DR. WENDELL E PETTY M.D.
NPI 1457312308
Allergy & Immunology in Idaho Falls, ID

Q: What is Wendell Petty's NPI number?

The NPI number for Wendell Petty is 1457312308. It was assigned to this individual provider in the NPPES registry on March 30, 2006. The provider is also known as Dr. Gene Petty M.D..

Q: What is Wendell Petty's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

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

Active since March 30, 2006PECOS EnrolledAccepts Medicare Assignment

3422 S 15TH E, IDAHO FALLS, ID 83404(208) 529-9292(208) 525-6013 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Wendell E Petty M.d. NPPES

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

DR. WENDELL E PETTY M.D. (NPI 1457312308) is an individual allergy & immunology provider in Idaho Falls, Idaho, licensed in Idaho (MD-2580) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1972).

NPPES Registry Identity

NPI1457312308

Entity TypeIndividualMale

Primary Taxonomy207K00000X

Provider Legal NameDR. WENDELL E PETTYCredential: M.D.

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

Mailing Address3422 S 15th EIdaho Falls, ID 83404-8262 · (208) 529-9292 · Fax (208) 525-6013

Phone(208) 529-9292

Fax(208) 525-6013

Sole ProprietorNo

Medical School CMSOtherGraduated 1972

Enumeration DateMarch 30, 2006

Last NPPES UpdateJune 21, 2019

✔ NPI 1457312308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in ID · MD-2580

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

3422 S 15TH E, Idaho Falls, ID 83404

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Other Names 1

Other Name (5)Dr. Gene Petty M.d.

Other Identifiers 4

Other000010004631ID · Blue Shield

Medicaid002516900ID

Other030000684ID · Railroad Medicare

Other76891ID · Blue Cross

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

Dr. Wendell E Petty 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 ID42268963

PECOS Enrollment IDI20050107000247

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 7

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.

2,001 services35 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.

1,310 services89 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.

1,001 services82 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.

649 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

143 services118 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

84 services63 patients

Referred Medical Equipment & Supplies CMS DME claims 11

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers18 claims35 services$1.65 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

3 suppliers16 claims16 services$14.54 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

4 suppliers77 claims84 services$6.66 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

3 suppliers36 claims38 services$87.48 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 supplier19 claims1,140 services$4.64 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier128 claims7,290 services$6.37 avg. paid by Medicare

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

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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