PHILIP RUSSO PETROSKY DO
NPI 1114505419
Internal Medicine in Overland Park, KS

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment
10500 QUIVIRA RD, OVERLAND PARK, KS 66215(913) 541-5000(913) 541-5625 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2024, Mar 30, 2021 (2 updates tracked since 2021).

About Philip Russo Petrosky Do NPPES

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

PHILIP RUSSO PETROSKY DO (NPI 1114505419) is an individual internal medicine provider in Overland Park, Kansas, licensed in Kansas (0549995) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Overland Park Reg Med Ctr, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2021).

NPPES Registry Identity

NPI1114505419
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePHILIP RUSSO PETROSKYCredential: DO
Location Address10500 QUIVIRA RDOverland Park, KS 66215-2306
Mailing Address12200 W 106th St Ste 325Overland Park, KS 66215-2305 · (913) 541-6022 · Fax (913) 541-5625
Fax(913) 541-5625
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2021
Enumeration DateMarch 30, 2021
Last NPPES UpdateSeptember 27, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
NPI 1114505419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KS · 0549995
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10500 QUIVIRA RD, Overland Park, KS 66215

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

Philip Russo Petrosky Do 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 ID4183025901
PECOS Enrollment IDI20241008000934, I20241029004523
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
84 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
72 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
42 services41 patients

Hospital Affiliations CMS Care Compare 3

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

Overland Park Reg Med Ctr

Acute Care Hospitals · Overland Park, KS
4/5 CMS rating
OwnershipProprietary
CMS Certification Number170176
Location10500 Quivira RoadOverland Park, KS 66215 · Johnson County
Emergency services Birthing friendly

Menorah Medical Center

Acute Care Hospitals · Overland Park, KS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number170182
Location5721 West 119th StreetOverland Park, KS 66209 · Johnson County
Emergency services

Lee's Summit Medical Center

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipProprietary
CMS Certification Number260190
Location2100 SE Blue ParkwayLees Summit, MO 64063 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66215 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
10500 QUIVIRA RD
OVERLAND PARK, KS 66215
Occupational Therapist
10500 QUIVIRA RD
OVERLAND PARK, KS 66215
Anesthesiology
10500 QUIVIRA RD
OVERLAND PARK, KS 66215
Student in an Organized Health Care Education/Training Program
10500 QUIVIRA RD
LENEXA, KS 66215
Nurse Practitioner (Neonatal)
10500 QUIVIRA RD
OVERLAND PARK, KS 66215
Nurse Anesthetist, Certified Registered
10500 QUIVIRA RD
OVERLAND PARK, KS 66215
Nurse Anesthetist, Certified Registered
10500 QUIVIRA RD
OVERLAND PARK, KS 66215
Nurse Anesthetist, Certified Registered
10500 QUIVIRA RD
OVERLAND PARK, KS 66215

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 Philip Petrosky's NPI number?

The NPI number for Philip Petrosky is 1114505419. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Where is Philip Petrosky located?

Philip Petrosky practices at 10500 Quivira Rd, Overland Park, KS 66215. The listed phone number is (913) 541-5000.

What is Philip Petrosky's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Philip Petrosky enrolled in Medicare?

Yes. Philip Petrosky 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 Philip Petrosky accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Philip Petrosky 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.

Is Philip Petrosky affiliated with any hospitals?

According to CMS data, Philip Petrosky is affiliated with Overland Park Reg Med Ctr, Menorah Medical Center and Lee's Summit Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Petrosky was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.