NPIMap

Individual provider Active NPI

Pasquale Petrera, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Salisbury, MD
National Provider Identifier
1215918933
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
D44707 Issued in MD
Practice address
1675 Woodbrooke Drive
Salisbury, MD 21804
Phone
(410) 749-4154
Fax
(410) 860-9583
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X D44707 MD Primary

Addresses

Primary practice location

1675 Woodbrooke Drive
Salisbury, MD 21804

Mailing address

PO Box 69709
Baltimore, MD 21264-9709
Phone (410) 749-4154

Other identifiers 13

IdentifierTypeStateIssuer
091051OtherVATRIGON BCBS
221921800OtherUS DEPARTMENT OF LABOR
327279OtherPRIME HEALTH
200022316OtherRAILROAD MEDICARE
0008W409OtherBCBS PROD FEP BLUE CHOICE
006400248MedicaidVA
52819001H524PEOtherBCBS TRAD PRODUCTS
66G41OtherEMPIRE BCBS
44707OtherFREESTATE DELMARVA HEALTH
588841700MedicaidMD
217742OtherMDMDIPA OPTIMUM CHOICE
0000575601MedicaidDE
3226879OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090805000742 DE Practitioner - Orthopedic Surgery 0749357077 Reassigns benefits to 2 organizations
I20120110000145 MD Practitioner - Orthopedic Surgery 0749357077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albany Medical College of Union University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Peninsula Orthopaedic Assoc PAGroup PAC ID 6406844406, shared by 6 NPIs, 56 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

1606 Savannah Rd
Lewes, DE 19958-1656
Phone (410) 749-4154

1675 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone (410) 749-4154

200 Federal St
Seaford, DE 19973-5764
Phone (410) 912-4976

30265 Commerce Dr
Millsboro, DE 19966-3594

329 Mullet Run
Milford, DE 19963-5373
Phone (410) 749-4154

Hospital & facility affiliations

  • Tidalhealth Home Care Home health agency, Laurel, DE, CCN 087036
  • Homecall Home health agency, Easton, MD, CCN 217066
  • Adoration Home Health Home health agency, Salisbury, MD, CCN 217111
  • Riverside Shore Home Health Home health agency, Accomac, VA, CCN 497507
  • Kind Hearts Home health agency, Oak Hall, VA, CCN 497768
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061
  • Riverside Shore Memorial Hospital Hospital, Onancock, VA, CCN 490037

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement86
Knee replacement127
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D44707MDMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Orthopaedic Assoc., PA CurrentSince Jun 1, 2009 Accepting new patients
Peninsula Orthopaedic Assoc, PA Adult Reconstructive Orthopaedic Surgery CurrentSince Aug 1, 1993 Accepting new patients
Deer Pointe Surgical Center, LLC Current Accepting new patients
Peninsula Orthopaedic Assoc PA CurrentSince Aug 1, 1993 Accepting new patients

Locations

30265 Commerce Dr
Unit 104
Millsboro, DE 19966
Phone (302) 629-4787

503 Health Services Dr
Seaford, DE 19973

11 Fallon Ave
Seaford, DE 19973

314 Franklin Ave
Ste 502
Berlin, MD 21811
Phone (410) 641-0202

11107 Cathage Rd
Unit 101
Ocean Pines, MD 21811
Phone (410) 641-0202

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

111 Davis St
Salisbury, MD 21804

1675 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 860-4514

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1215918933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69709",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649709",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 WOODBROOKE DRIVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21804",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRERA",
        "first_name": "PASQUALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MD",
            "license": "D44707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON BCBS",
            "identifier": "091051",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPARTMENT OF LABOR",
            "identifier": "221921800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIME HEALTH",
            "identifier": "327279",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200022316",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROD FEP BLUE CHOICE",
            "identifier": "0008W409",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006400248",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TRAD PRODUCTS",
            "identifier": "52819001H524PE",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "66G41",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREESTATE DELMARVA HEALTH",
            "identifier": "44707",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "588841700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA OPTIMUM CHOICE",
            "identifier": "217742",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000575601",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3226879",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.