Individual provider Active NPI

Peter Gerard Wernicki, M.D.

  • Orthopaedic Surgery Physician
  • Vero Beach, FL
National Provider Identifier
1902837867
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME 0057400 Issued in FL
Practice address
787 37TH St Ste E200
Vero Beach, FL 32960-7306
Phone
(772) 978-7808
Fax
(772) 978-9320
NPI assigned
Jul 6, 2006
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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 ME 0057400 FL Primary

Addresses

Primary practice location

787 37TH St Ste E200
Vero Beach, FL 32960-7306

Mailing address

787 37TH St Ste E200
Vero Beach, FL 32960-7306
Phone (772) 978-7808

Other identifiers 4

IdentifierTypeStateIssuer
0634280000MedicaidFL
200035314OtherRAILROAD MEDICARE
1276130001OtherPALMETTO
650938033OtherCHAMPUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81 of 100Reported as group
Quality
76.78
Promoting interoperability
86
Improvement activities
40
Cost
71.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0057400FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialty Procedures, LC Current Accepting new patients
Vero Orthopaedics II PA Orthopaedic Surgery PastSince Aug 28, 2021 Accepting new patients
Vero Orthopaedics II PA Orthopaedic Surgery PastSince Aug 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: peter.wernicki.1@12907.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1902837867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E200",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607306",
            "telephone_number": "772-978-7808",
            "fax_number": "772-978-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E200",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607306",
            "telephone_number": "772-978-7808",
            "fax_number": "772-978-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNICKI",
        "first_name": "PETER",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME 0057400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0634280000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200035314",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "1276130001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "650938033",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.