JOHN JR. PETOLILLO (DO) – Orthopaedic Surgery Physician, NPI 1780684084

JOHN JR. PETOLILLO (DO) is a healthcare provider. based in Langhorne, Pennsylvania. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials DO. They hold a License No. OS008198L (PA). The NPI Number for JOHN JR. PETOLILLO (DO) is 1780684084

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
JOHN JR. PETOLILLO (DO)
NPI
1780684084
Phone
(215) 750-6700
Address
240 MIDDLETOWN BLVD
Enumeration Date
28 July 2005
Last Update Date
12 April 2011

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2154099300
Graduation Year
1992 (34 years ago)
PAC ID
8123005113
Group Practice PAC ID
2365695251
Professional Enrollment ID
I20040707001242
Address ID
PA190478304LA380XXRDXX502
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

1,621 ORTHOPEDIC SURGERY in PA

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Provider Addresses for JOHN JR. PETOLILLO (DO)

  • Middletown Boulevard, Langhorne Gardens, Middletown Township, Bucks County, Pennsylvania, 19030-4005, United States

    SUITE 101D

    LANGHORNE, PA 190471832

    Phone: (215) 750-6700

    Fax: (215) 750-6700

    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 7 Open Payments records for all available years, with a total value of $369.

Total Amount is formed as General ($369) + Research ($0) + Ownership ($0) = $369.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Stryker Corporation ($149).

Total Amount

$369

General + Research + Ownership

Payments

7

Total payment records

General Amount

$369

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

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: 2004-07-07

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
I20040707001242IOrthopedic SurgeryPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes198132$0
J1030Injection, methylprednisolone acetate, 40 mg19387$0
73502X-ray of hip, 2-3 views12997$0
20610Aspiration and/or injection of fluid from large joint11986$0
73564X-ray of knee, 4 or more views8351$0
View full utilization report →

Insurance plans in this area (ZIP 19047)

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Provider's Procedures

JOHN JR. PETOLILLO (DO) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYPA73562X-ray of knee, 3 views6747

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: 2365695251View full group profile
NameSpecialtyState
Physician AssistantNJ
Physician AssistantPA
Physician AssistantPA
Orthopedic SurgeryNJ
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA
Physician AssistantPA
Orthopedic SurgeryPA
Orthopedic SurgeryAL

Reviews

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Frequently asked questions

Is JOHN JR. PETOLILLO (DO) listed with a National Provider Identifier?
Yes — JOHN JR. PETOLILLO (DO) has NPI 1780684084 on file in the registry.
Is JOHN JR. PETOLILLO (DO) still an active registrant?
JOHN JR. PETOLILLO (DO) carries an active NPI according to the public dataset.
What expertise is attributed to JOHN JR. PETOLILLO (DO)?
JOHN JR. PETOLILLO (DO)'s specialty line reads Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JOHN JR. PETOLILLO (DO)?
Travel planning: use Langhorne, Pennsylvania as the reference point for JOHN JR. PETOLILLO (DO), then confirm.
Can I trust this NPI listing for JOHN JR. PETOLILLO (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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