ANDREW JAMES PETRY PA-C
NPI 1487465357
Physician Assistant in Dayton, OH

Active since January 18, 2025PECOS EnrolledAccepts Medicare Assignment
4340 CLYO RD, DAYTON, OH 45459(937) 534-7330(937) 297-2203 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew James Petry Pa-c NPPES

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

ANDREW JAMES PETRY PA-C (NPI 1487465357) is an individual physician assistant in Dayton, Ohio, licensed in Ohio (50.009368RX) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1487465357
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANDREW JAMES PETRYCredential: PA-C
Location Address4340 CLYO RDDayton, OH 45459-7000
Mailing Address4340 Clyo RdDayton, OH 45459-7000 · (937) 534-7330 · Fax (937) 297-2203
Fax(937) 297-2203
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 18, 2025
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
NPI 1487465357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50.009368RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4340 CLYO RD, Dayton, OH 45459

Accepted 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

Andrew James Petry Pa-c 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 ID8325561970
PECOS Enrollment IDI20250325001758
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.

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45459 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

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

Physician Assistant
4340 CLYO RD
DAYTON, OH 45459

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 Andrew Petry's NPI number?

The NPI number for Andrew Petry is 1487465357. It was assigned to this individual provider in the NPPES registry on January 18, 2025.

Where is Andrew Petry located?

Andrew Petry practices at 4340 Clyo Rd, Dayton, OH 45459. The listed phone number is (937) 534-7330.

What is Andrew Petry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrew Petry enrolled in Medicare?

Yes. Andrew Petry 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.

What insurance does Andrew Petry accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Andrew Petry 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.

Is Andrew Petry affiliated with any hospitals?

According to CMS data, Andrew Petry is affiliated with Miami Valley Hospital and Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Andrew Petry was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.