NPI Details
DR. Douglas Matthew Petraco, MD is an orthopaedic surgery in East Setauket, NY with 34 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. DR. Douglas Matthew Petraco, MD NPI is 1922021476. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduation Year:1992
The provider's business location address is:
6 TECHNOLOGY DR STE 100
EAST SETAUKET, NY
ZIP 11733-079
Phone: (631) 689-6698
Fax: (631) 751-5548
The NPI 1922021476 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.
- Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg (HCPCS:J7320)
- Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg (HCPCS:J7329)
- Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
- Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- X-ray of hip, 2-3 views (HCPCS:73502)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- X-ray of knee, 3 views (HCPCS:73562)
- X-ray of knee, 4 or more views (HCPCS:73564)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- X-ray of pelvis, 1-2 views (HCPCS:72170)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Mri scan of leg joint without contrast (HCPCS:73721)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Replacement of knee joint, both sides of knee (HCPCS:27447)
- Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
- X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- X-ray of knee, 1-2 views (HCPCS:73560)
- Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
- X-ray of both hips, 2 views (HCPCS:73521)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Mri scan of lower spinal canal without contrast (HCPCS:72148)
- X-ray of ankle, minimum of 3 views (HCPCS:73610)
- Hip replacement (HCPCS:NAN09)
- Knee replacement (HCPCS:NAN06)
- Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
The enumeration date for this NPI number is 7/25/2006 and was last updated on 3/18/2019.
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 |
| 1 | 207X00000X | Orthopaedic Surgery | | 195619 | NEW YORK | Yes |
| 2 | 207XS0114X | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | 195619 | NEW YORK | No |
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 |
| 1 | 02011645 | MEDICAID | NEW YORK | |