MITCHELL LEE PETUSEVSKY MD
NPI 1275584435
Internal Medicine - Pulmonary Disease in Naples, FL

Q: What is Mitchell Petusevsky's NPI number?

The NPI number for Mitchell Petusevsky is 1275584435. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Q: What is Mitchell Petusevsky's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since May 13, 2006PECOS Enrolled

700 2ND AVE N, SUITE 305, NAPLES, FL 34102(239) 263-8385(239) 263-8592 Get Directions Write a Review

NPPES record last updated: March 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mitchell Lee Petusevsky Md NPPES

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

MITCHELL LEE PETUSEVSKY MD (NPI 1275584435) is an individual pulmonary disease provider in Naples, Florida, licensed in Florida (FLME0042752) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275584435

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMITCHELL LEE PETUSEVSKYCredential: MD

Location Address700 2ND AVE N, SUITE 305Naples, FL 34102-5756

Mailing Address3434 Hancock Bridge Pkwy, Suite 301North Fort Myers, FL 33903-7094 · (877) 856-3774 · Fax (239) 599-2625

Phone(239) 263-8385

Fax(239) 263-8592

Sole ProprietorNo

Enumeration DateMay 13, 2006

Last NPPES UpdateMarch 3, 2014

✔ NPI 1275584435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in FL · FLME0042752

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

700 2ND AVE N, Naples, FL 34102

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Other Identifiers 3

Medicare UPINC54579FL

Medicare ID-Type Unspecified96269WFL

Medicaid064860400FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell Lee Petusevsky 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 34102 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 10

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

Tubing with integrated heating element for use with positive airway pressure device A4604