JARON LEE PETTIS
NPI 1366903015
Surgery in La Porte, IN

Active since March 26, 2019PECOS EnrolledAccepts Medicare Assignment
1331 STATE ST STE 340, LA PORTE, IN 46350(219) 379-3166 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jaron Lee Pettis NPPES

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

JARON LEE PETTIS (NPI 1366903015) is an individual surgery provider in La Porte, Indiana, licensed in Indiana (01094579A) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and is a graduate of University Of South Carolina School Of Medicine (2019).

NPPES Registry Identity

NPI1366903015
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJARON LEE PETTIS
Location Address1331 STATE ST STE 340La Porte, IN 46350-3112
Mailing Address1331 State St Ste 340La Porte, IN 46350-3112
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2019
Enumeration DateMarch 26, 2019
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
NPI 1366903015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IN · 01094579A
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1331 STATE ST STE 340, La Porte, IN 46350

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

Jaron Lee Pettis 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 ID446589576
PECOS Enrollment IDI20240924001379
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 3

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

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

Northwest Health - Starke

Acute Care Hospitals · Knox, IN
OwnershipProprietary
CMS Certification Number150102
Location102 E Culver RdKnox, IN 46534 · Starke County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46350 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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

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

Nurse Practitioner (Family)
1331 STATE ST STE 340
LA PORTE, IN 46350

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 Jaron Pettis's NPI number?

The NPI number for Jaron Pettis is 1366903015. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Jaron Pettis located?

Jaron Pettis practices at 1331 State St Ste 340, La Porte, IN 46350. The listed phone number is (219) 379-3166.

What is Jaron Pettis's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jaron Pettis enrolled in Medicare?

Yes. Jaron Pettis 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 Jaron Pettis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Jaron Pettis 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 Jaron Pettis affiliated with any hospitals?

According to CMS data, Jaron Pettis is affiliated with Northwest Health-La Porte, Northwest Health - Porter and Northwest Health - Starke.

When was this NPI record last updated?

The NPPES record for Jaron Pettis was last updated on August 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.