Dr. Michael Prodromou , MD
Internal Medicine โข Providence, RI
593 Eddy St
Providence, RI 029034923
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Dr. Michael Prodromou is listed in NPPES under Internal Medicine.
-
NPI assigned on June 7, 2011; this date does not establish years in practice.
-
Published CMS data list 3,388 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 906 service units.
- G2211 โ Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's: 884 service units.
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 459 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 15 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 1,851 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Albuterol Sulfate Hfa (Albuterol Sulfate) โ 394 prescription fills, including refills.
- Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) โ 166 prescription fills, including refills.
- Prednisone โ 157 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 26 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Providence, RI (2024, 219 clinicians with data). Median for this group: 287. Middle half: 120 to 463.
More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Rhode Island (2024, 534 clinicians with data). Median for this group: 397. Middle half: 235 to 716.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 1,453 in 2020 to 3,388 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
593 Eddy St
Providence, RI 029034923
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: North Shore Medical Group Of The Mount Sinai School Of Medicine. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
2011
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
655 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $313,670 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $239,715 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
2,491 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$441,531 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
Years since graduation
15 years (graduated 2011)
CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
NPI first issued
2011
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Dr. Prodromou has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Prodromou as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Providence and Rhode Island
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Providence, RI (2024, 219 clinicians with data). Median for this group: 287. Middle half: 120 to 463.
More Medicare Part B services than 95% of clinicians listed under Internal Medicine in Rhode Island (2024, 534 clinicians with data). Median for this group: 397. Middle half: 235 to 716.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Internal Medicine in Providence, RI (2024, 219 clinicians with data). Median for this group: $28,816. Middle half: $12,595 to $46,882.
A higher Medicare-allowed amount than 95% of clinicians listed under Internal Medicine in Rhode Island (2024, 534 clinicians with data). Median for this group: $38,775. Middle half: $21,121 to $60,079.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Internal Medicine in Providence, RI (2024, 219 clinicians with data). Median for this group: $22,018. Middle half: $9,764 to $34,622.
A higher Medicare payment amount than 95% of clinicians listed under Internal Medicine in Rhode Island (2024, 534 clinicians with data). Median for this group: $28,229. Middle half: $15,262 to $45,200.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Internal Medicine in Providence, RI (2024, 237 clinicians with data). Median for this group: 176. Middle half: 42 to 848.
Close to the middle for clinicians listed under Internal Medicine in Rhode Island (2024, 581 clinicians with data). Median for this group: 810. Middle half: 88 to 5,129.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Internal Medicine in Providence, RI (2024, 237 clinicians with data). Median for this group: $13,641. Middle half: $582 to $103,395.
A higher Part D drug cost than 80% of clinicians listed under Internal Medicine in Rhode Island (2024, 581 clinicians with data). Median for this group: $63,829. Middle half: $3,341 to $365,044.
502 active clinicians are listed under Internal Medicine with a practice address in Providence, RI (1,032 in Rhode Island).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Providence
11% of these 502 clinicians have the CMS telehealth indicator.
52% of these 502 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services increased 133% from 1,453 in 2020 to 3,388 in 2024.
- 2020: 1,453
- 2021: 2,270
- 2022: 2,490
- 2023: 2,595
- 2024: 3,388
-
Medicare-allowed amount
Medicare-allowed amount increased 84% from $170,914 in 2020 to $313,670 in 2024.
- 2020: $170,914
- 2021: $285,631
- 2022: $335,668
- 2023: $320,665
- 2024: $313,670
-
Paid by Medicare
Paid by Medicare increased 79% from $133,695 in 2020 to $239,715 in 2024.
- 2020: $133,695
- 2021: $223,602
- 2022: $266,021
- 2023: $252,120
- 2024: $239,715
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 150% from 741 in 2020 to 1,851 in 2024.
- 2020: 741
- 2021: 1,053
- 2022: 1,393
- 2023: 1,502
- 2024: 1,851
-
30-day fills
30-day fills increased 141% from 1,032 in 2020 to 2,491 in 2024.
- 2020: 1,032
- 2021: 1,447
- 2022: 1,892
- 2023: 2,018
- 2024: 2,491
-
Part D drug cost
Part D drug cost increased 139% from $184,543 in 2020 to $441,531 in 2024.
