Active NPI
Benjamin Bernard Peticca, MD
- Obstetrics & Gynecology Physician
- Monroeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD025238E
- Practice address
- 2580 Haymaker Rd Ste 201
Monroeville, PA 15146-3500 - Phone
- (412) 856-7500
- Fax
- (412) 856-6079
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD025238E | PA | Primary |
Addresses
Primary practice location
2580 Haymaker Rd Ste 201
Monroeville, PA 15146-3500
Mailing address
2580 Haymaker Rd Ste 201
Monroeville, PA 15146-3500
Phone (412) 856-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001022620 | Medicaid | PA |
Other names 1
- B Bernard Peticca
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bpeticca21103@direct.ahn.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031223000011 | PA | Practitioner - Obstetrics/Gynecology | 4183522576 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Pittsburgh School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 359-6656
62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765
Hospital & facility affiliations
- Forbes Hospital
- Magee Womens Hospital of Upmc Health System
- West Penn Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Highlands Hospital and Health Center | Obstetrics & Gynecology | Current | Accepting new patients |
| Allegheny Clinic | Current | Accepting new patients | |
| Highlands Hospital and Health Center | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Lowry Radiology Associates, Inc | Past | Accepting new patients |
Locations
401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343
62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765
2580 Haymaker Rd
Ste 201
Monroeville, PA 15146
Phone (412) 856-6079
3212 Main St
Munhall, PA 15120
Phone (412) 462-7700
4262 Old William Penn Hwy
Murrysville, PA 15668
Phone (724) 325-6020
4815 Liberty Ave
Ste 154
Pittsburgh, PA 15224
Phone (412) 578-4003
12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143
Interoperability endpoints
- bpeticca@direct.excelahealth.org
- bpeticca21103@direct.ahn.org
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Connellsville, PA
- NPI 1447443957
Obstetrics & Gynecology, PA
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1972938587
-
- Internal Medicine Physician
- Connellsville, PA
- NPI 1518680164
-
- Diagnostic Radiology Physician
- Jeannette, PA
- NPI 1063449593
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1194744805
Hospital
-
- Oncology Clinic/Center
- Pittsburgh, PA
- NPI 1346489143
Hospital
-
- General Acute Care Hospital
- Monroeville, PA
- NPI 1679592380
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1790775013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 HAYMAKER RD STE 201",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151463500",
"telephone_number": "412-856-7500",
"fax_number": "412-856-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 HAYMAKER RD STE 201",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151463500",
"telephone_number": "412-856-7500",
"fax_number": "412-856-6079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETICCA",
"first_name": "BENJAMIN",
"middle_name": "BERNARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD025238E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001022620",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bpeticca21103@direct.ahn.org",
"affiliation": "N",
"address_1": "2580 Haymaker Rd Ste 201",
"city": "Monroeville",
"state": "PA",
"country_code": "US",
"postal_code": "151463500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "B BERNARD",
"last_name": "PETICCA",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.