LOUIS PETTYGROVE PAC
NPI 1194373217
Physician Assistant in Raleigh, NC

Active since September 02, 2019PECOS EnrolledAccepts Medicare Assignment
3949 BROWNING PL, RALEIGH, NC 27609(919) 787-7411 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 12, 2021, Sep 2, 2019 (2 updates tracked since 2019).

About Louis Pettygrove Pac NPPES

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

LOUIS PETTYGROVE PAC (NPI 1194373217) is an individual physician assistant in Raleigh, North Carolina, licensed in North Carolina (0010-09167) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Johnston Health, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194373217
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLOUIS PETTYGROVECredential: PAC
Location Address3949 BROWNING PLRaleigh, NC 27609-6536
Mailing Address3949 Browning PlRaleigh, NC 27609-6536 · (919) 787-7411
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 2, 2019
Last NPPES UpdateAugust 12, 20212 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
NPI 1194373217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-09167
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3949 BROWNING PL, Raleigh, NC 27609

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

Louis Pettygrove Pac 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 ID8729414719
PECOS Enrollment IDI20200211002246
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.

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

Radiology (Nuclear Radiology)
3949 BROWNING PL
RALEIGH, NC 27609
Radiology (Diagnostic Radiology)
3949 BROWNING PL
RALEIGH, NC 27609
Radiology (Diagnostic Radiology)
3949 BROWNING PL
RALEIGH, NC 27609
Radiology (Diagnostic Radiology)
3949 BROWNING PL
RALEIGH, NC 27609
Radiology (Diagnostic Radiology)
3949 BROWNING PL
RALEIGH, NC 27609
Radiology (Diagnostic Radiology)
3949 BROWNING PL
RALEIGH, NC 27609
Radiology (Diagnostic Radiology)
3949 BROWNING PL
RALEIGH, NC 27609
Radiology (Diagnostic Radiology)
3949 BROWNING PL
RALEIGH, NC 27609

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 Louis Pettygrove's NPI number?

The NPI number for Louis Pettygrove is 1194373217. It was assigned to this individual provider in the NPPES registry on September 2, 2019.

Where is Louis Pettygrove located?

Louis Pettygrove practices at 3949 Browning Pl, Raleigh, NC 27609. The listed phone number is (919) 787-7411.

What is Louis Pettygrove's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Louis Pettygrove enrolled in Medicare?

Yes. Louis Pettygrove 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 Louis Pettygrove accept?

Health plans from Blue Cross and Blue Shield of NC list Louis Pettygrove 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 Louis Pettygrove affiliated with any hospitals?

According to CMS data, Louis Pettygrove is affiliated with Johnston Health.

When was this NPI record last updated?

The NPPES record for Louis Pettygrove was last updated on August 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.