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DR. AMY JIAYUE PETTY MD, PHD
NPI 1124609078
Dermatology in Overland Park, KS

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment
10740 NALL AVE # LEVEL3, OVERLAND PARK, KS 66211(913) 588-1227(913) 588-8761 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 7, 2025, Jul 9, 2025, May 14, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Amy Jiayue Petty Md, Phd NPPES

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

DR. AMY JIAYUE PETTY MD, PHD (NPI 1124609078) is an individual dermatology provider in Overland Park, Kansas, licensed in Kansas (04-51339) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Duke University School Of Medicine (2021).

NPPES Registry Identity

NPI1124609078
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. AMY JIAYUE PETTYCredential: MD, PHD
Location Address10740 NALL AVE # LEVEL3Overland Park, KS 66211-1367
Mailing Address3901 Rainbow BlvdKansas City, KS 66160-8500 · (913) 588-1227 · Fax (913) 588-8761
Phone(913) 588-1227
Fax(913) 588-8761
Sole ProprietorYes
Medical School CMSDuke University School Of MedicineGraduated 2021
Enumeration DateApril 20, 2021
Last NPPES UpdateOctober 7, 20254 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1124609078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in KS · 04-51339✔ Licensed in MO · 2025006496
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.
10740 NALL AVE # LEVEL3, Overland Park, KS 66211
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Other Names 1

Former Name (1)Jiayue Deng

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company and more.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

Dr. Amy Jiayue Petty Md, Phd 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 ID6608275979
PECOS Enrollment IDI20250922000677
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.

Hospital Affiliations CMS Care Compare

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, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66211 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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.

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 Amy Petty's NPI number?

The NPI number for Amy Petty is 1124609078. It was assigned to this individual provider in the NPPES registry on April 20, 2021. The provider is also known as Jiayue Deng.

Where is Amy Petty located?

Amy Petty practices at 10740 Nall Ave # Level3, Overland Park, KS 66211. The listed phone number is (913) 588-1227.

What is Amy Petty's specialty?

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

Is Amy Petty enrolled in Medicare?

Yes. Amy Petty 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 Amy Petty accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, Oscar Insurance Company and UnitedHealthcare list Amy Petty 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 Amy Petty affiliated with any hospitals?

According to CMS data, Amy Petty is affiliated with University Of Kansas Hospital.

When was this NPI record last updated?

The NPPES record for Amy Petty was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.