PENINSULA PLASTIC SURGERY, P.C.
NPI 1396228995
Specialist in Berlin, MD
About Peninsula Plastic Surgery, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PENINSULA PLASTIC SURGERY, P.C. (NPI 1396228995) is a healthcare organization registered as a specialist in Berlin, Maryland and active in the NPI registry since September 2018. The organization maintains a secondary practice location in Ocean City and lists Vincent J Perrotta, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peninsula Plastic Surgery, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Peninsula Plastic Surgery, P.C., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Peninsula Plastic Surgery, P.C.'s NPI number?
The NPI number for Peninsula Plastic Surgery, P.C. is 1396228995. It was assigned to this organization in the NPPES registry on September 10, 2018.
Where is Peninsula Plastic Surgery, P.C. located?
Peninsula Plastic Surgery, P.C. is located at 124 N Main St Ste D, Berlin, MD 21811. The listed phone number is (410) 546-0464.
What is Peninsula Plastic Surgery, P.C.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Peninsula Plastic Surgery, P.C. enrolled in Medicare?
Yes. Peninsula Plastic Surgery, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peninsula Plastic Surgery, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Peninsula Plastic Surgery, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Plastic and Reconstructive Surgery (4), Certified Registered Nurse Anesthetist (CRNA) (1) and Nurse Practitioner (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Peninsula Plastic Surgery, P.C. accept?
Health plans from Highmark Blue Cross Blue Shield Delaware list Peninsula Plastic Surgery, P.C. 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.
When was this NPI record last updated?
The NPPES record for Peninsula Plastic Surgery, P.C. was last updated on August 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Peninsula Plastic Surgery, P.c. · NPI 1396228995
Specialist organization in Berlin, Maryland. Organization record, active in the CMS NPPES registry since September 10, 2018.
## Identity
- **NPI:** 1396228995 (Entity type: Organization)
- **Enumerated:** September 10, 2018
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Vincent Perrotta, OWNER/PRESIDENT
## Practice location
- **Address:** 124 N MAIN ST STE D, Berlin, MD 21811-1060
- **Phone:** (410) 546-0464
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Plastic and Reconstructive Surgery (4), Certified Registered Nurse Anesthetist (CRNA) (1), Nurse Practitioner (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1396228995) · Data from the CMS NPPES public registry.