Dr. Peter Margolis, MD
33 Staniford St, Providence, RI 02905 • +1-258-555-9487
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Providence Percentiles
NPI #1659457133 • CBSA Regional • Gastroenterology
Operating out of Providence, RI (33 Staniford St), Gastroenterology clinician Dr. Peter Margolis, MD (accredited MD/DO training, 1993) maintains a focused low-volume boutique caseload (5.26th Providence percentile) (6.9th RI percentile; Z-score -0.44σ across 684 documented services) with sub-specialty concentration in 28 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 33 Staniford St shows Dr. Peter Margolis's primary concentration in Established Gastroenterology, GERD & IBD Evaluation (code 99214: 253x/yr, 12th local percentile) alongside Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy (45380: 171x/yr, $440–$604).
Self-pay new patient consultations with Dr. Margolis (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 19-minute average reception wait, and a 4.88/5 modern protocol openness score across 19 patient logs.
Spanning 33 years of clinical practice following 1993 graduation from medical training, Dr. Peter Margolis integrates 28 Active CMS HCPCS Codes diagnostics for Providence metro patients.
Compared against Providence, RI Gastroenterology peers
684 annual services across 387 beneficiaries
Standard deviations from RI Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 253 | 12th | $183 – $251 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 171 | 12th | $440 – $604 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 144 | 12th | $366 – $501 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 68 | 12th | $490 – $672 |
| 99204 | New Patient Digestive & Hepatology Consultation | 48 | 12th | $258 – $353 |
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Dr. Peter Margolis, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Margolis National Provider Identifier | NPI #1659457133 (MD) | CMS NPPES Registry (02905) |
| Dr. Margolis Providence CMS Volume Rank | 5.26th Pct (684 CMS svcs; Z -0.438σ) | CMS Medicare Part B (RI Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Providence, RI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.88/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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