Doctor profile · Federal record
Dr. Peter Karczmar, MD
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Sleep Medicine (Internal Medicine) Physician · Riverside, RI
- NPI 1124015813
- Accepts Medicare
- 40 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
375 Wampanoag Trl
Riverside, RI 029152232
(401) 649-4070
fax (401) 649-4071 - Additional location
-
900 Warren Ave, Suite 401
East Providence, RI 029141430
(800) 508-4908
fax (401) 228-6236 - Mailing address
-
110 Elm St
Providence, RI 029034626
Credentials & registration
- NPI registered
- September 2005 — 21 yrs on file
- Profile last updated
- January 3, 2023
- Year of graduation
- 1986 — 40 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- Rhode Island #MD07447
- Medicaid
- RI #7004233
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124015813. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
673
Distinct HCPCS
6
Medicare allowed
$75,686
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 327 | 253 | $91 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 227 | 165 | $129 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 61 | 61 | $169 | |
95806 |
Sleep study including heart rate, breathing, airflow, and effort | 24 | 24 | $90 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $113 | |
95810 |
Sleep study in sleep lab (6 years or older) | 12 | 12 | $119 |
In context: peer comparison
Among 7 peers in this city , average services per provider: 83. This provider delivers 8.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
2,075
Patients
521
Total drug cost
$785,691
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 519 | 103 | $398,006 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 313 | 110 | $9,997 |
| Prednisone | Generic | 177 | 62 | $906 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 173 | 43 | $74,289 |
| Anoro Ellipta (Umeclidinium Brm/Vilanterol Tr) | Brand | 155 | 29 | $78,836 |
| Stiolto Respimat (Tiotropium Br/Olodaterol Hcl) | Brand | 125 | 25 | $59,537 |
| Montelukast Sodium | Generic | 87 | 29 | $1,729 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 87 | 19 | $37,598 |
| Advair Diskus (Fluticasone Propion/Salmeterol) | Brand | 83 | 17 | $40,140 |
| Ventolin Hfa (Albuterol Sulfate) | Brand | 66 | 22 | $4,243 |
Hospital affiliations
Frequently asked questions
What is Dr. Peter Karczmar's medical specialty?
Dr. Peter Karczmar practices Pulmonary Disease Physician in Riverside, RI.
Where does Dr. Peter Karczmar practice?
Dr. Peter Karczmar practices at 375 Wampanoag Trl, Riverside, RI 029152232. Office phone: 4016494070.
What is Dr. Peter Karczmar's NPI?
Dr. Peter Karczmar's National Provider Identifier (NPI) is 1124015813, issued by NPPES.
Does Dr. Peter Karczmar accept Medicare assignment?
Yes. Dr. Peter Karczmar accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Peter Karczmar commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.