DAVID AARON PETTY D.O.
NPI 1376877795
Allergy & Immunology - Allergy in Idaho Falls, ID

Q: What is David Petty's NPI number?

The NPI number for David Petty is 1376877795. It was assigned to this individual provider in the NPPES registry on October 1, 2009.

Q: What is David Petty's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Q: When was this NPI record last updated?

The NPPES record for David Petty was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 01, 2009PECOS EnrolledAccepts Medicare Assignment

3422 S 15TH E, IDAHO FALLS, ID 83404(208) 529-9292(208) 523-2397 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About David Aaron Petty D.o. NPPES

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

DAVID AARON PETTY D.O. (NPI 1376877795) is an individual allergy provider in Idaho Falls, Idaho, licensed in Idaho (O-0796) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1376877795

Entity TypeIndividualMale

Primary Taxonomy207KA0200X

Provider Legal NameDAVID AARON PETTYCredential: D.O.

Location Address3422 S 15TH EIdaho Falls, ID 83404-8262

Mailing Address3422 S 15th EIdaho Falls, ID 83404-8262 · (208) 529-9292 · Fax (208) 523-2397

Phone(208) 529-9292

Fax(208) 523-2397

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateOctober 1, 2009

Last NPPES UpdateJune 21, 2019

✔ NPI 1376877795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians

Taxonomy Code207KA0200X

Licenses✔ Licensed in ID · O-0796✔ Licensed in TN · DO0000002408

Definition

A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

3422 S 15TH E, Idaho Falls, ID 83404

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan 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

David Aaron Petty D.o. 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 ID5496991465

PECOS Enrollment IDI20141023000991

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 10

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

768 services16 patients

Professional service for single injection of allergen 95115

A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.

444 services73 patients

Test for allergy using allergenic extract injected into skin 95024

An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.

315 services14 patients

Professional service for preparation and provision of 1 or more antigens 95165

This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.

255 services17 patients

Professional service for multiple injections of allergen 95117

The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.

143 services12 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.

81 services45 patients

Hospital Affiliations CMS Care Compare 5

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130018

Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Madison Memorial Hospital

Acute Care Hospitals · Rexburg, ID

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number130025

Location450 East Main StreetRexburg, ID 83440 · Madison County

Emergency services

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID

1/5 CMS rating

OwnershipPhysician

CMS Certification Number130065

Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Steele Memorial Medical Center

Critical Access Hospitals · Salmon, ID

OwnershipGovernment - Local

CMS Certification Number131305

LocationP O Box 700Salmon, ID 83467 · Lemhi County

Emergency services

Teton Valley Hospital

Critical Access Hospitals · Driggs, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131313

Location120 East Howard AveDriggs, ID 83422 · Teton County

Emergency services

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221

DME-Other DME · category DE017N

1 supplier22 claims87 services$18.61 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier22 claims23 services$104.83 avg. paid by Medicare

Injection, immune globulin (xembify), 100 mg J1558

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier13 claims3,680 services$10.71 avg. paid by Medicare

Injection, immune globulin (hizentra), 100 mg J1559

Treatment-Injections and Infusions (nononcologic) · category RI008N

4 suppliers33 claims13,560 services$9.54 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier39 claims2,280 services$4.62 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier36 claims2,160 services$0.82 avg. paid by Medicare

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

Other Providers at the Same Location NPPES 13

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

IDAHO ALLERGY & ASTHMA CLINIC PA

Allergy & Immunology