KIMBERLY ANN PETTIT M.D.
NPI 1093789299
Dermatology in American Fork, UT

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
98 N 1100 E, SUITE 301, AMERICAN FORK, UT 84003(801) 492-2300 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Ann Pettit M.d. NPPES

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

KIMBERLY ANN PETTIT M.D. (NPI 1093789299) is an individual dermatology provider in American Fork, Utah, licensed in Indiana (01056997A) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2001).

NPPES Registry Identity

NPI1093789299
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKIMBERLY ANN PETTITCredential: M.D.
Location Address98 N 1100 E, SUITE 301American Fork, UT 84003-2935
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 492-2300
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2001
Enumeration DateFebruary 14, 2006
Last NPPES UpdateOctober 1, 2021
NPPES CertifiedOctober 1, 2021
NPI 1093789299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IN · 01056997A
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
98 N 1100 E, American Fork, UT 84003

Accepted 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

Kimberly Ann Pettit 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 ID9638362114
PECOS Enrollment IDI20101015000860
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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
236 services69 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.
177 services146 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
125 services106 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
116 services104 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
106 services94 patients
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.
89 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84003 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Physical Medicine & Rehabilitation
98 N 1100 E
AMERICAN FORK, UT 84003
Specialist/Technologist (Athletic Trainer)
98 N 1100 E, STE 103
AMERICAN FORK, UT 84003
Family Medicine
98 N 1100 E, STE 402
AMERICAN FORK, UT 84003
Preventive Medicine (Undersea and Hyperbaric Medicine)
98 N 1100 E
AMERICAN FORK, UT 84003
Otolaryngology
98 N 1100 E, STE 203
AMERICAN FORK, UT 84003
Dermatology
98 N 1100 E, SUITE 301
AMERICAN FORK, UT 84003
Physician Assistant
98 N 1100 E, SUITE 203
AMERICAN FORK, UT 84003
Physical Therapist
98 N 1100 E, #402
AMERICAN FORK, UT 84003

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 Kimberly Pettit's NPI number?

The NPI number for Kimberly Pettit is 1093789299. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Kimberly Pettit located?

Kimberly Pettit practices at 98 N 1100 E Suite 301, American Fork, UT 84003. The listed phone number is (801) 492-2300.

What is Kimberly Pettit's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kimberly Pettit enrolled in Medicare?

Yes. Kimberly Pettit 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.

What insurance does Kimberly Pettit accept?

Health plans from Select Health list Kimberly Pettit as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Pettit was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.