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CHARLES ROBERT PETTIT M.D.
NPI 1326183583
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Sonoma, CA

Active since February 21, 2007PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
181 ANDRIEUX ST STE 106, SONOMA, CA 95476(707) 931-6485(707) 581-1766 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2020, May 21, 2020 (2 updates tracked since 2020).

About Charles Robert Pettit M.d. NPPES

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

CHARLES ROBERT PETTIT M.D. (NPI 1326183583) is an individual otolaryngology/facial plastic surgery provider in Sonoma, California, licensed in California (A235594) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Monterey, and is a graduate of University Of California, Irvine, California College Of Medicine (1968).

NPPES Registry Identity

NPI1326183583
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameCHARLES ROBERT PETTITCredential: M.D.
Location Address181 ANDRIEUX ST STE 106Sonoma, CA 95476-6920
Mailing AddressPo Box 4489Carmel, CA 93921-4489 · (707) 931-6485 · Fax (707) 581-1766
Phone(707) 931-6485
Fax(707) 581-1766
Sole ProprietorYes
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1968
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 15, 20202 updates tracked since enumeration
NPPES CertifiedJuly 15, 2020
✔ NPI 1326183583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in CA · A235594
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
181 ANDRIEUX ST STE 106, Sonoma, CA 95476
Open in Google Maps ↗

Secondary Practice Location 1

Location 1833 Cass StMonterey, CA 93940-2904 · Phone (707) 931-6485 · Fax (707) 581-1766

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Robert Pettit M.d. 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 ID6507873395
PECOS Enrollment IDI20060320000654
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.

Medicare Billing Reassignment

Medicare enrollment records show Charles Pettit reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charles Robert Pettit MD A Medical Corporation
24 mi
Otolaryngology/Facial Plastic Surgery
175 CONCOURSE BLVD
Santa Rosa, CA 95403
  • Reassigned Medicare billing, California enrollment
NPI 1316268386 (707) 284-9200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
422 services334 patients
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.
265 services169 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.
183 services183 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
123 services123 patients
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.
88 services66 patients
Complex removal of skin debris and drainage of mastoid cavity 69222
This procedure involves the careful removal of unwanted skin debris and the draining of fluid from the mastoid cavity, which is located in the ear. It helps alleviate discomfort and prevent potential complications. It's performed by a specialist using precise medical tools.
42 services32 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
5%175 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
0%503 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
2%335 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
2%210 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
3%330 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 10% · 136 patients
10%136 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
17%335 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%335 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 2% · 210 patients
2%210 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

PERSONAL HEARING SOLUTIONS
Audiologist-Hearing Aid Fitter
181 ANDRIEUX ST STE 106
SONOMA, CA 95476
Sonoma County (707) 538-1000
ROBERT C. GEIGER, M. D., PROFESSIONAL CORPORATION
Clinic/Center (Medical Specialty)
181 ANDRIEUX ST STE 106
SONOMA, CA 95476
Sonoma County (707) 996-7077

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 Charles Pettit's NPI number?

The NPI number for Charles Pettit is 1326183583. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Charles Pettit located?

Charles Pettit practices at 181 Andrieux St Ste 106, Sonoma, CA 95476. The listed phone number is (707) 931-6485.

What is Charles Pettit's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Charles Pettit enrolled in Medicare?

Yes. Charles 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.

Which organization bills Medicare for Charles Pettit's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Pettit reassigns Medicare benefits to Charles Robert Pettit MD A Medical Corporation (Santa Rosa, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Pettit's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Pettit was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.