MITCHELL RYAN PETTY
NPI 1407485808
Urology in Carlsbad, NM
About Mitchell Ryan Petty NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MITCHELL RYAN PETTY (NPI 1407485808) is an individual urology provider in Carlsbad, New Mexico, licensed in New Mexico (DO2025-0162) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Artesia General Hospital, and maintains a secondary practice location in Lockhart.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mitchell Ryan Petty 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.
Medicare Billing Reassignment
Medicare enrollment records show Mitchell Petty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carlsbad, NM 88220
- Reassigned Medicare billing, New Mexico enrollment
- 71 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Artesia General Hospital
Acute Care Hospitals · Artesia, NMCarlsbad Medical Center
Acute Care Hospitals · Carlsbad, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 88220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Mitchell Petty's NPI number?
The NPI number for Mitchell Petty is 1407485808. It was assigned to this individual provider in the NPPES registry on April 7, 2020.
Where is Mitchell Petty located?
Mitchell Petty practices at 2420 W Pierce St Ste 102, Carlsbad, NM 88220. The listed phone number is (575) 887-4100.
What is Mitchell Petty's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Mitchell Petty enrolled in Medicare?
Yes. Mitchell Petty 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 Mitchell Petty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Petty reassigns Medicare benefits to Pecos Valley Of New Mexico, LLC (Carlsbad, NM). 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 Mitchell Petty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mitchell Petty affiliated with any hospitals?
According to CMS data, Mitchell Petty is affiliated with Artesia General Hospital and Carlsbad Medical Center.
When was this NPI record last updated?
The NPPES record for Mitchell Petty was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Mitchell Ryan Petty · NPI 1407485808
Urology physician in Carlsbad, New Mexico. Individual provider, active in the CMS NPPES registry since April 7, 2020.
## Identity
- **NPI:** 1407485808 (Entity type: Individual)
- **Enumerated:** April 7, 2020
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** DO2025-0162 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 2420 W PIERCE ST STE 102, Carlsbad, NM 88220-3517
- **Phone:** (575) 887-4100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pecos Valley Of New Mexico, LLC (NPI 1972569820, Carlsbad, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Texas Hsc, College Of Osteopathic Med, class of 2020
## Record status
- **NPPES last updated:** October 9, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1407485808) · Data from the CMS NPPES public registry.