NPPES file of Aug 9, 2026

Breton Roussel, M.D.

Gastroenterology Physician · Providence, RI

Breton Roussel, M.D. is a gastroenterology physician with a practice address in Providence, Rhode Island, and NPI 1215385661, issued on May 26, 2016. Check the license (Rhode Island MD16607, as entered in NPPES) on the Rhode Island Board of Medical Licensure and Discipline; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1215385661
Name
Breton Roussel
Credential
M.D.
Primary taxonomy
Gastroenterology Physician 207RG0100X
License number
MD16607 RI
Self-reported in NPPES; status is on the state search
Practice location
33 Staniford Street, Providence, RI 02905
Phone
(401) 421-8800
Enumerated
May 26, 2016
Record last updated
Jun 26, 2023
Medicare enrollment
Enrolled (PECOS I20190625001018); accepts Medicare assignment
Medical or professional school
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2016
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 33 Staniford Street

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Nicholas Califano, M.D.Gastroenterology Physician1679668164
  2. Leslie Cashel, M.D.Gastroenterology Physician1861585515
  3. William Chen, M.D.Gastroenterology Physician1467546051

Verify Breton Roussel in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersRhode Island Board of Medical Licensure and Discipline
    Search for license MD16607
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Rhode Island license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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37% fewer Medicare Part D claims than the average gastroenterology physician in 2024

510 Medicare Part D claims for 231 beneficiaries, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D. Brand-name drugs were 16% of claims.

  1. Breton Roussel510
  2. Specialty average811

Most prescribed

  1. Sod Sulf-Potass Sulf-Mag Sulf149 claims
  2. Omeprazole96 claims
  3. Pantoprazole Sodium46 claims
  4. Famotidine31 claims
  5. Linzess16 claims
  6. Balsalazide Disodium13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $9,376.23

119 payments; by number, the most common kind was food and beverage; the largest payer was Phathom Pharmaceuticals, Inc. The 13,350 providers of this specialty with any payment received $5,015.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Breton Roussel$9,376.23
  2. Specialty average$5,015.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. University Gastroenterology, LLCProvidence, RI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Breton Roussel among 96 gastroenterology physician records in Rhode Island

Breton Roussel, M.D. is one of 96 gastroenterology physician records with a practice address in Rhode Island. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 82% of them.

  • NPI issued2016 · 82% of these records are older, 16% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated2016 · median 1997 among the 66 with a school on file
  • Record last updated2023 · 51% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RG0100X and a Rhode Island practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gastroenterology Physician providers in Rhode Island

There are 96 gastroenterology physician records in Rhode Island.

The 8 gastroenterology physician records with the nearest ZIP codes

  1. Paul Akerman, MDProvidence, RI 029051942302773
  2. Nicholas Califano, M.D.Providence, RI 029051679668164
  3. Leslie Cashel, M.D.Providence, RI 029051861585515
  4. William Chen, M.D.Providence, RI 029051467546051
  5. Christy Dibble, MDProvidence, RI 029051043240062
  6. Mariam Fayek, MDProvidence, RI 029051316997588
  7. Sheldon Lidofsky, MDProvidence, RI 029051447336904
  8. Peter Margolis, MDProvidence, RI 029051659457133

Common questions

What is Breton Roussel, M.D.'s NPI number?

Breton Roussel, M.D.'s National Provider Identifier (NPI) is 1215385661, issued on May 26, 2016. An NPI identifies a provider in billing; it is not a license.

Where is Breton Roussel, M.D. located?

The NPPES record lists a practice address at 33 Staniford Street, Providence, RI, 02905. Phone: (401) 421-8800. Providers update this record themselves, so call before visiting.

How can I verify Breton Roussel, M.D.'s license?

NPPES lists Rhode Island license number MD16607, as entered by the provider. Search the Rhode Island Board of Medical Licensure and Discipline at https://healthri.mylicense.com/Verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Breton Roussel, M.D. prescribe under Medicare Part D?

In 2024, Breton Roussel, M.D. had 510 Medicare Part D claims for 231 beneficiaries; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.