BRADLEY WILLIAM PETKOVICH M.D.
NPI 1033485156
Internal Medicine - Pulmonary Disease in Saint Louis, MO

Q: What is Bradley Petkovich's NPI number?

The NPI number for Bradley Petkovich is 1033485156. It was assigned to this individual provider in the NPPES registry on March 23, 2012.

Q: What is Bradley Petkovich's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Petkovich was last updated on March 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2012PECOS EnrolledAccepts Medicare Assignment

6420 CLAYTON RD, SAINT LOUIS, MO 63117(314) 768-8622(314) 768-7177 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2026, Feb 5, 2026, Dec 8, 2025 and 4 more (7 updates tracked since 2019).

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About Bradley William Petkovich M.d. NPPES

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

BRADLEY WILLIAM PETKOVICH M.D. (NPI 1033485156) is an individual pulmonary disease provider in Saint Louis, Missouri, licensed in Missouri (2025038953) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - St Louis, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1033485156

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameBRADLEY WILLIAM PETKOVICHCredential: M.D.

Location Address6420 CLAYTON RDSaint Louis, MO 63117-1811

Mailing Address1008 S Spring AveSaint Louis, MO 63110-2520 · (314) 768-8622

Phone(314) 768-8622

Fax(314) 768-7177

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMarch 23, 2012

Last NPPES UpdateMarch 17, 20267 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1033485156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MO · 2025038953

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 2025038953 (MO)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 2025038953 (MO)

6420 CLAYTON RD, Saint Louis, MO 63117

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Secondary Practice Location 1

Location 11035 Bellevue Ave Ste 500Saint Louis, MO 63117-1843 · Phone (314) 925-4744 · Fax (314) 925-4764

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Oscar Insurance Company.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

Bradley William Petkovich M.d. 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 ID5698089159

PECOS Enrollment IDI20251014003374

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 8

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 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.

110 services108 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

49 services22 patients

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.

38 services37 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

15 services15 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

15 services15 patients

Test to measure expiratory airflow and volume 94010

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260091

Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County

Emergency services Birthing friendly

Ssm Health Saint Louis University Hospital

Acute Care Hospitals · Saint Louis, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260105

Location3635 Vista AveSaint Louis, MO 63110 · St. Louis City County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

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

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604