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PETER FRANCIS DELUCA M.D.
NPI 1013954262
Orthopaedic Surgery - Sports Medicine in Philadelphia, PA

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
925 CHESTNUT ST, FL 5, ROTHMAN INSTITUTE, PHILADELPHIA, PA 19107(267) 339-3500(215) 503-0580 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 26, 2024, Apr 11, 2024, Nov 10, 2015 (3 updates tracked since 2015).

About Peter Francis Deluca M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER FRANCIS DELUCA M.D. (NPI 1013954262) is an individual sports medicine provider in Philadelphia, Pennsylvania, licensed in New Jersey (25MA05859400) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Georgetown University School Of Medicine (1986).

NPPES Registry Identity

NPI1013954262
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NamePETER FRANCIS DELUCACredential: M.D.
Location Address925 CHESTNUT ST, FL 5, ROTHMAN INSTITUTEPhiladelphia, PA 19107-4216
Mailing Address833 Chestnut St, Suite 1402Philadelphia, PA 19107-4414 · (800) 321-9999 · Fax (267) 339-3761
Phone(267) 339-3500
Fax(215) 503-0580
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1986
Enumeration DateMay 31, 2006
Last NPPES UpdateApril 26, 20243 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1013954262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses✔ Licensed in NJ · 25MA05859400✔ Licensed in PA · MD039877E
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 25MA05859400 (NJ)
925 CHESTNUT ST, FL 5, Philadelphia, PA 19107
Open in Google Maps ↗

Other Identifiers 5

Other3954367NJ · Aetna
Other0400517000NJ · Ibc
Other3955222PA · Aetna
Other0040288200PA · Ibc
Other6197745Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Francis Deluca M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759320849
PECOS Enrollment IDI20050708000046
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA GRUGAN FRIEMAN M.D.
Orthopaedic Surgery
925 CHESTNUT ST, FL 5, ROTHMAN INSTITUTE
PHILADELPHIA, PA 19107
Philadelphia County (267) 339-3500
DR. SOMMER HAMMOUD M.D.
Orthopaedic Surgery (Sports Medicine)
925 CHESTNUT ST, FL 5, ROTHMAN INSTITUTE
PHILADELPHIA, PA 19107
Philadelphia County (267) 339-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Deluca's NPI number?

The NPI number for Peter Deluca is 1013954262. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Peter Deluca located?

Peter Deluca practices at 925 Chestnut St, Fl 5 Rothman Institute, Philadelphia, PA 19107. The listed phone number is (267) 339-3500.

What is Peter Deluca's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Peter Deluca enrolled in Medicare?

Yes. Peter Deluca is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Peter Deluca accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Peter Deluca as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Peter Deluca affiliated with any hospitals?

According to CMS data, Peter Deluca is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Deluca was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.