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Gastroenterology

Breton N. Roussel, MD

Works at hospitals in Warwick, RI · Providence, RI · Rhode Island

Summary

Dr. Breton N. Roussel, MD is a gastroenterologist at 146 W River St, Suite 11d, Providence, RI 02904. Phone: (401) 793-5700. Accepts Medicare assignment. In 2024, Breton N. Roussel had 178 Original Medicare patients and 393 services. NPI 1215385661. Source: CMS National Downloadable File, updated October 2, 2026; CMS Facility Affiliation Data, updated October 2, 2026; CMS Medicare Physician & Other Practitioners, data year 2024.

From official Medicare data

This page shows what Medicare's official clinician data says about Breton N. Roussel, joined by NPI number (data updated October 2, 2026). It is not a recommendation or a rating. Call the office or hospital to confirm before you go.

In a medical emergency, call 911.

Quick answers

Does Breton N. Roussel accept Medicare assignment?
Yes. Medicare's clinician data says Breton N. Roussel accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
How many Medicare patients does Breton N. Roussel see?
In 2024, CMS data shows 178 Original Medicare patients and 393 services for Breton N. Roussel. This counts Original Medicare only and measures volume, not quality.
What is Breton N. Roussel's NPI number?
1215385661. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.

Medicare activity in 2024

Official CMS public-use data for Breton N. Roussel, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.

Original Medicare patients178
Services billed to Medicare393
Different services or procedures33
Participating Medicare providerYes
Average age of these patients74

Most frequent services

  1. Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more (99214)82 services
  2. Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (43239)47 services
  3. Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito (G0500)47 services
  4. New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more (99204)36 services
  5. Biopsy of large bowel using a flexible endoscope (45380)35 services

Chronic conditions among these patients

Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).

  • High blood pressure75%
  • High cholesterol75%
  • Arthritis44%
  • Anxiety35%
  • Diabetes30%
  • Chronic kidney disease30%

Hospitals where Breton N. Roussel works

Medicare's Facility Affiliation Data lists Breton N. Roussel at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.

Practice locations

Addresses where Breton N. Roussel is enrolled with Medicare (CMS data updated October 2, 2026).

Group practices

Medicare enrollment lists Breton N. Roussel as a member of these groups (CMS data updated October 2, 2026).

  • Lifespan Physician Group Inc1,173 clinicians in the group
  • University Gastroenterology, LLC102 clinicians in the group

Specialties

Find other Gastroenterology doctors in Rhode Island →

Other gastroenterologists in Providence

Clinicians with the same Medicare primary specialty in Providence, RI — not a recommendation.

All gastroenterologists in Providence →

Other clinicians in Lifespan Physician Group Inc

Medicare enrollment lists these clinicians in the same group practice — not a recommendation.

Clinician information

CredentialMD
Medical schoolRutgers R W Johnson Medical School (cam/new Bruns/pisc)
Graduation year2016 (10 years since medical school)
Gender (as listed)Male
Medicare assignmentAccepts (Medicare-approved amount as full payment)
TelehealthOffers telehealth services
NPI (National Provider Identifier)1215385661
CorrectionsReport an error or suggest an update →

Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.

Sources

  1. Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
  2. Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
  3. National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
  4. Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
  5. NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
  6. Medicare Care Compare — official Medicare tool to look up clinicians