DR. JEREMY HODSON PETTUS
NPI 1225234982
Internal Medicine - Endocrinology, Diabetes & Metabolism in San Diego, CA

Q: What is Jeremy Pettus's NPI number?

The NPI number for Jeremy Pettus is 1225234982. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Q: What is Jeremy Pettus's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Jeremy Pettus was last updated on February 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 21, 2007PECOS EnrolledAccepts Medicare Assignment

200 W ARBOR DR, SAN DIEGO, CA 92103(619) 543-1849 Get Directions Write a Review

NPPES record last updated: February 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jeremy Hodson Pettus NPPES

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

DR. JEREMY HODSON PETTUS (NPI 1225234982) is an individual endocrinology, diabetes & metabolism provider in San Diego, California, licensed in California (A106382) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Boston University School Of Medicine (2007).

NPPES Registry Identity

NPI1225234982

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. JEREMY HODSON PETTUS

Location Address200 W ARBOR DRSan Diego, CA 92103-9001

Mailing AddressPo Box 232410San Diego, CA 92193-2410

Phone(619) 543-1849

Sole ProprietorNo

Medical School CMSBoston University School Of MedicineGraduated 2007

Enumeration DateJune 21, 2007

Last NPPES UpdateFebruary 27, 2018

✔ NPI 1225234982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in CA · A106382

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

200 W ARBOR DR, San Diego, CA 92103

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Secondary Practice Location 1

Location 1200 W Arbor DrSan Diego, CA 92103-9001 · Phone (619) 543-1849

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. Jeremy Hodson Pettus 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 ID3779617717

PECOS Enrollment IDI20100812001045

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 2

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

25 services15 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

3 suppliers15 claims15 services$298.84 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers38 claims38 services$187.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

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