JOHN GREGG PETRACO MD
NPI 1497739064
Obstetrics & Gynecology in Port Jefferson, NY
About John Gregg Petraco Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN GREGG PETRACO MD (NPI 1497739064) is an individual obstetrics & gynecology provider in Port Jefferson, New York, licensed in New York (194289) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
John Gregg Petraco Md 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.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Shore University Hospital
Acute Care Hospitals · Manhasset, NYLong Island Community Hospital
Acute Care Hospitals · Patchogue, NYJohn T Mather Memorial Hospital Of Port Jefferson
Acute Care Hospitals · Port Jefferson, NYSuny/Stony Brook University Hospital
Acute Care Hospitals · Stony Brook, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORT JEFFERSON, NY 11777
PORT JEFFERSON STATION, NY 11777
PORT JEFFERSON, NY 11777
PORT JEFFERSON, NY 11777
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 John Petraco's NPI number?
The NPI number for John Petraco is 1497739064. It was assigned to this individual provider in the NPPES registry on December 6, 2005.
Where is John Petraco located?
John Petraco practices at 118 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 471-7171.
What is John Petraco's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is John Petraco enrolled in Medicare?
Yes. John Petraco 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.
Is John Petraco affiliated with any hospitals?
According to CMS data, John Petraco is affiliated with North Shore University Hospital, Long Island Community Hospital, John T Mather Memorial Hospital Of Port Jefferson and Suny/Stony Brook University Hospital.
When was this NPI record last updated?
The NPPES record for John Petraco was last updated on October 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# John Gregg Petraco, MD · NPI 1497739064
Obstetrics & Gynecology physician in Port Jefferson, New York. Individual provider, active in the CMS NPPES registry since December 6, 2005.
## Identity
- **NPI:** 1497739064 (Entity type: Individual)
- **Enumerated:** December 6, 2005
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 194289 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 118 N COUNTRY RD, Port Jefferson, NY 11777-2120
- **Phone:** (631) 471-7171 · **Fax:** (631) 473-4605
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** State University Of New York At Stony Brook, School Of Medicine, class of 1991
## Record status
- **NPPES last updated:** October 10, 2011
- **Other identifiers:** Medicare UPIN G22723; Medicare ID-Type Unspecified 025431 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1497739064) · Data from the CMS NPPES public registry.