JOHN PELLIGRA (M.D.) – Gynecology Physician, NPI 1023057726

JOHN PELLIGRA (M.D.) is a healthcare provider. based in Sea girt, New Jersey. specializing in Gynecology Physician. They hold the professional credentials M.D.. They hold a License No. 25MA04651400 (NJ). The NPI Number for JOHN PELLIGRA (M.D.) is 1023057726

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
JOHN PELLIGRA (M.D.)
NPI
1023057726
Phone
(732) 974-0320
Address
2164 HIGHWAY 35
Enumeration Date
6 June 2006
Last Update Date
20 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7322293838
Graduation Year
1982 (44 years ago)
PAC ID
6204848872
Group Practice PAC ID
0648172809
Professional Enrollment ID
I20060623000009
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

Provider Addresses for JOHN PELLIGRA (M.D.)

  • 2164 HIGHWAY 35

    BLDG D-A

    SEA GIRT, NJ 087501013

    Phone: (732) 974-0320

    Fax: (732) 974-1283

    Type: Location

  • Buffalo Post Office, 1200, William Street, Seneca Babcock, Buffalo, Erie County, New York, 14206, United States

    DEPT 596

    BUFFALO, NY 142670002

    Phone: (866) 295-0041

    Fax: (708) 342-2517

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2023-10-12 • Largest payer in this snapshot: Exact Sciences Corporation ($23).

Total Amount

$79

General + Research + Ownership

Payments

4

Total payment records

General Amount

$79

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-06-23

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
I20060623000009IObstetrics/GynecologyNJTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination8080$0
99213Established patient office or other outpatient visit, 20-29 minutes5741$0
99441Telephone medical discussion with physician, 5-10 minutes5635$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory3838$0
View full utilization report →

Insurance plans in this area (ZIP 08750)

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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: 0648172809View full group profile

Reviews

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Frequently asked questions

Is JOHN PELLIGRA (M.D.) listed with a National Provider Identifier?
Yes — JOHN PELLIGRA (M.D.) has NPI 1023057726 on file in the registry.
Active or inactive — what applies to JOHN PELLIGRA (M.D.)?
You should see JOHN PELLIGRA (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for JOHN PELLIGRA (M.D.)?
At a glance, JOHN PELLIGRA (M.D.) is tied to Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN PELLIGRA (M.D.)?
Directory geography for JOHN PELLIGRA (M.D.) centers on Sea Girt, New Jersey.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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