DR. MATTHEW IAN PETTIT DMD
NPI 1487338679
Dentist in Fairborn, OH

Q: What is Matthew Pettit's NPI number?

The NPI number for Matthew Pettit is 1487338679. It was assigned to this individual provider in the NPPES registry on June 9, 2023.

Q: What is Matthew Pettit's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Pettit was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 09, 2023PECOS Enrolled

1762 COMMERCE CENTER BLVD, FAIRBORN, OH 45324(937) 878-8694 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Matthew Ian Pettit Dmd NPPES

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

DR. MATTHEW IAN PETTIT DMD (NPI 1487338679) is an individual dentist in Fairborn, Ohio, licensed in Ohio (30.027228) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487338679

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. MATTHEW IAN PETTITCredential: DMD

Location Address1762 COMMERCE CENTER BLVDFairborn, OH 45324-6358

Mailing Address1762 Commerce Center BlvdFairborn, OH 45324-6358 · (937) 878-8694

Phone(937) 878-8694

Sole ProprietorNo

Enumeration DateJune 9, 2023

NPPES CertifiedJune 9, 2023

✔ NPI 1487338679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 30.027228

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1762 COMMERCE CENTER BLVD, Fairborn, OH 45324

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Ohio, MedMutual.Insurance ›

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. Matthew Ian Pettit Dmd 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 45324 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 2

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

DR. DENNIS G PETTIT DDS

Dentist (Oral and Maxillofacial Pathology)

1762 COMMERCE CENTER BLVD
FAIRBORN, OH 45324

Greene County (937) 878-8694

DENNIS G PETTIT DDS INC

Clinic/Center (Oral and Maxillofacial Surgery)

1762 COMMERCE CENTER BLVD
FAIRBORN, OH 45324

Greene County (937) 878-8694

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 Matthew Pettit's NPI number?

The NPI number for Matthew Pettit is 1487338679. It was assigned to this individual provider in the NPPES registry on June 9, 2023.

Where is Matthew Pettit located?

Matthew Pettit practices at 1762 Commerce Center Blvd, Fairborn, OH 45324. The listed phone number is (937) 878-8694.

What is Matthew Pettit's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Matthew Pettit enrolled in Medicare?

Yes. Matthew Pettit is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Pettit accept?

Health plans from Delta Dental of Ohio and MedMutual list Matthew Pettit 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.

When was this NPI record last updated?

The NPPES record for Matthew Pettit was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.