Individual provider Active NPI

David P St Pierre, MD

  • Orthopaedic Surgery Physician
  • Danvers, MA
National Provider Identifier
1861481301
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
46461 Issued in MA
Practice address
4 State Rd
Danvers, MA 01923-2567
Phone
(978) 774-3400
Fax
(978) 774-5883
NPI assigned
Oct 18, 2005
Last updated
May 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 46461 MA Primary

Addresses

Primary practice location

4 State Rd
Danvers, MA 01923-2567

Mailing address

58 River St Unit 2
Danvers, MA 01923-3378
Phone (978) 618-9231

Other identifiers 8

IdentifierTypeStateIssuer
046461OtherMATUFTS
17223OtherMAHPHC
2084777OtherMAAETNA
3135608MedicaidMA
0022664OtherMANEIGHBORHOOD HEALTH PLAN
D05069OtherMABCBS
V40876OtherNETWORK HEALTH
2451201OtherMAUNITEDHEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050606000988 MA Practitioner - Orthopedic Surgery 5395788806 Reassigns benefits to 1 organization
Practice locations: Danvers, MA

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tufts University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas E Peterson LLCGroup PAC ID 3678724325, 3 clinicians

Practice addresses (Care Compare)

100 Highland Ave
Suite 101
Salem, MA 01970-2702
Phone (978) 745-0820

4 State Rd
Danvers, MA 01923-2567
Phone (978) 774-3400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Center for Orthopedic Surgery Orthopaedic Surgery CurrentSince Sep 1, 2010 Accepting new patients
North Shore Sports Medical Center of Danvers, LLC CurrentSince Feb 1, 2013 Accepting new patients
Douglas E. Peterson, LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

4 State Rd
Danvers, MA 01923
Phone (978) 774-3400

100 Highland Ave
Ste 101
Salem, MA 01970
Phone (978) 745-0820

Interoperability endpoints

  • Direct secure messaging: stpierre.david.nscos@direct.partners.masshiway.net

Organizations & group practices 3

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

Hospital & facility affiliations 4

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1861481301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 RIVER ST UNIT 2",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233378",
            "telephone_number": "978-618-9231",
            "fax_number": "978-774-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 STATE RD",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232567",
            "telephone_number": "978-774-3400",
            "fax_number": "978-774-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST PIERRE",
        "first_name": "DAVID",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "46461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "046461",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "17223",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2084777",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3135608",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0022664",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "D05069",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "V40876",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "2451201",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.