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DR. GRETCHEN G PETTERWAY MD
NPI 1174734818
Pediatrics in Shreveport, LA

Active since May 24, 2007PECOS Enrolled
9220 ELLERBE RD, SUITE 700, SHREVEPORT, LA 71106(318) 681-5282(318) 681-5284 Get Directions Write a Review

NPPES record last updated: January 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gretchen G Petterway Md NPPES

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

DR. GRETCHEN G PETTERWAY MD (NPI 1174734818) is an individual pediatrics provider in Shreveport, Louisiana, licensed in Louisiana (MD.202577) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174734818
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. GRETCHEN G PETTERWAYCredential: MD
Location Address9220 ELLERBE RD, SUITE 700Shreveport, LA 71106-6739
Mailing Address919 Hidden RdgIrving, TX 75038-3813 · (469) 282-2711 · Fax (469) 282-0996
Phone(318) 681-5282
Fax(318) 681-5284
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateJanuary 2, 2017
✔ NPI 1174734818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · MD.202577
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9220 ELLERBE RD, Shreveport, LA 71106
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Other Names 1

Former Name (1)Gretchen Gillyard

Other Identifiers 2

Medicare PIN4M138BC11LA
Medicaid1079219LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gretchen G Petterway Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71106 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 4

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

DR. JODE JANN BURGIN M.D.
Family Medicine
9220 ELLERBE RD, SUITE 700
SHREVEPORT, LA 71106
Caddo Parish (318) 681-5282
DR. RICHARD ANDREW SIMPSON D.D.S.
Dentist (General Practice)
9220 ELLERBE RD, SUITE 100
SHREVEPORT, LA 71106
Caddo Parish (318) 868-0830
DR. MELISSA RAMPAL M.D.
Internal Medicine (Nephrology)
9220 ELLERBE RD
SHREVEPORT, LA 71106
Caddo Parish (318) 681-5282
DR. JOHN E STAFFORD DDS
Dentist
9220 ELLERBE RD, SUITE 100
SHREVEPORT, LA 71106
Caddo Parish (318) 868-0830

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 Gretchen Petterway's NPI number?

The NPI number for Gretchen Petterway is 1174734818. It was assigned to this individual provider in the NPPES registry on May 24, 2007. The provider is also known as Gretchen Gillyard.

Where is Gretchen Petterway located?

Gretchen Petterway practices at 9220 Ellerbe Rd Suite 700, Shreveport, LA 71106. The listed phone number is (318) 681-5282.

What is Gretchen Petterway's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gretchen Petterway enrolled in Medicare?

Yes. Gretchen Petterway is registered in the Medicare PECOS enrollment system.

What insurance does Gretchen Petterway accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Gretchen Petterway 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 Gretchen Petterway was last updated on January 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.