- 2020: $184,543
- 2021: $319,962
- 2022: $448,225
- 2023: $493,822
- 2024: $441,531
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2018โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
906 | 491 | $430.00 | $145.25 |
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
884 | 504 | $39.77 | $18.20 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
459 | 95 | $300.00 | $87.48 |
|
94729
Test to examine how well the lungs exchange gases
|
210 | 185 | $220.00 | $65.68 |
|
94726
Test to determine lung volumes using sensors
|
209 | 184 | $220.00 | $64.61 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
160 | 160 | $660.00 | $189.26 |
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
143 | 107 | $800.00 | $191.95 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
119 | 76 | $580.00 | $205.33 |
|
94060
Test to measure expiratory airflow and volume changes before and after medication administration
|
109 | 97 | $250.00 | $45.24 |
|
94010
Test to measure expiratory airflow and volume
|
100 | 93 | $150.00 | $31.70 |
|
36415
Insertion of needle into vein for collection of blood sample
|
25 | 22 | $19.80 | $8.65 |
|
99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
22 | 11 | $410.00 | $131.73 |
|
99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
|
20 | 20 | $830.00 | $252.21 |
|
85007
Microscopic examination for white blood cells with manual cell count
|
11 | 11 | $16.00 | $3.72 |
|
85027
Complete blood cell count (red cells, white blood cell, platelets), automated test
|
11 | 11 | $27.00 | $6.34 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Albuterol Sulfate Hfa | Albuterol Sulfate | 394 | 11,658 | $11,859.39 | 156 |
| Trelegy Ellipta | Fluticasone/Umeclidin/Vilanter | 166 | 6,510 | $135,423.54 | 40 |
| Prednisone | Prednisone | 157 | 2,185 | $604.52 | 67 |
| Breo Ellipta | Fluticasone/Vilanterol | 155 | 6,570 | $85,145.46 | 37 |
| Advair Hfa | Fluticasone Propion/Salmeterol | 115 | 5,790 | $58,326.43 | 37 |
| Fluticasone-Salmeterol | Fluticasone Propion/Salmeterol | 89 | 4,350 | $15,712.32 | 32 |
| Symbicort | Budesonide/Formoterol Fumarate | 83 | 3,300 | $23,723.05 | 25 |
| Fluticasone Propionate | Fluticasone Propionate | 78 | 3,840 | $1,090.72 | 40 |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 78 | 748 | $1,078.42 | 60 |
| Montelukast Sodium | Montelukast Sodium | 66 | 5,441 | $1,090.65 | 21 |
| Azithromycin | Azithromycin | 61 | 1,372 | $913.99 | 36 |
| Wixela Inhub | Fluticasone Propion/Salmeterol | 59 | 2,460 | $6,877.30 | 21 |
| Anoro Ellipta | Umeclidinium Brm/Vilanterol Tr | 53 | 2,190 | $33,469.36 | 14 |
| Budesonide-Formoterol Fumarate | Budesonide/Formoterol Fumarate | 48 | 1,620 | $7,133.83 | 15 |
| Breztri Aerosphere | Budesonide/Glycopyr/Formoterol | 47 | 1,770 | $35,721.46 | 15 |
| Arnuity Ellipta | Fluticasone Furoate | 40 | 1,440 | $9,819.36 | 11 |
| Ventolin Hfa | Albuterol Sulfate | 25 | 870 | $1,930.32 | 13 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 23 | 218 | $188.95 | 20 |
| Omeprazole | Omeprazole | 17 | 990 | $110.37 | โ |
| Ethambutol Hcl | Ethambutol Hcl | 17 | 418 | $749.79 | โ |
| Furosemide | Furosemide | 16 | 487 | $108.76 | โ |
| Dulera | Mometasone/Formoterol | 15 | 510 | $5,389.35 | โ |
| Levalbuterol Tartrate Hfa | Levalbuterol Tartrate | 13 | 558 | $828.33 | โ |
| Advair Diskus | Fluticasone Propion/Salmeterol | 13 | 630 | $3,586.87 | โ |
| Mometasone Furoate | Mometasone Furoate | 12 | 450 | $348.24 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - CRITICAL CARE (INTENSIVISTS)
I20180612000075
NY
4082839030
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
North Shore Medical Group Of The Mount Sinai School Of Medicine
5 Cuba Hill Rd, Greenlawn, NY 117401624
Phone: 6316285000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Adult Health
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated June 07, 2011.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.
NPI Administrative Meta
Other Internal Medicine Providers in Providence
- Dr. Harrison Bai, DO
- Dr. Jumanah Algazaq, MD
- Dr. Natalia Belosloudtseva, MD, PhD
- Dr. Abdul Ahad Ayub, MD
- Dr. Susan Cu Uvin, MD
- Dr. Margaret Miller, MD
Mailing Address
17 Virginia Ave, Suite 107
Providence, RI 029054406
Phone: 4017844923