SARAH PETTIBONE MD
NPI 1497105431
Family Medicine in Hancock, MI

Q: What is Sarah Pettibone's NPI number?

The NPI number for Sarah Pettibone is 1497105431. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Q: What is Sarah Pettibone's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sarah Pettibone was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 21, 2016PECOS EnrolledAccepts Medicare Assignment

500 CAMPUS DR, HANCOCK, MI 49930(906) 483-1060(906) 372-3230 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 3, 2019, Jun 21, 2016 (2 updates tracked since 2016).

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About Sarah Pettibone Md NPPES

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

SARAH PETTIBONE MD (NPI 1497105431) is an individual family medicine provider in Hancock, Michigan, licensed in Michigan (4301500331) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Up Health System Portage, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1497105431

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSARAH PETTIBONECredential: MD

Location Address500 CAMPUS DRHancock, MI 49930-1452

Mailing Address2500 Alhambra AveMartinez, CA 94553-3156

Phone(906) 483-1060

Fax(906) 372-3230

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 21, 2016

Last NPPES UpdateJuly 3, 20192 updates tracked since enumeration

✔ NPI 1497105431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301500331

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

500 CAMPUS DR, Hancock, MI 49930

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Sarah Pettibone 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 ID2567791064

PECOS Enrollment IDI20190909002876

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

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

Up Health System Portage

Acute Care Hospitals · Hancock, MI

OwnershipVoluntary non-profit - Other

CMS Certification Number230108

Location500 Campus DriveHancock, MI 49930 · Houghton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49930 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers15 claims53 services$5.89 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

3 suppliers13 claims13 services$909.12 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.

MERCEDES A MAKI PA

Physician Assistant (Medical)