PETER GRAVES MD
NPI 1346218989
Emergency Medicine in Warwick, RI

NPI Status: Active since March 09, 2006

Contact Information

455 TOLL GATE RD
WARWICK, RI
ZIP 02886
Phone: (508) 675-6591
Fax: (508) 675-7905

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  • Individual
  • Male
  • Years of Experience 27
  • Emergency Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About PETER GRAVES

This page provides the complete NPI Profile along with additional information for Peter Graves, a provider established in Warwick, Rhode Island with a medical specialization in Emergency Medicine and more than 27 years of experience. He graduated from University Of Massachusetts Medical School in 1999. The healthcare provider is registered in the NPI registry with number 1346218989 assigned on March 2006. The practitioner's primary taxonomy code is 207P00000X with license number 045454 (CT). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1346218989
Provider Name
PETER GRAVES MD
Gender
Male
Entity Type
Individual
Location Address
455 TOLL GATE RD WARWICK, RI 02886
Location Phone
(508) 675-6591
Location Fax
(508) 675-7905
Mailing Address
275 MARTINE ST SUITE # 301 FALL RIVER, MA 02723
Mailing Phone
(508) 675-6591
Mailing Fax
(508) 675-7905
Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year
1999
Is Sole Proprietor?
No
Enumeration Date
03-09-2006
Last Update Date
08-19-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
045454
License State
CT
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

MD10659 (RI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
007009771MEDICARE ID-TYPE UNSPECIFIED (04)RI 
7009740MEDICAID (05)RI 
H79238MEDICARE UPIN (02)RI 

Medicare Participation & PECOS Enrollment Status

Peter Graves is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Peter Graves is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4981685203

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20081105000507

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 28 times for 28 patients

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 311 times for 294 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 89 times for 88 patients

Emergency department visit for problem of moderate severity

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

This service was performed 80 times for 79 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $22.62 for a new patient copayment and $25.77 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02886 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.48
  • Minimum New Patient Price $58.57
  • Maximum New Patient Price $177.03
  • Average New Patient Copayment $22.62
  • Minimum New Patient Copayment $14.64
  • Maximum New Patient Copayment $44.25

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.1
  • Minimum Established Patient Price $18.92
  • Maximum Established Patient Price $144.38
  • Average Established Patient Copayment $25.77
  • Minimum Established Patient Copayment $4.73
  • Maximum Established Patient Copayment $36.09

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Peter Graves is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SOUTH COUNTY HOSPITAL INC100 KENYON AVE
WAKEFIELD, RI 02879
(401) 782-8020Acute Care Hospitals

Reviews for PETER GRAVES MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346218989
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23864116916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 4 + 1 + 1 + 6 + 9 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1346218989 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609872878DR. JOHN ROBERT AUDETT MD
Individual
Internal Medicine455 TOLL GATE RD
WARWICK, RI 02886
(401) 737-7000
1427055987 LANDY PETER PAOLELLA MD
Individual
Radiology (Vascular & Interventional Radiology)455 TOLL GATE RD
WARWICK, RI 02886
(401) 737-1010
1790774073DR. GREGORY ROBERT YOUNG MD
Individual
Emergency Medicine455 TOLL GATE RD
WARWICK, RI 02886
(401) 737-7000
1295712321 HELEN GEIGENMILLER CRNA
Individual
Nurse Anesthetist, Certified Registered455 TOLL GATE RD
WARWICK, RI 02886
(401) 738-1516
1467439596 SONYA SCHLOSSTEIN CRNA
Individual
Nurse Anesthetist, Certified Registered455 TOLL GATE RD
WARWICK, RI 02886
(401) 738-1516
1689651713 KENNETH DUVAL CRNA
Individual
Nurse Anesthetist, Certified Registered455 TOLL GATE RD
WARWICK, RI 02886
(401) 738-1516
1548247687 SHARON E STILL CRNA
Individual
Nurse Anesthetist, Certified Registered455 TOLL GATE RD
WARWICK, RI 02886
(401) 738-1516
1164409207 DWIGHT TAYLOR CRNA
Individual
Nurse Anesthetist, Certified Registered455 TOLL GATE RD
WARWICK, RI 02886
(401) 738-1516
1639156755 BONNIE LEE BERGIN CRNA
Individual
Nurse Anesthetist, Certified Registered455 TOLL GATE RD
WARWICK, RI 02886
(401) 738-1516
1710964721 RICHARD TUMIDAJSKI CRNA
Individual
Nurse Anesthetist, Certified Registered455 TOLL GATE RD
WARWICK, RI 02886
(401) 738-1516
1003894940 KENNETH ROBERT LARSEN D.O
Individual
Emergency Medicine455 TOLL GATE RD
WARWICK, RI 02886
(401) 736-4289
1134191497 DENNIS G AUCOIN PA
Individual
Physician Assistant455 TOLL GATE RD
WARWICK, RI 02886
(401) 737-7010
1275509572DR. RAMAKRISHNA N NAYAK M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)455 TOLL GATE RD KENT COUNTY MEMORIAL HOSPITAL, PATHOLOGY DEPT.
WARWICK, RI 02886
(401) 737-7000
1477529451 MICHAEL J DACEY JR. M.D.
Individual
Internal Medicine (Critical Care Medicine)455 TOLL GATE RD
WARWICK, RI 02886
(401) 737-7010
1124096102 ERIC HARRINGTON D.O.
Individual
Emergency Medicine455 TOLL GATE RD
WARWICK, RI 02886
(508) 675-6591
1588632541 ALFONSO CARDENAS M.D.
Individual
Emergency Medicine455 TOLL GATE RD
WARWICK, RI 02886
(508) 675-6591
1114995115 KARL MACHATA M.D.
Individual
Emergency Medicine455 TOLL GATE RD
WARWICK, RI 02886
(508) 675-6591
1679541213 ROBERT HEINL M.D.
Individual
Emergency Medicine455 TOLL GATE RD
WARWICK, RI 02886
(508) 675-6591
1366410904 JOHN MCCUE M.D.
Individual
Emergency Medicine455 TOLL GATE RD
WARWICK, RI 02886
(508) 675-6591
1184692741 DAVID SIWICKI M.D.
Individual
Emergency Medicine455 TOLL GATE RD
WARWICK, RI 02886
(508) 675-6951

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346218989, enumerated in the NPI registry as an "individual" on March 09, 2006

The provider is located at 455 Toll Gate Rd Warwick, Ri 02886 and the phone number is (508) 675-6591

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

The provider has more than 27 years of experience. He graduated from University Of Massachusetts Medical School in 1999.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $90.48 with an average copayment of $22.62 for new patient appointments. Established patients should expect a typical charge of $103.1 and an average copayment of 25.77. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity and Emergency department visit for problem of moderate severity.

The practitioner is affiliated to the following hospital(s): SOUTH COUNTY HOSPITAL INC. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.