BENEDICT P. PELLERITO M.D. NPI 1780655969

NPI Information

  • NPI: 1780655969
  • Provider Name: BENEDICT P. PELLERITO, M.D.
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 24715 LITTLE MACK AVE
    SUITE 100
    ST CLAIR SHORES, MI
    ZIP 48080
  • Phone: (586) 779-7970

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NPI Details

Benedict P. Pellerito, M.D. is an orthopaedic surgery in St Clair Shores, MI with 33 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Benedict P. Pellerito, M.D. NPI is 1780655969. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24715 LITTLE MACK AVE
SUITE 100
ST CLAIR SHORES, MI
ZIP 48080-207
Phone: (586) 779-7970
Fax: (586) 779-7748

The NPI 1780655969 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose (HCPCS:J7321)
  • Therapy procedure using functional activities (HCPCS:97530)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Test or measurement for functional capacity, each 15 minutes (HCPCS:97750)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Evaluation for physical therapy, typically 30 minutes (HCPCS:97162)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Training for self-care or home management, each 15 minutes (HCPCS:97535)
  • Injection into tendon at attachment to bone or muscle (HCPCS:20551)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
  • Hip replacement (HCPCS:NAN09)
  • Knee replacement (HCPCS:NAN06)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 1/27/2006 and was last updated on 2/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic Surgery4301061624MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14327706MEDICAIDMICHIGAN
2G77916MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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