Robert Pecoraro
NPI 1619195831ActiveIndividual· Physician Assistant, Surgical· Greenville, NC
Physician Assistant, Surgical with Vidant Medical Group LLC and 2 other groups, practicing in Greenville, North Carolina. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant. Lists Beaumont Hospital Royal Oak and 1 other hospital as hospital affiliations.
Overview
| NPI | 1619195831 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 23, 2007 |
| Last updated in NPPES | Jan 13, 2026 |
| Certified by provider | Jan 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 008549 | NY |
| Physician Assistant, Surgical | 363AS0400X | 0010-15336 | NC |
| Physician Assistant, Surgical | 363AS0400X | 5601013004 | MI |
| Physician Assistant, Surgical | 363AS0400X | 9164 | CO |
| Physician Assistant, Surgical | 363AS0400X | 5891 | SC |
| Physician Assistant, Surgical | 363AS0400X | 9119032 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MI); Practitioner - Physician Assistant (NC); Practitioner - Physician Assistant (NY) |
|---|
Education and affiliations
| Graduation year | 2001 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Vidant Medical Group LLCAhoskie, NC · 1,012 clinicians
- Beaumont Medical Group- Specialty ServicesBerkley, MI · 847 clinicians
- Proactive Therapy of North Carolina IncWilson, NC · 563 clinicians
Hospital affiliations
- Beaumont Hospital Royal OakRoyal Oak, MI
- Ecu Health Medical CenterGreenville, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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