Benedict P. Pellerito, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4301061624 Issued in MI

Practice address

24715 Little Mack Ave
Suite 100
St Clair Shores, MI 48080-3207

Phone

(586) 779-7970

Fax

(586) 779-7748

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Benedetto P. Pellerito Other name

Medicare fee-for-service enrollment

Enrolled in MI

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

Orthopedic Surgery

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians

Associated Orthopedists of Detroit PCGroup PAC ID 3375440134, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Custom Home Health Home health agency, Troy, MI, CCN 237707
• Bay Nursing, Inc Home health agency, Romeo, MI, CCN 237272
• Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
• Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
• Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

Merit-based Incentive Payment System (MIPS)

Final score

88.14 of 100Reported as group

Quality

80.64

Promoting interoperability

100

Improvement activities

40

Cost

79.83

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24034/brand/1/csg/1/fhir/r4
• Direct secure messaging: benedetto.pellerito.1@24034.direct.athenahealth.com
• Direct secure messaging: benedettopellerito@aod.directglo.com
• Direct secure messaging: bpellerito63385@direct.hfhs.org

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.

• Associated Orthopedists of Detroit PC

  • Orthopaedic Surgery Physician
  • St Clair Shores, MI
  • NPI 1083686083
  Medicare reassignment Care Compare group NPD
• Associated Orthopedists of Detroit, PC

  • Orthopaedic Surgery Physician
  • Shelby Township, MI
  • NPI 1669653606
  NPD

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

• Bay Nursing, Inc.

  • Home Health Agency
  • Romeo, MI
  • NPI 1356428247
  Care Compare affiliation
• Custom Home Health, Inc.

  • Home Health Agency
  • Troy, MI
  • NPI 1346251600
  Care Compare affiliation
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Clinton TWP, MI
  • NPI 1023114634
  Care Compare affiliation
• Henry Ford Macomb Hospital Corporation

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1902842735
  Care Compare affiliation
• William Beaumont Hospital

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• Henry Ford Health St. John Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  Care Compare affiliation

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1780655969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24715 LITTLE MACK AVE",
            "address_2": "SUITE 100",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803207",
            "telephone_number": "586-779-7970",
            "fax_number": "586-779-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24715 LITTLE MACK AVE",
            "address_2": "SUITE 100",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803207",
            "telephone_number": "586-779-7970",
            "fax_number": "586-779-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLERITO",
        "first_name": "BENEDICT",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301061624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4327706",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENEDETTO",
            "last_name": "PELLERITO",
            "middle_name": "P.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abbey Pavlosky, PTA
• Lisa Ann Peabody, RPH
• Emma Peck
• Rikki Pedersen
• Joel L Pelavin, M.D.,P.C.
• Courtney Pellerito
• Christine Ann Peltier
• Stephanie Penner, PTA
• Katrina M Peplinski, LLMSW
• Perfect Smile Dental P.C.

• Orthopaedic Surgery Physician in St Clair Shores, MI
• Providers in St Clair Shores, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.