COSME ROLANDO PECCERELLI (RPAC) – Physician Assistant, NPI 1487716361
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
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Provider Addresses for COSME ROLANDO PECCERELLI (RPAC)
Saint Luke's University Hospital - Bethlehem Campus, 801, Ostrum Street, Bethlehem, Lehigh County, Pennsylvania, 18015, United States
BETHLEHEM, PA 180151000
Phone: (484) 526-8046
Fax: (833) 213-6428
Type: Mailing
Walmart Supercenter, 2591, 12th Street, Carlyle, Clinton County, Illinois, 62231, United States
CLINTON, NJ 08809
Phone: (908) 847-5272
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2016-07-21
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 |
|---|---|---|---|---|
| I20080214000027 | I | Physician Assistant | NJ | TBD |
| I20160721002077 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 18015)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| - | PA | |
| Nurse Practitioner | PA |
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