Peter Karczmar, MD
NPI 1124015813 · Pulmonary Disease Physician · Riverside, RI
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peter Karczmar, MD is a Pulmonary Disease Physician provider in Riverside, RI (NPI 1124015813).
Provider details
- NPI number
- 1124015813
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD07447 (RI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
733 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 416 | $128 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 165 | $91 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 36 | $166 |
| Test to Determine Lung Volumes Using Gas Dilution Or Washout94727 | 35 | $12 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 35 | $9 |
| Test to Measure Expiratory Airflow and Volume Changes Before and After Medication Administration94060 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 43 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 556 | 88 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 296 | 94 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 177 | 37 |
| Prednisone | 160 | 59 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 134 | 27 |
| Tiotropium Br/Olodaterol Hclbrand: Stiolto Respimat | 114 | 18 |
Practice location
Mailing address
Additional practice locations (1)
- 900 Warren AveSuite 401East Providence, RI 02914-1430Phone: (800) 508-4908Fax: (401) 228-6236
Registry dates
- Enumerated
- 2005-09-29
- Last updated
- 2023-01-03
- Certified
- 2023-01-03
Frequently asked questions
- What is Peter Karczmar's NPI number?
- Peter Karczmar's National Provider Identifier (NPI) is 1124015813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Karczmar's specialty?
- Peter Karczmar is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Peter Karczmar located?
- Peter Karczmar's practice location on file with NPPES is 375 Wampanoag Trl, Riverside, RI 02915-2232.
- What is Peter Karczmar's phone number?
- The practice phone number listed in the NPPES registry for Peter Karczmar is (401) 649-4070.
- Does Peter Karczmar accept Medicare?
- Peter Karczmar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Peter Karczmar's NPI active?
- Yes — Peter Karczmar's NPI (1124015813) is active in the NPPES registry as of the last update on 2023-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.