MARK PETROCELLI (D.O.) – Orthopaedic Surgery Physician, NPI 1033344171
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MARK PETROCELLI (D.O.)
9104 BABCOCK BLVD FL 5
PITTSBURGH, PA 152375866
Phone: (412) 748-7444
Type: Mailing
River Centre Drive, Port Huron, Saint Clair County, Michigan, 48060, United States
PORT HURON, MI 480604463
Phone: (810) 985-4900
Fax: (810) 985-3634
Type: Mailing
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 $35.
Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.
Last reported payment date: 2023-08-23 • Largest payer in this snapshot: Innovation Technologies Inc ($35).
Total Amount
$35
General + Research + Ownership
Payments
1
Total payment records
General Amount
$35
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Innovation Technologies Inc | $35 |
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: 2023-12-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160210001169 | I | Orthopedic Surgery | MI | TBD |
| I20231219000397 | I | Orthopedic Surgery | PA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 15237)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| P O D I A T R Y | MI | |
| - | MI | |
| Orthopedic Surgery | PA | |
| Physical Therapist In Private Practice | NJ | |
| Physical Therapist In Private Practice | MI | |
| Orthopedic Surgery, Sports Medicine | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI |
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