WILLIAM ROBERT PETTEY MD
NPI 1487642450
Surgery in Fort Worth, TX

Q: What is William Pettey's NPI number?

The NPI number for William Pettey is 1487642450. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Q: What is William Pettey's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for William Pettey was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 12, 2005PECOS EnrolledAccepts Medicare Assignment

77.67/100

CMS Quality Rating

6100 HARRIS PKWY, #390, FORT WORTH, TX 76132(817) 370-9011(817) 346-0380 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2024, Aug 12, 2019 (2 updates tracked since 2019).

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About William Robert Pettey Md NPPES

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

WILLIAM ROBERT PETTEY MD (NPI 1487642450) is an individual surgery provider in Fort Worth, Texas, licensed in Texas (G8340) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1984).

NPPES Registry Identity

NPI1487642450

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameWILLIAM ROBERT PETTEYCredential: MD

Location Address6100 HARRIS PKWY, #390Fort Worth, TX 76132-4124

Mailing Address6100 Harris Pkwy, #390Fort Worth, TX 76132-4124 · (817) 370-9011 · Fax (817) 346-0380

Phone(817) 370-9011

Fax(817) 346-0380

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1984

Enumeration DateOctober 12, 2005

Last NPPES UpdateMay 8, 20242 updates tracked since enumeration

NPPES CertifiedMay 8, 2024

✔ NPI 1487642450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in TX · G8340

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedFamily MedicineTaxonomy 207Q00000X · License G8340 (TX)

6100 HARRIS PKWY, Fort Worth, TX 76132

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Other Identifiers 3

Medicaid131434601TX

Other4254295Aetna

Other91159Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare 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

William Robert Pettey Md 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 ID4789873696

PECOS Enrollment IDI20110107000582

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 16

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

452 services104 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.

394 services72 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

298 services36 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

184 services70 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

175 services85 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

161 services57 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

147 services49 patients

Removal of muscle and/or tissue, 20.0 sq cm or less 11043

137 services48 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

56 services42 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

40 services40 patients

Removal of muscle and/or tissue, each additional 20.0 sq cm or less 11046

This procedure involves the removal of muscle and/or tissue, typically to treat disease or injury. An additional 20.0 square cm or less of tissue may be removed if necessary. The process is performed by a skilled medical professional to ensure your safety and recovery.

36 services12 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

26 services26 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

24 services19 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

24 services20 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

21 services21 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76132 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.83

Promoting Interoperability

100

Improvement Activities

Cost

15.42

Referred Medical Equipment & Supplies CMS DME claims 3

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

Collagen based wound filler, dry form, sterile, per gram of collagen A6010

DME-Medical/Surgical Supplies · category DA023N

2 suppliers18 claims557 services$29.92 avg. paid by Medicare

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219

DME-Medical/Surgical Supplies · category DA023N

2 suppliers25 claims840 services$0.89 avg. paid by Medicare

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222

DME-Medical/Surgical Supplies · category DA023N

2 suppliers12 claims360 services$2.05 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 20

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

MRS. ANJANETTE OSTROM AGACNP-BC

Nurse Practitioner (Acute Care)

6100 HARRIS PKWY
FORT WORTH, TX 76132

Tarrant County (817) 433-5977

RAJKUMAR SOMASUNDARAM FNP-BC

Nurse Practitioner (Family)

6100 HARRIS PKWY
FORT WORTH, TX 76132

Tarrant County (490) 681-7820

HANSON INTERNAL MEDICINE, P.A.

Internal Medicine

6100 HARRIS PKWY, SUITE 240
FORT WORTH, TX 76132

Tarrant County (817) 504-5699

PAMELA J MAINOUS

Specialist/Technologist, Other (Surgical Assistant)

6100 HARRIS PKWY
FORT WORTH, TX 76132

Tarrant County (817) 346-5000

DEVEN EMMANUEL GULICK MD

Internal Medicine

6100 HARRIS PKWY
FORT WORTH, TX 76132

Tarrant County (817) 433-5977

GREGORY WAYNE HANSON M.D.

Internal Medicine

6100 HARRIS PKWY, SUITE 240
FORT WORTH, TX 76132

Tarrant County (817) 504-5699

LYNNE R TILKIN DO

Family Medicine

6100 HARRIS PKWY, STE 350
FORT WORTH, TX 76132

Tarrant County (817) 433-5580

DR. ILONA NEKHAYEVA MD., PHD

Family Medicine

6100 HARRIS PKWY
FORT WORTH, TX 76132

Tarrant County (817) 433-5977

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 William Pettey's NPI number?

The NPI number for William Pettey is 1487642450. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is William Pettey located?

William Pettey practices at 6100 Harris Pkwy #390, Fort Worth, TX 76132. The listed phone number is (817) 370-9011.

What is William Pettey's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is William Pettey enrolled in Medicare?

Yes. William Pettey 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 William Pettey accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and UnitedHealthcare list William Pettey 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 William Pettey was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.