DR. JONATHAN MATTHEW PETTEGREW D.O.
NPI 1053552745
Orthopaedic Surgery - Sports Medicine in Modesto, CA

Q: What is Jonathan Pettegrew's NPI number?

The NPI number for Jonathan Pettegrew is 1053552745. It was assigned to this individual provider in the NPPES registry on March 10, 2009.

Q: What is Jonathan Pettegrew's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since March 10, 2009PECOS EnrolledAccepts Medicare Assignment

609 E ORANGEBURG AVE, SUITE 201, MODESTO, CA 95350(209) 572-3224(209) 572-4528 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jonathan Matthew Pettegrew D.o. NPPES

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

DR. JONATHAN MATTHEW PETTEGREW D.O. (NPI 1053552745) is an individual sports medicine provider in Modesto, California, licensed in California (20A13395) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1053552745

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. JONATHAN MATTHEW PETTEGREWCredential: D.O.

Location Address609 E ORANGEBURG AVE, SUITE 201Modesto, CA 95350-5512

Mailing Address609 E Orangeburg Ave, Suite 201Modesto, CA 95350-5512 · (209) 572-3224 · Fax (209) 572-4528

Phone(209) 572-3224

Fax(209) 572-4528

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMarch 10, 2009

Last NPPES UpdateJune 23, 2014

✔ NPI 1053552745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in CA · 20A13395

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

609 E ORANGEBURG AVE, Modesto, CA 95350

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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

Dr. Jonathan Matthew Pettegrew D.o. 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 ID1052554268

PECOS Enrollment IDI20140702002173

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 6

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

185 services32 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

43 services32 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.

40 services33 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

17 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

13 services13 patients

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN JOSEPH CASEY M.D.

Specialist

609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350

Stanislaus County (209) 572-3224

DR. JONATHAN COHEN M.D.

Specialist

609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350

Stanislaus County (209) 572-3224

DR. MICHAEL WOLTERBEEK DPM

Podiatrist

609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350

Stanislaus County (209) 572-3613

DR. PURITA Z VILLANUEVA MD

Dermatology (Procedural Dermatology)

609 E ORANGEBURG AVE, SUITE 201
MODESTO, CA 95350

Stanislaus County (209) 572-3224

MRS. KAREN HENRIQUEZ OTC

Technician, Other

609 E ORANGEBURG AVE
MODESTO, CA 95350

Stanislaus County (209) 572-3224

MRS. PAIGE CROWDER LVN

Licensed Vocational Nurse

609 E ORANGEBURG AVE
MODESTO, CA 95350

Stanislaus County (209) 572-3224

MS. BRENDA DAVIS ORT

Specialist/Technologist, Other

609 E ORANGEBURG AVE
MODESTO, CA 95350

Stanislaus County (209) 572-3224

STANISLAUS ORTHOPAEDIC AND SPORTS MEDICINE CLINIC

Specialist

609 E ORANGEBURG AVE
MODESTO, CA 95350

Stanislaus County (209) 572-3224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Pettegrew's NPI number?

The NPI number for Jonathan Pettegrew is 1053552745. It was assigned to this individual provider in the NPPES registry on March 10, 2009.

Where is Jonathan Pettegrew located?

Jonathan Pettegrew practices at 609 E Orangeburg Ave Suite 201, Modesto, CA 95350. The listed phone number is (209) 572-3224.

What is Jonathan Pettegrew's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jonathan Pettegrew enrolled in Medicare?

Yes. Jonathan Pettegrew is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jonathan Pettegrew was last updated on June 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.