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DR. PATTY K PETTWAY D.O.
NPI 1376506881
Family Medicine in Havana, AR

Active since April 07, 2006PECOS Enrolled
310 WEST BROADWAY STREET, HAVANA, AR 72842(479) 476-2827(479) 476-2580 Get Directions Write a Review

NPPES record last updated: September 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Patty K Pettway D.o. NPPES

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

DR. PATTY K PETTWAY D.O. (NPI 1376506881) is an individual family medicine provider in Havana, Arkansas, licensed in Arkansas (N8252) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376506881
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PATTY K PETTWAYCredential: D.O.
Location Address310 WEST BROADWAY STREETHavana, AR 72842-0099
Mailing AddressPo Box 639Danville, AR 72833-0639 · (479) 495-2241 · Fax (479) 495-6299
Phone(479) 476-2827
Fax(479) 476-2580
Sole ProprietorYes
Enumeration DateApril 7, 2006
Last NPPES UpdateSeptember 18, 2015
✔ NPI 1376506881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AR · N8252
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
310 WEST BROADWAY STREET, Havana, AR 72842
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Other Identifiers 3

Medicare UPINF26603AR
Medicaid121717003AR
Medicare ID-Type Unspecified55686AR · Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patty K Pettway D.o. 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 72842 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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 Patty Pettway's NPI number?

The NPI number for Patty Pettway is 1376506881. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Patty Pettway located?

Patty Pettway practices at 310 West Broadway Street, Havana, AR 72842. The listed phone number is (479) 476-2827.

What is Patty Pettway's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Patty Pettway enrolled in Medicare?

Yes. Patty Pettway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patty Pettway was last updated on September 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.