2026 NPPES data Orthopaedic Surgery Physician NPI 1568420115 M.D.
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PETER PIZZARELLO, M.D.

Orthopaedic Surgery Physician in PROVIDENCE, Rhode Island. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 333 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$82
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PETER PIZZARELLO, M.D. is a Orthopaedic Surgery Physician ([object Object]) practicing in PROVIDENCE, Rhode Island with a Medicare Part D prescribing footprint of 1K claims across 333 beneficiaries — 2% brand-name prescribing . Industry payments of $82 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PETER PIZZARELLO, M.D. filed 1,248 Medicare Part D claims in 2023 across PROVIDENCE, Rhode Island. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PETER PIZZARELLO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PETER PIZZARELLO, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 05/03/2006

NPI 1568420115

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

1,248 285% vs specialty avg

2023 prescription claims

Specialty avg: 324

Specialty distribution in Rhode Island

How Orthopaedic Surgery Physician compares to other specialties among Rhode Island providers

Rhode Island providers

Orthopaedic Surgery Physician share within Rhode Island

1. Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery Physician share within Rhode Island

Specialty board-certification context

Estimated specialty board-certified rate — Orthopaedic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Orthopaedic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Orthopaedic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Orthopaedic Surgery Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

PETER PIZZARELLO, M.D. is a Orthopaedic Surgery Physician provider practicing in PROVIDENCE, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1568420115. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PETER PIZZARELLO, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding M.D. credentials at 868 ADMIRAL ST, PROVIDENCE, RI, 02904, with a listed phone of (401) 273-8402. NPI 1568420115 was issued on 05/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PIZZARELLO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,248 prescription claims written by this provider, covering 333 Medicare beneficiaries and totaling roughly $11K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 24.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

868 ADMIRAL ST
PROVIDENCE, RI 02904

Provider Details

NPI 1568420115
Specialty Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 05/03/2006

Hospital and facility affiliations

Facilities where PETER PIZZARELLO, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ORTHOPEDICS RHODE ISLAND INC
WARWICK, RI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for PETER PIZZARELLO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$82

Largest payer

Bioventus LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

PETER PIZZARELLO, M.D. — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 1,248 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,248
Total Claims
$11K
Total Drug Cost
333
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,313
Total Day Supply
22,611
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$4K
Generic Drug Cost
$7K
Opioid Claims
300 (24.0% rate)
Antibiotic Claims
16

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.04
Gender Split
63% female / 37% male
Age Distribution
<65: 30, 65-74: 164, 75-84: 112, 85+: 27

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Meloxicam
401
Methylprednisolone
204
Tramadol Hcl
145
Oxycodone Hcl
126
Gabapentin
88
Tranexamic Acid
79
Pantoprazole Sodium
60
Omeprazole
50
Acetaminophen-Codeine
Acetaminophen With Codeine
22
Amoxicillin
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Orthopaedic Surgery Physician Overview

How PETER PIZZARELLO, M.D. fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

PETER PIZZARELLO, M.D.'s 1,248 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as PIZZARELLO.

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PETER PIZZARELLO, M.D.'s specialty?
PETER PIZZARELLO, M.D. specializes in Orthopaedic Surgery Physician and practices in PROVIDENCE, Rhode Island. Credentials: M.D..
How much does PETER PIZZARELLO, M.D. prescribe under Medicare Part D?
In 2023, PETER PIZZARELLO, M.D. wrote 1,248 Medicare Part D claims totaling $11K in drug costs for 333 beneficiaries.
Where is PETER PIZZARELLO, M.D. located?
PETER PIZZARELLO, M.D. is located at 868 ADMIRAL ST, PROVIDENCE, RI, 02904. Phone: (401) 273-8402.
What is PETER PIZZARELLO, M.D.'s NPI number?
PETER PIZZARELLO, M.D.'s National Provider Identifier (NPI) is 1568420115, issued on 05/03/2006.
Does PETER PIZZARELLO, M.D. prescribe more brand-name or generic drugs?
PETER PIZZARELLO, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $4K in brand drug costs.
Does PETER PIZZARELLO, M.D. prescribe opioids?
Yes, PETER PIZZARELLO, M.D. had 300 opioid claims in 2023 with an opioid prescribing rate of 24.0%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does PETER PIZZARELLO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PETER PIZZARELLO, M.D.'s most frequently prescribed drugs include Meloxicam, Methylprednisolone, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PETER PIZZARELLO, M.D. accept Medicare?
PETER PIZZARELLO, M.D. appears in CMS Medicare data with 1,248 Part D claims and 333 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PETER PIZZARELLO, M.D.'s credentials?
PETER PIZZARELLO, M.D.'s NPI is 1568420115 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology