Peter J Racciato, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD016295E Issued in PA

Practice address

1036 N 9TH St
Stroudsburg, PA 18360-1210

Phone

(570) 421-4222

Fax

(570) 476-0581

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Temple University School of Medicine, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Peter J Racciato MD PC

  • Ophthalmology Physician
  • Stroudsburg, PA
  • NPI 1750695326
  Medicare reassignment NPD Authorized official
• Cataract and Primary Eye Care Service, LP

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1417991720
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235293705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601210",
            "telephone_number": "570-421-4222",
            "fax_number": "570-476-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601210",
            "telephone_number": "570-421-4222",
            "fax_number": "570-476-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACCIATO",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD016295E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracie Anne Procanyn, PMHNP
• Professional Hearing Solutions,LLC
• Nicholas Prosper, PA-C
• Pyramid Healthcare, Inc.
• Reagan Querry, PAC
• Elisabeth Rampersad, CRNP
• Randy Nolf PC
• Herline Raphael
• Jessica Lynn Raudabaugh
• Eileen M Rayeski, PT

• Ophthalmology Physician in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.