BENEDICT P. PELLERITO (M.D.) – Orthopaedic Surgery Physician, NPI 1780655969

BENEDICT P. PELLERITO (M.D.) is a healthcare provider. based in Saint clair shores, Michigan. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 4301061624 (MI). The NPI Number for BENEDICT P. PELLERITO (M.D.) is 1780655969

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
BENEDICT P. PELLERITO (M.D.)
NPI
1780655969
Phone
(586) 779-7970
Address
24715 LITTLE MACK AVE
Enumeration Date
27 January 2006
Last Update Date
19 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5864121411
Graduation Year
1993 (33 years ago)
PAC ID
0648310581
Group Practice PAC ID
3375440134
Professional Enrollment ID
I20091228000185
Address ID
MI483153140SH50505RDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,081 ORTHOPEDIC SURGERY in MI

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Provider Addresses for BENEDICT P. PELLERITO (M.D.)

  • 24715, Little Mack Avenue, Saint Clair Shores, Macomb County, Michigan, 48080, United States

    SUITE 100

    SAINT CLAIR SHORES, MI 480803207

    Phone: (586) 779-7970

    Fax: (586) 779-7748

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-05-01 • Largest payer in this snapshot: Smith+Nephew, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091228000185IOrthopedic SurgeryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml1,40111$0
99213Established patient office or other outpatient visit, 20-29 minutes760419$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance756195$0
J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose62389$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg374223$0
View full utilization report →

Insurance plans in this area (ZIP 48080)

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Provider's Procedures

BENEDICT P. PELLERITO (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMI20610Aspiration and/or injection of large joint or joint capsule2522
ORTHOPEDIC SURGERYMI64721Release and/or relocation of median nerve of hand2114
ORTHOPEDIC SURGERYMI97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes14114
ORTHOPEDIC SURGERYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes10420

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375440134View full group profile
NameSpecialtyState
-MI
Physical Therapist In Private PracticeMI
Sports Medicine, Orthopedic SurgeryMI
Orthopedic SurgeryMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Orthopedic SurgeryMI
Orthopedic SurgeryMI
Physical Therapist In Private PracticeMI
Orthopedic SurgeryMI

Reviews

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Frequently asked questions

Is BENEDICT P. PELLERITO (M.D.) listed with a National Provider Identifier?
Yes — BENEDICT P. PELLERITO (M.D.) has NPI 1780655969 on file in the registry.
Would BENEDICT P. PELLERITO (M.D.) appear as active to a payer?
You can treat BENEDICT P. PELLERITO (M.D.) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for BENEDICT P. PELLERITO (M.D.)?
At a glance, BENEDICT P. PELLERITO (M.D.) is tied to Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with BENEDICT P. PELLERITO (M.D.)?
Directory geography for BENEDICT P. PELLERITO (M.D.) centers on Saint Clair Shores, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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