DR. THERON M PETTIT MD
NPI 1245214279
Internal Medicine in Vancouver, WA

Q: What is Theron Pettit's NPI number?

The NPI number for Theron Pettit is 1245214279. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Q: What is Theron Pettit's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Theron Pettit was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment

700 NE 87TH AVE, VANCOUVER, WA 98664(407) 864-3051 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2025, May 22, 2023, Feb 28, 2022 and 1 more (4 updates tracked since 2020).

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About Dr. Theron M Pettit Md NPPES

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

DR. THERON M PETTIT MD (NPI 1245214279) is an individual internal medicine provider in Vancouver, Washington, licensed in Washington (MD61603161) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1995).

NPPES Registry Identity

NPI1245214279

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. THERON M PETTITCredential: MD

Location Address700 NE 87TH AVEVancouver, WA 98664-4896

Mailing Address700 Ne 87th AveVancouver, WA 98664-4896 · (407) 864-3051

Phone(407) 864-3051

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1995

Enumeration DateDecember 2, 2005

Last NPPES UpdateApril 1, 20254 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1245214279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in WA · MD61603161✔ Licensed in CA · C175441✔ Licensed in FL · ME91576

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

700 NE 87TH AVE, Vancouver, WA 98664

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Other Identifiers 2

Medicaid272039600FL

Other64060Bcbsfl

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, BridgeSpan Health Company, Moda Health Plan, Inc. 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. Theron M Pettit Md 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 ID2365481165

PECOS Enrollment IDI20250408003536

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 12

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

508 services276 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

205 services205 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

174 services119 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

94 services88 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

32 services32 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

29 services13 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

19 services19 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

18 services16 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

17 services17 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

16 services15 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orlando Health

Acute Care Hospitals · Orlando, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100006

Location52 W Underwood StOrlando, FL 32806 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98664 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers20 claims52 services$5.78 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers17 claims22 services$1.20 avg. paid by Medicare

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

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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.

OREGON HEALTH & SCIENCE UNIVERSITY

Clinic/Center

700 NE 87TH AVE, SUITE 110
VANCOUVER, WA 98664

Clark County (360) 882-2778

JEFF S BRENT M.D.

Emergency Medicine (Sports Medicine)

700 NE 87TH AVE
VANCOUVER, WA 98664

Clark County (360) 882-2778

LOUISE M SCHULTZ DO

Internal Medicine

700 NE 87TH AVE
VANCOUVER, WA 98664

Clark County (360) 882-2778

SUSAN ARNOLD-EDGAR PA-C

Physician Assistant

700 NE 87TH AVE
VANCOUVER, WA 98664

Clark County (360) 397-1500

WENDY LATTA PT

Physical Therapist

700 NE 87TH AVE
VANCOUVER, WA 98664

Clark County (360) 397-1240

ALLISON MEADE PNP

Nurse Practitioner (Pediatrics)

700 NE 87TH AVE
VANCOUVER, WA 98664

Clark County (360) 882-2778

JOEL DAVID MCLARRY M.D.

Internal Medicine (Cardiovascular Disease)

700 NE 87TH AVE, SUITE 210
VANCOUVER, WA 98664

Clark County (360) 882-2778

KIRSTIE ANDERSON D.P.T.

Physical Therapist

700 NE 87TH AVE
VANCOUVER, WA 98664

Clark County (360) 882-2778

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 Theron Pettit's NPI number?

The NPI number for Theron Pettit is 1245214279. It was assigned to this individual provider in the NPPES registry on December 2, 2005.

Where is Theron Pettit located?

Theron Pettit practices at 700 NE 87th Ave, Vancouver, WA 98664. The listed phone number is (407) 864-3051.

What is Theron Pettit's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theron Pettit enrolled in Medicare?

Yes. Theron Pettit 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 Theron Pettit accept?

Health plans from AvMed, BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Theron Pettit 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 Theron Pettit affiliated with any hospitals?

According to CMS data, Theron Pettit is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Theron Pettit was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.