PHILLIP MARTIN PIERORAZIO MD
NPI 1528182003
Urology in Philadelphia, PA

Q: What is Phillip Pierorazio's NPI number?

The NPI number for Phillip Pierorazio is 1528182003. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Phillip Pierorazio's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment

85.48/100

CMS Quality Rating

3737 MARKET ST FL 4, PHILADELPHIA, PA 19104(215) 662-8699(215) 243-4649 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2021, Nov 22, 2019 (2 updates tracked since 2019).

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About Phillip Martin Pierorazio Md NPPES

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

PHILLIP MARTIN PIERORAZIO MD (NPI 1528182003) is an individual urology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD475594) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Columbia University College Of Physicians And Surgeons (2007).

NPPES Registry Identity

NPI1528182003

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NamePHILLIP MARTIN PIERORAZIOCredential: MD

Location Address3737 MARKET ST FL 4Philadelphia, PA 19104-5544

Mailing Address3737 Market St Fl 4Philadelphia, PA 19104-5544 · (215) 662-8699 · Fax (215) 243-4649

Phone(215) 662-8699

Fax(215) 243-4649

Sole ProprietorYes

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2007

Enumeration DateMarch 19, 2007

Last NPPES UpdateNovember 3, 20212 updates tracked since enumeration

NPPES CertifiedNovember 3, 2021

✔ NPI 1528182003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in PA · MD475594

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3737 MARKET ST FL 4, Philadelphia, PA 19104

Open in Google Maps ↗

Other Identifiers 1

Medicaid420571500MD

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

Phillip Martin Pierorazio 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.

PECOS PAC ID5597943266

PECOS Enrollment IDI20211004002790, I20230428000398

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.

Areas of Expertise CMS Part B claims 16

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services49 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

39 services35 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

32 services32 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

28 services28 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

22 services22 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

19 services15 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

18 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

16 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services15 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 patients

Removal of kidney and lymph nodes using an endoscope 50545

This procedure involves using an endoscope, a thin tube with a light and camera, to access and remove the kidney and nearby lymph nodes. It's typically performed to treat conditions like kidney disease or cancer. The method is less invasive, promoting quicker recovery.

13 services13 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

13 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

12 services12 patients

Partial removal of kidney using an endoscope 50543

This procedure, also known as partial nephrectomy, involves the use of an endoscope to remove a portion of your kidney. It's typically done to treat kidney disease or remove a small tumor. The endoscope, a thin tube with a camera, allows the surgeon to see and operate without making a large incision.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310010

LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County

Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390223

Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County

Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390226

Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

85.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.6

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 3

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

AILEEN LO

Nurse Practitioner

3737 MARKET ST FL 4
PHILADELPHIA, PA 19104

Philadelphia County (215) 554-0109

MISS GABRIELLE SINGH PA-C

Physician Assistant (Surgical)

3737 MARKET ST FL 4
PHILADELPHIA, PA 19104

Philadelphia County (800) 789-7366

DR. SHANG A. LOH MD

Surgery (Vascular Surgery)

3737 MARKET ST FL 4
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-9660

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 Phillip Pierorazio's NPI number?

The NPI number for Phillip Pierorazio is 1528182003. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Phillip Pierorazio located?

Phillip Pierorazio practices at 3737 Market St Fl 4, Philadelphia, PA 19104. The listed phone number is (215) 662-8699.

What is Phillip Pierorazio's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Phillip Pierorazio enrolled in Medicare?

Yes. Phillip Pierorazio 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 Phillip Pierorazio accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Phillip Pierorazio 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 Phillip Pierorazio affiliated with any hospitals?

According to CMS data, Phillip Pierorazio is affiliated with University Medical Center Of Princeton At Plainsboro, Hospital Of Univ Of Pennsylvania, Chester County Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Phillip Pierorazio was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.