Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Ethan Klausmeyer , PA-C

Physician Assistant โ€ข Warwick, RI

Active NPI 1174162481 Individual Practitioner Male Practitioner
Practice location in NPPES

17 Airport Rd
Warwick, RI 028891001

Call 4016063110 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

17 Airport Rd

Warwick, RI 028891001

Telephone 4016063110
Organization at the Same NPPES Address or Phone
Lifespan Physician Group, Inc. Facility NPI 1285191163

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in East Providence, RI; Raynham, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare patients

146 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $17,160 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.

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 $13,142 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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

320 standardized 30-day fills in 2023

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

$2,928 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

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, 2023.

Open Payments general payments, program year 2022

All general payments: $177.29 across 3 records.

By nature of payment

  • Food and Beverage: $177.29 across 3 records.

Reporting-company totals

  • Medtronic, Inc.: $131.59 across 1 record.
  • SPINEART USA INC: $45.70 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2022 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2020

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ethan Klausmeyer 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Ethan Klausmeyer 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Warwick and Rhode Island

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Warwick, RI (2024, 44 clinicians with data). Median for this group: 135. Middle half: 71 to 384.

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Rhode Island (2024, 348 clinicians with data). Median for this group: 233. Middle half: 78 to 486.

Medicare-allowed amount

A higher Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Warwick, RI (2024, 44 clinicians with data). Median for this group: $10,993. Middle half: $5,185 to $25,079.

Close to the middle for clinicians listed under Physician Assistant in Rhode Island (2024, 348 clinicians with data). Median for this group: $17,396. Middle half: $6,065 to $31,744.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in Warwick, RI (2024, 44 clinicians with data). Median for this group: $8,458. Middle half: $3,715 to $19,283.

Close to the middle for clinicians listed under Physician Assistant in Rhode Island (2024, 348 clinicians with data). Median for this group: $13,448. Middle half: $4,267 to $23,050.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Ethan Klausmeyer are from 2023.

84 active clinicians are listed under Physician Assistant with a practice address in Warwick, RI (684 in Rhode Island).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Warwick

13.1% of these 84 clinicians have the CMS telehealth indicator.

77.4% of these 84 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2022

Program year 2022 (payments made January 1 โ€“ December 31, 2022): fewer than 11 records totaling $177.29.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
KYPHON EXPRESS II KYPHOPAK TRAY General $131.59
SPINEART USA INC
Food and Beverage
Cash or cash equivalent
PERLA TL General $22.97
SPINEART USA INC
Food and Beverage
Cash or cash equivalent
PERLA TL General $22.73

Source: CMS Open Payments, program year 2022, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2022โ€“2023 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, 2023โ€“2024; 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
99285 Emergency department visit with high level of medical decision making
63 62 $1650.37 $151.94
99284 Emergency department visit with moderate level of medical decision making
61 60 $1118.21 $108.65
99283 Emergency department visit with low level of medical decision making
15 15 $589.41 $64.04

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 2023.

CMS Part D ยท Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Methylprednisolone Methylprednisolone 64 384 $678.04 64
Prednisone Prednisone 36 271 $99.50 36
Cephalexin Cephalexin 35 210 $234.56 35
Doxycycline Monohydrate Doxycycline Monohydrate 22 122 $171.89 22
Meloxicam Meloxicam 20 442 $44.33 20
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 20 174 $153.59 20
Azithromycin Azithromycin 19 91 $91.45 19
Albuterol Sulfate Hfa Albuterol Sulfate 18 420 $511.08 17
Diclofenac Sodium Diclofenac Sodium 14 293 $344.27 13
Fluticasone Propionate Fluticasone Propionate 14 527 $111.05 14
Polymyxin B Sul-Trimethoprim Polymyxin B Sulf/Trimethoprim 14 297 $107.50 14
Triamcinolone Acetonide Triamcinolone Acetonide 13 262 $83.89 โ€”
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 13 65 $198.29 13
Mupirocin Mupirocin 13 202 $99.02 13

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES RI PA01425

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MD C0009110

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Rhode Island State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20231228001267

Enrollment State Jurisdiction

DC

PECOS Control ID

5890188528

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1 Kettle Point Ave

East Providence, RI 029145375

Phone: 4014571500

675 Paramount Dr Ste 301

Raynham, MA 027675416

Phone: 4014571500

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Victoria Hartley , PA-C

Physician Assistant

NPI 1689423410

Physician Assistant (Certified)

Elizabeth Jones

Nurse Practitioner - Family

NPI 1558953687
Jennifer Silvia

Nurse Practitioner - Family

NPI 1962089524

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2025

Physician Assistant (license number reported to NPPES: MD C0009110)

๐Ÿ“
Updated Practice Location December 01, 2022

Registered at 17 AIRPORT RD, WARWICK, RI 028891001 (Tel: 4016063110)

๐Ÿ“
Updated Business Mailing Address December 01, 2022

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054541 (Tel: 4014446779)

๐Ÿ“
Updated Practice Location January 26, 2022

Registered at 1 KETTLE POINT AVE, EAST PROVIDENCE, RI 029145375 (Tel: 4014571500)

๐Ÿ“
Updated Business Mailing Address January 26, 2022

Registered at PO BOX 1119, PROVIDENCE, RI 029011119

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2022

Physician Assistant (license number reported to NPPES: RI PA01425)

โœ…
NPI Profile Active January 03, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 03, 2020

Registered at 3200 S UNIVERSITY DR, DAVIE, FL 333282018 (Tel: 9542621250)

๐Ÿ“
Business Mailing Address (Initial Record) January 03, 2020

Registered at 3200 S UNIVERSITY DR, DAVIE, FL 333282018 (Tel: 9542621250)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 03, 2020

Recorded as ETHAN KLAUSMEYER, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2020

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: FL 390200000X)

๐ŸŸข
Initial NPI Registration & Enumeration January 03, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174162481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2020
Last Update: August 06, 2025
Sole Proprietor: No

Other Physician Assistants in Warwick

All Physician Assistants in Warwick

Mailing Address

117 Ellenfield St Ste 101

Providence, RI 029054541

Phone: 4014446779

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.