WILLIAM J PETRAIUOLO MD
NPI 1144336470
Surgery in Willoughby, OH
NPI Status: Active since August 21, 2006
Contact Information
36060 EUCLID AVE
SUITE 204
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 602-6553
Fax: (440) 602-6566
- Individual
- Male
- Surgery
- PECOS Enrolled
- Medicare Quality Reporting
About WILLIAM PETRAIUOLO
This page provides the complete NPI Profile along with additional information for William Petraiuolo, a provider established in Willoughby, Ohio with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1144336470 assigned on August 2006. The practitioner's primary taxonomy code is 208600000X with license number 35061722 (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1144336470
- Provider Name
- WILLIAM J PETRAIUOLO MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 36060 EUCLID AVE SUITE 204 WILLOUGHBY, OH 44094
- Location Phone
- (440) 602-6553
- Location Fax
- (440) 602-6566
- Mailing Address
- PO BOX 714328 COLUMBUS, OH 43271
- Mailing Phone
- (800) 354-1985
- Mailing Fax
- (440) 602-6566
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-21-2006
- Last Update Date
- 09-06-2007
- Code Navigator
A surgeon like William Petraiuolo treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35061722
- License State
- OH
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0836975 | MEDICAID (05) | OH | |
| 4108284 | MEDICARE PIN (08) | OH | |
| E85365 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
William Petraiuolo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 44094 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Documentation of Current Medications in the Medical Record | 96% | 1705 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 80% | 50 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Falls: Plan of Care | 71% | 48 |
| Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months | ||
| Falls: Risk Assessment | 96% | 47 |
| Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months | ||
| Health Information Exchange | 96% | 241 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
| Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Medication Reconciliation | 93% | 366 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 49% | 299 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 80% | 818 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Screening for Depression and Follow-Up Plan | 99% | 776 |
| Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen | ||
| Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 91% | 232 |
| Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 68% | 299 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 30% | 299 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Syndromic Surveillance Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit syndromic surveillance data. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_2_MULTI. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 3 | 3 | 6 | 4 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 6 | 3 | 12 | 4 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 6 + 3 + 1 + 2 + 4 + 1 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1144336470 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508800426 | LAKE HOSPITAL SYSTEM INC Organization | Surgery | 36060 EUCLID AVE SUITE 204 WILLOUGHBY, OH 44094 (440) 602-6553 |
| 1003090689 | LAKE HOSPITAL SYSTEM, INC. Organization | Orthopaedic Surgery | 36060 EUCLID AVE SUITE 203 WILLOUGHBY, OH 44094 (440) 602-6670 |
| 1508028135 | HELGE ULRICH SIMON M.D Organization | Internal Medicine (Cardiovascular Disease) | 36060 EUCLID AVE 107 WILLOUGHBY, OH 44094 (440) 269-8346 |
| 1932434289 | OUTREACH PROFESSIONAL SERVICES, INC. Organization | Surgery | 36060 EUCLID AVE SUITE 107 WILLOUGHBY, OH 44094 (440) 269-8346 |
| 1518224906 | MATTHEW M KEUM, M.D., INC Organization | Pain Medicine (Pain Medicine) | 36060 EUCLID AVE SUITE 101 WILLOUGHBY, OH 44094 (440) 269-4990 |
| 1639106594 | DR. DAVID LITTLETON ROLLINS MD Individual | Surgery (Vascular Surgery) | 36060 EUCLID AVE WILLOUGHBY, OH 44094 (440) 269-8346 |
| 1629575329 | DIANA LEE MACKENSEN FNP-C Individual | Nurse Practitioner (Family) | 36060 EUCLID AVE WILLOUGHBY, OH 44094 (440) 953-9600 |
| 1649252743 | DR. JAYE E BENJAMIN M.D. Individual | Dermatology | 36060 EUCLID AVE SUITE 202 WILLOUGHBY, OH 44094 (440) 942-4226 |
| 1700350923 | AMELIA ANN WILMOT Individual | Physician Assistant | 36060 EUCLID AVE WILLOUGHBY, OH 44094 (440) 602-6670 |
| 1528494531 | SHERRY NICOLE PALMER CNP Individual | Nurse Practitioner (Family) | 36060 EUCLID AVE SUITE 204 WILLOUGHBY, OH 44094 (440) 602-6553 |
| 1992739445 | DR. DAVID M HUTT M.D. Individual | Internal Medicine (Infectious Disease) | 36060 EUCLID AVE 107 WILLOUGHBY, OH 44094 (216) 360-0456 |
| 1679592885 | LAKE ORTHOPAEDIC ASSOCIATES, INC. Organization | Orthopaedic Surgery | 36060 EUCLID AVE SUITE 104 WILLOUGHBY, OH 44094 (440) 942-1050 |
| 1770890055 | MR. JEFFREY PAUL JORDAN NP-C Individual | Nurse Practitioner (Family) | 36060 EUCLID AVE STE 107 WILLOUGHBY, OH 44094 (440) 375-8100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144336470, enumerated in the NPI registry as an "individual" on August 21, 2006
The provider is located at 36060 Euclid Ave Suite 204 Willoughby, Oh 44094 and the phone number is (440) 602-6553
The provider's speciality is Surgery with taxonomy code 208600000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on August 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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