PHILIP RUSSO PETROSKY DO
NPI 1114505419
Internal Medicine in Overland Park, KS
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 University Of Kansas Hospital, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Philip Petrosky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Overland Park, KS 66209
- Reassigned Medicare billing, Kansas and Missouri enrollments
- Medicare enrollment name: Kc Hospitalists PA
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Kansas Hospital
Acute Care Hospitals · Kansas City, KSOverland Park Reg Med Ctr
Acute Care Hospitals · Overland Park, KSMenorah Medical Center
Acute Care Hospitals · Overland Park, KSLee's Summit Medical Center
Acute Care Hospitals · Lees Summit, MOPhysician 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.
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.
OVERLAND PARK, KS 66215
OVERLAND PARK, KS 66215
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.
Which organization bills Medicare for Philip Petrosky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Petrosky reassigns Medicare benefits to Kc Hospitalists, P.A. (Overland Park, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Petrosky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Petrosky accept?
Health plans from Blue Cross and Blue Shield of Kansas City 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 University Of Kansas Hospital, 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 2 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.
# Philip Russo Petrosky, DO · NPI 1114505419
Internal Medicine physician in Overland Park, Kansas. Individual provider, active in the CMS NPPES registry since March 30, 2021.
## Identity
- **NPI:** 1114505419 (Entity type: Individual)
- **Enumerated:** March 30, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0549995 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 10500 QUIVIRA RD, Overland Park, KS 66215-2306
- **Phone:** (913) 541-5000 · **Fax:** (913) 541-5625
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kc Hospitalists, P.A. (NPI 1922348069, Overland Park, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Kansas City University Of Med & Biosciences, College Of Osteo Med, class of 2021
## Record status
- **NPPES last updated:** September 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114505419) · Data from the CMS NPPES public registry.