Individual provider Active NPI

Benjamin Bernard Peticca, MD

  • Obstetrics & Gynecology Physician
  • Monroeville, PA
National Provider Identifier
1790775013
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD025238E Issued in PA
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

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001022620MedicaidPA

Other names 1

  • B Bernard Peticca Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

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 Hospital, Monroeville, PA, CCN 390267
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients
Allegheny Clinic CurrentSince Jan 1, 2014 Accepting new patients
Highlands Hospital and Health Center Obstetrics & Gynecology CurrentSince Mar 2, 2013 Accepting new patients
Allegheny Clinic Current Accepting new patients
Highlands Hospital and Health Center CurrentSince Mar 2, 2013 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Lowry Radiology Associates, Inc PastSince Oct 1, 2012 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

  • Direct secure messaging: bpeticca@direct.excelahealth.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.