Peter Donofrio

Peter Donofrio, operating as Peter D Donofrio Division, is a sole proprietorship based in Raleigh, North Carolina that provides medical expert services and case review support to federal agencies as a prime contractor under total small business set-asides. The vendor holds a $7.5 million single-award Blanket Purchase Agreement with the Health Resources and Services Administration (HRSA) for Vaccine Injury Compensation Program medical expert services, awarded in August 2024 with an ultimate completion date of August 2029, and competes exclusively under small business set-asides across its federal footprint.

Donofrio's federal work is concentrated almost entirely within HRSA's Vaccine Injury Compensation Program. The vendor provides medical record reviews, expert opinions on vaccine injury causation, hearing preparation and participation, and general medical consultation to support VICP case adjudication. Representative recent work includes a $24,375 BPA call from HRSA for medical case reviewer services (awarded February 2026, completing January 2027), a $15,000 BPA call for medical expert services on a specific VICP case (awarded April 2025, completing March 2026), and a $21,000 BPA call for medical expert services (awarded September 2024, completing August 2025). A secondary customer relationship exists with the Department of Justice Civil Division, where Donofrio performs expert witness services; a $6,375 purchase order for expert witness services was awarded September 2024 and completed April 2025.

Customer concentration is severe and monolithic. HRSA Headquarters accounts for 253 awards and $15.5 million combined potential value (100% of identified awards). The Department of Justice Civil Division holds the remaining 9 awards with $48 thousand combined potential value. This concentration reflects Donofrio's specialization in vaccine injury adjudication rather than portfolio diversification.

Donofrio places task orders under five named BPAs, all held with HRSA. The largest vehicle by task-order volume is Blanket Purchase Agreement HHSH250201400016B with 87 task orders carrying $288 thousand combined potential value. BPA 75R60221A00071 follows with 56 task orders and $244 thousand combined potential value. BPA 75R60219A00029 carries 60 task orders worth $136 thousand, while BPA HHSH250201000058B holds 38 task orders for $114 thousand. The five named vehicles account for the vast majority of recent placement activity, with individual task orders typically ranging from $375 to $15,000, most falling between $1,000 and $5,000.

Activity has contracted sharply in recent years. The vendor received 27 awards in 2022, dropped to 5 in 2023, recovered slightly to 18 in 2024, then declined to 2 awards in 2025 and 1 in 2026 year-to-date. This trajectory suggests either declining VICP case volume, selective HRSA ordering, or potential competitive pressure. Only one award (combined potential value $24 thousand) reaches ultimate completion within the next twenty-four months, presenting minimal near-term recompete exposure given the vendor's core $7.5 million BPA vehicle running through August 2029. The vendor has received no sub-awards and engages no named subcontractors; all work is self-performed. Combined obligated dollars stand at $873 thousand against $15.6 million combined potential value, indicating light invoicing relative to ceiling exposure—typical of expert-services BPAs where task orders are issued on an as-needed, case-by-case basis.