) of Beneficiaries Identified With Osteoporosis 0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.52
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.05
Average HCC Risk Score of Beneficiaries 1.3037

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Pulmonary Disease
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 3246
Number of Standardized 30-Day Fills 4281.0666667
Aggregate Cost Paid for All Claims 1497860.54
Number of Day's Supply for All Claims 123374
Number of Medicare Beneficiaries 543
Number of Claims, Including Refills, for Beneficiaries Age 65+ 2779
Including Refills, for Beneficiaries Age 65+ 3697.4
Beneficiaries Age 65+ 1160600.98
Number of Day's Supply for All Claims for Beneficaries Age 65+ 107079
Number of Medicare Beneficiaries Age 65+ 477
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 2258
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 988
Aggregate Cost Paid for Generic Drugs 30176.66
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 1958
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 962258.96
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1288
Aggregate Cost Paid for Claims Filled by 535601.58
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 941
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 480668.91
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 2305
by Low-Income Subsidy 1017191.63
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 70
Aggregate Cost Paid for Antibiotic Drugs 892.74
Antibiotic Claims 39
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 73.598526703
Number of Beneficiaries Age Less Than 65 66
Number of Beneficiaries Age 65 to 74 220
Number of Beneficiaries Age 75 to 84 204
Number of Female Beneficiaries 319
Number of Male Beneficiaries 224
Number of Non-Hispanic White 476
Number of Black or African American 13
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 28
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not 25
Only Entitlement 436
Average Hierarchical Condition Category 1.5021948855

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